Anal fistula history and symptoms
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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
- 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".