Anal fistula history and symptoms: Difference between revisions

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==Overview==
==Overview==
 
The hallmark of [[anal fistula]] is [[rectal pain]] during [[defecation]], [[sitting]] and [[cough]]. A positive history of [[Crohns disease]], [[Rectal]] abscess, [[Obstetric]] injury and prior [[anorectal]] injury is suggestive of anal fistula. Common symptoms are intermittent [[rectal]] [[pain]] during [[defecation]], [[sitting]] and any activity, [[pain]] is throbbing in quality and sometimes occur throughout the day and resolved by opening the track, recurrent perianal malodourous [[discharge]], perianal bloody [[discharge]], perianal [[pruritis]]. Less common symptoms of anal fistula are [[fever]] and [[pain]] referred to [[thighs]], [[Low back pain|low back]], or [[buttocks]].
==History and symptoms== 
Anal fistulae can present with many different ''symptoms'':
*Pain
*Discharge - either bloody or [[Pus|purulent]]
*[[Pruritus ani]] - itching
*Systemic symptoms if abscess becomes infected
==Overview==
 
The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
 
==History and Symptoms==
==History and Symptoms==
*The hallmark of anal fistula is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
*The hallmark of [[anal fistula]] is rectal [[pain]] during [[defecation]], [[sitting]] and [[cough]].
*Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. 
*A positive history of [[Crohns disease]], [[Rectal]] abscess, [[Obstetric]] injury and prior [[anorectal]] injury is suggestive of [[anal fistula]].
===History===
Patients with [disease name]] may have a positive history of:
*[History finding 1]
*[History finding 2]
*[History finding 3]
===Common Symptoms===
===Common Symptoms===
Common symptoms of [disease] include:
Common symptoms of anal fistula are:<ref name="pmid1555083">{{cite journal |vauthors=Seow-Choen F, Nicholls RJ |title=Anal fistula |journal=Br J Surg |volume=79 |issue=3 |pages=197–205 |year=1992 |pmid=1555083 |doi= |url=}}</ref><ref name="pmid27824697">{{cite journal |vauthors=Vogel JD, Johnson EK, Morris AM, Paquette IM, Saclarides TJ, Feingold DL, Steele SR |title=Clinical Practice Guideline for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula |journal=Dis. Colon Rectum |volume=59 |issue=12 |pages=1117–1133 |year=2016 |pmid=27824697 |doi=10.1097/DCR.0000000000000733 |url=}}</ref><ref name="urlwww.fascrs.org">{{cite web |url=https://www.fascrs.org/sites/default/files/downloads/publication/clinical_practice_guideline_for_the_management_of_anorectal_abscess_fistula-in-ano_and_rectovaginal_fistula.pdf |title=www.fascrs.org |format= |work= |accessdate=}}</ref>
*[Symptom 1]
*Intermittent [[rectal pain]] during [[defecation]], [[sitting]] and any activity.
*[Symptom 2]
**[[Pain]] is throbbing in quality and sometimes occur throughout the day and resolved by opening the track.
*[Symptom 3]
*Recurrent perianal malodourous [[discharge]].
*Perianal bloody [[discharge]].
*Perianal [[pruritis]].


===Less Common Symptoms===
===Less Common Symptoms===
Less common symptoms of [disease name] include
Less common symptoms of anal fistula:
*[Symptom 1]
*If anal fistula gets [[infected]], It can lead to deeper [[abscesses]], such as those that form in the [[Supralevator abscess|supralevator]] or high ischiorectal space presents with:<ref name="pmid3792160">{{cite journal |vauthors=Held D, Khubchandani I, Sheets J, Stasik J, Rosen L, Riether R |title=Management of anorectal horseshoe abscess and fistula |journal=Dis. Colon Rectum |volume=29 |issue=12 |pages=793–7 |year=1986 |pmid=3792160 |doi= |url=}}</ref><ref name="pmid8273946">{{cite journal |vauthors=Herr CH, Williams JC |title=Supralevator anorectal abscess presenting as acute low back pain and sciatica |journal=Ann Emerg Med |volume=23 |issue=1 |pages=132–5 |year=1994 |pmid=8273946 |doi= |url=}}</ref><ref name="urlwww.smj.org.sa">{{cite web |url=https://www.smj.org.sa/index.php/smj/article/viewFile/8936/6371 |title=www.smj.org.sa |format= |work= |accessdate=}}</ref>
*[Symptom 2]
**[[Pain]] that is referred to the [[perineum]], [[Low back pain|low back]], or [[buttocks]].
*[Symptom 3]
**High [[fever]] with [[chills]] and [[rigors]].


==References==
==References==

Latest revision as of 20:26, 13 February 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]

Overview

The hallmark of anal fistula is rectal pain during defecation, sitting and cough. A positive history of Crohns disease, Rectal abscess, Obstetric injury and prior anorectal injury is suggestive of anal fistula. Common symptoms are intermittent rectal pain during defecation, sitting and any activity, pain is throbbing in quality and sometimes occur throughout the day and resolved by opening the track, recurrent perianal malodourous discharge, perianal bloody discharge, perianal pruritis. Less common symptoms of anal fistula are fever and pain referred to thighs, low back, or buttocks.

History and Symptoms

Common Symptoms

Common symptoms of anal fistula are:[1][2][3]

Less Common Symptoms

Less common symptoms of anal fistula:

References

  1. Seow-Choen F, Nicholls RJ (1992). "Anal fistula". Br J Surg. 79 (3): 197–205. PMID 1555083.
  2. Vogel JD, Johnson EK, Morris AM, Paquette IM, Saclarides TJ, Feingold DL, Steele SR (2016). "Clinical Practice Guideline for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula". Dis. Colon Rectum. 59 (12): 1117–1133. doi:10.1097/DCR.0000000000000733. PMID 27824697.
  3. "www.fascrs.org" (PDF).
  4. Held D, Khubchandani I, Sheets J, Stasik J, Rosen L, Riether R (1986). "Management of anorectal horseshoe abscess and fistula". Dis. Colon Rectum. 29 (12): 793–7. PMID 3792160.
  5. Herr CH, Williams JC (1994). "Supralevator anorectal abscess presenting as acute low back pain and sciatica". Ann Emerg Med. 23 (1): 132–5. PMID 8273946.
  6. "www.smj.org.sa".

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