Anal fistula history and symptoms: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
The hallmark of anal fistula is rectal pain during defecation, sitting and cough. A positive history of Crohn 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. | |||
The hallmark of | |||
==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 Crohn disease, Obstetric injury and prior anorectal injury is suggestive of anal fistula. | *A positive history of Crohn disease, Rectal abscess, Obstetric injury and prior anorectal injury is suggestive of anal fistula. | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
Common symptoms of anal fistula | 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 | **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 | ||
Revision as of 17:11, 1 February 2018
|
Anal fistula Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Anal fistula history and symptoms On the Web |
|
American Roentgen Ray Society Images of Anal fistula history and symptoms |
|
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 Crohn 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 Crohn 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]
- Pain that is referred to the perineum, low back, or buttocks.
- High fever with chills and rigors.
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".