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 | 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== | ==History and Symptoms== | ||
*The hallmark of anal fistula is rectal pain during defecation, sitting and cough. | *The hallmark of [[anal fistula]] is rectal [[pain]] during [[defecation]], [[sitting]] and [[cough]]. | ||
*A positive history of | *A positive history of [[Crohns disease]], [[Rectal]] abscess, [[Obstetric]] injury and prior [[anorectal]] injury is suggestive of [[anal fistula]]. | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
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> | 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> | ||
*Intermittent rectal pain during defecation, sitting and any activity | *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 | **[[Pain]] is throbbing in quality and sometimes occur throughout the day and resolved by opening the track. | ||
*Recurrent perianal malodourous discharge | *Recurrent perianal malodourous [[discharge]]. | ||
*Perianal bloody discharge | *Perianal bloody [[discharge]]. | ||
*Perianal pruritis | *Perianal [[pruritis]]. | ||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Less common symptoms of anal fistula: | Less common symptoms of anal fistula: | ||
*If anal fistula gets infected, It can lead to deeper abscesses, such as those that form in the 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> | *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> | ||
**Pain that is referred to the perineum, low back, or buttocks. | **[[Pain]] that is referred to the [[perineum]], [[Low back pain|low back]], or [[buttocks]]. | ||
**High fever with chills and rigors. | **High [[fever]] with [[chills]] and [[rigors]]. | ||
==References== | ==References== | ||
Latest revision as of 20:26, 13 February 2018
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Anal fistula Microchapters |
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Anal fistula history and symptoms On the Web |
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Risk calculators and risk factors for Anal fistula history and symptoms |
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
- 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
Common symptoms of anal fistula are:[1][2][3]
- 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
Less common symptoms of anal fistula:
- If anal fistula gets infected, It can lead to deeper abscesses, such as those that form in the supralevator or high ischiorectal space presents with:[4][5][6]
References
- ↑ Seow-Choen F, Nicholls RJ (1992). "Anal fistula". Br J Surg. 79 (3): 197–205. PMID 1555083.
- ↑ 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.
- ↑ "www.fascrs.org" (PDF).
- ↑ 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.
- ↑ 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.
- ↑ "www.smj.org.sa".