Anorectal Problems

Anorectal problems

Anorectal problems create distress for the individual will feel the pain and 

shame, and in some cases individuals are hesitant to seek professional help. 

However, many problems can be dealt with eventually, but it’s important to rule 

out serious pathology, such as cancers of the gastrointestinal tract.

Fissure (fissure-IN-ANO)

Fissure-in-ano is a tear in the lining of the anal tract carcinoma, which causes 

pain during defecation. Fissures are usually caused by spending hard stools, but 

can also be caused by Crohn’s disease, trauma and anal cancer. Changes in diet 

will be helpful; individuals are encouraged to eat high-fiber diet.

Fistula

Fistula is an abnormal connection between two epithelial surfaces, but generally 

in this condition fistula is a hole on the cutaneous surface near the anus. 

Fistulas are common in Crohn’s disease. If surgical intervention is considered, 

the channel is left open to allow the secondary wound healing process.

Hemorrhoids (hemorrhoids)

Hemorrhoids are varicose veins in the lower rectum or anus. Internal hemorrhoids 

are from the top of the internal anal sphincter. Sometimes hemorrhoids is quite 

large, making it stand out from the anus and dilated (ie external hemorrhoids), 

mengonstriksi and painful. Hemorrhoids can arise due to constipation experienced 

by many years. Hemorrhoids cause pain and bleeding during defecation. Treatment 

consists of high-fiber diet recommended forming laxatives and stool mass. 

Hemorrhoids can be treated by inserting a hemorrhoidal veins that have or can be 

ligated or excised at the time hemoroidektomi. Hemorrhoids can undergo rupture or 

thrombus, which requires immediate surgical execution.

Perianal abscess

Perianal abscess is a pus-filled cavities and occurs when microorganisms enter the 

mucosal lining after the tear. The abscess can then spread to the inferior 

(downward) to the perianal area or laterally into the fossa iskiorektal. There is 

a discomfort that is accompanied by severe swelling and sharp pain. Carried 

antibiotic therapy and abscess incision and then drained.

SINUS pilonidal

Pilonidal sinus is an abnormal channel that contains a pile of curly hair and 

irritate the skin. Pilonidal sinus most often located on or near the tip of the 

coccyx. Abscess formation is common after irritation and later infection. 

Treatment consists of antibiotics and pain relief with a wide surgical excision, 

drainage, and let the wound remains open. Healing is done by secondary wound 

healing process.

Polyp

Occur in the mucosa and polyps, small protrusions that resemble a benign tumor. 

Polyps most often occur in the sigmoid colon and rectum, and occurs more 

frequently in individuals over the age of 50 years. A condition known as familial 

polyposis, if there is a lot of polyps in the colon, which are considered 

precancerous polyps so that management is by surgical removal.

Pruritus ani

Pruritus ani is a perceived itching around the anus. Pruritus ani can be caused by 

poor hygiene, use of tight underwear, the pinworm, or camas. Another cause of the 

fissure, irdcontinensia, inflammatory bowel disease, fistula and skin diseases, 

such as contact dermatitis. Individuals should be encouraged to wash thoroughly 

after using the bathroom; damp cloth can be useful. Individuals are advised to 

avoid spicy foods and wear loose clothing. If itching persists, anesthetic creams 

can help.

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