Rectal pain: Difference between revisions

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VisualWikitext

Latest revision as of 23:57, 29 July 2020

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

References

↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

Template:WH Template:WS

[1] Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016

[2] Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

[1]

[2]

@@ Line 4: / Line 4: @@
 ==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.
+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.
-== Differential diagnosis of causes of rectal pain==
+==Causes==
 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 Fissure]]
+*[[Anal fissure]]
 *Anal sex
 *[[Constipation]]
@@ Line 17: / Line 16: @@
 *Fecal impaction
 *Idiopathic
-*[[Inflammatory Bowel Disease]]
+*[[Inflammatory bowel disease]]
 *Levator ani syndrome
 *[[Neoplasm]]
 *[[Perianal abscess]]
 *[[Proctalgia fugax]]
-*Solitary Rectal Ulcer Syndrome
+*Solitary rectal ulcer syndrome
 *Thrombosed [[hemorrhoid]]
 *[[Trauma]]
-== Treatment ==
+==Treatment==
-'''Acute anal fissure'''
+===Medical Therapy===
+====Acute anal fissure====
 *Increase fiber/water intake
 *Sitz bath
 *Stool softener
-*topical corticosteroids
+*Topical corticosteroids
-'''Coccuodynia'''
+====Coccuodynia====
-*analgesics
+*[[Analgesics]]
-*corticosteroid shot
+*[[Corticosteroid]] shot
 *Sitz bath
+===Surgery===
-=== Indications for Surgery ===
+====Indications for Surgery====
-'''Chronic Anal Fissure'''
+*Chronic [[anal fissure]]
-*Sphincterotomy
+*[[Sphincterotomy]]
 == References ==
 {{reflist|2}}
+{{WH}}
+{{WS}}
+[[Category:Symptoms]]
 [[Category:Signs and symptoms]]
 [[Category:Emergency medicine]]
-[[Category:Primary care]]
 [[Category:Surgery]]
 [[Category:Gastroenterology]]
-{{WH}}
-{{WS}}