Anal fistula history and symptoms: Difference between revisions

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*A positive history of Crohn disease, Obstetric injury and prior anorectal injury is suggestive of anal fistula.  
*A positive history of Crohn disease, Obstetric injury and prior anorectal injury is suggestive of anal fistula.  
===Common Symptoms===
===Common Symptoms===
Common symptoms of anal fistula include:<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>
Common symptoms of anal fistula include:<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 tract
**Pain is throbbing in quality and sometimes occur throughout the day and resolved by opening the tract

Revision as of 17:00, 23 January 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 [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

  • The hallmark of anal fistula is rectal pain during defecation, sitting and cough.
  • A positive history of Crohn disease, Obstetric injury and prior anorectal injury is suggestive of anal fistula.

Common Symptoms

Common symptoms of anal fistula include:[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 tract
  • 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]
    • Pain that is referred to the perineum, low back, or buttocks.
    • High fever with chills and rigors.

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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