Rectal pain: Difference between revisions
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==Causes== | ==Causes== | ||
In | In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref> | ||
*[[Anal | *[[Anal fissure]] | ||
*Anal sex | *Anal sex | ||
*[[Constipation]] | *[[Constipation]] | ||
| Line 16: | Line 16: | ||
*Fecal impaction | *Fecal impaction | ||
*Idiopathic | *Idiopathic | ||
*[[Inflammatory | *[[Inflammatory bowel disease]] | ||
*Levator ani syndrome | *Levator ani syndrome | ||
*[[Neoplasm]] | *[[Neoplasm]] | ||
*[[Perianal abscess]] | *[[Perianal abscess]] | ||
*[[Proctalgia fugax]] | *[[Proctalgia fugax]] | ||
*Solitary | *Solitary rectal ulcer syndrome | ||
*Thrombosed [[hemorrhoid]] | *Thrombosed [[hemorrhoid]] | ||
*[[Trauma]] | *[[Trauma]] | ||
| Line 27: | Line 27: | ||
==Treatment== | ==Treatment== | ||
===Medical Therapy=== | ===Medical Therapy=== | ||
====Acute anal fissure==== | ====Acute anal fissure==== | ||
*Increase fiber/water intake | *Increase fiber/water intake | ||
| Line 38: | Line 36: | ||
*[[Corticosteroid]] shot | *[[Corticosteroid]] shot | ||
*Sitz bath | *Sitz bath | ||
===Surgery=== | ===Surgery=== | ||
====Indications for Surgery==== | ====Indications for Surgery==== | ||
Chronic [[ | *Chronic [[anal fissure]] | ||
*[[Sphincterotomy]] | *[[Sphincterotomy]] | ||
== References == | == References == | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Symptoms]] | |||
[[Category:Signs and symptoms]] | [[Category:Signs and symptoms]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
Latest revision as of 23:57, 29 July 2020
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WikiDoc Resources for Rectal pain |
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Articles |
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Most recent articles on Rectal pain Most cited articles on Rectal pain |
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Ongoing Trials on Rectal pain at Clinical Trials.gov Clinical Trials on Rectal pain at Google
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US National Guidelines Clearinghouse on Rectal pain
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Definitions |
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Patient resources on Rectal pain Discussion groups on Rectal pain Patient Handouts on Rectal pain Directions to Hospitals Treating Rectal pain Risk calculators and risk factors for Rectal pain
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Causes & Risk Factors for Rectal pain |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Rectal pain is uncomfortable and can be upsetting to many patients. Often, the origin of the pain is benign. Carcinoma should be ruled out in older patients. Many times, rectal pain can be easily diagnosed. In some cases, though, the pain may be from the urinary or gynecologic systems. Rectal pain should be distinguished from coccydynia which is buttock pain.
Causes
In alphabetical order. [1] [2]
- Anal fissure
- Anal sex
- Constipation
- Coccygodynia
- Diarrhea
- Fecal impaction
- Idiopathic
- Inflammatory bowel disease
- Levator ani syndrome
- Neoplasm
- Perianal abscess
- Proctalgia fugax
- Solitary rectal ulcer syndrome
- Thrombosed hemorrhoid
- Trauma
Treatment
Medical Therapy
Acute anal fissure
- Increase fiber/water intake
- Sitz bath
- Stool softener
- Topical corticosteroids
Coccuodynia
- Analgesics
- Corticosteroid shot
- Sitz bath
Surgery
Indications for Surgery
- Chronic anal fissure
- Sphincterotomy