Anal disorders

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The anal canal is a short tube surrounded by muscle at the end of your rectum. The rectum is the bottom section of your colon large intestine. An anal fissure also called fissure-in-ano is a small rip or tear in the lining of the anal canal.

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An anal fissure is a small tear in the thin, moist tissue mucosa that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements.

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The anus is the opening at the end of the digestive tract where stool leaves the body. The rectum is the section of the digestive tract above the anus where stool is held before it passes out of the body through the anus. The anus is formed partly from the surface layers of the body, including the skin, and partly from the intestine. The rectal lining consists of glistening red tissue containing mucus glands—much like the rest of the intestinal lining.

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Anorectal disorders result in many visits to healthcare specialists. These disorders include benign conditions such as hemorrhoids to more serious conditions such as malignancy; thus, it is important for the clinician to be familiar with these disorders as well as know how to conduct an appropriate history and physical examination. This article reviews the most common anorectal disorders, including hemorrhoids, anal fissures, fecal incontinence, proctalgia fugax, excessive perineal descent, and pruritus ani, and provides guidelines on comprehensive evaluation and management.

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The anal sacs are glands located on each side of the anus. They are related to the scent glands in skunks and produce small amount of dark, foul-smelling liquid which is normally squeezed out during defecation. Anal sacs may become clogged impactedinfected, abscessed, or cancerous.

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Anal pain can occur before, during, or after a bowel movement. It can range from a mild ache that can get worse over time to pain that is bad enough to restrict daily activities. Anal pain has many causes, most of which are common and treatable.

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JOHN L. This is Part I of a two-part article on common anorectal conditions. Anorectal symptoms and complaints are common and may be caused by a wide spectrum of conditions. Although most conditions are benign and may be successfully treated by primary care practitioners, a high index of suspicion for colorectal cancer should be maintained, and all patients should be appropriately investigated.

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Many Americans have difficulty moving their bowels. Many things contribute to this problem, including diet and activity level. Other causes are unknown.

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Some topics are easier to discuss with your doctors than others, but it is important that you are keeping us informed about any concerns you might have. Here at Physician's East, our team of professionals provide a high level of discretion and respect for your privacy. Anal bleeding is typically noticed by patients after a bowel movement.

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