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]

History and symptoms

Anal fistulae can present with many different symptoms:

• Pain
• Discharge - either bloody or 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

• 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:

• 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 include:

• If anal fistula gets infected, It can lead to abscess and the patient shows symptoms of sepsis
  • Fever with chills and rigors