Medical history (history of illness) is an important component in the diagnosis of anorectal pain (anal discomfort). Family history What is the general health of your relatives? Are there any diseases in your family that are common? Social history What is your profession? Is there any evidence of psychosocial stress or strain due to your … Anal Discomfort (Anorectal Pain): Medical History
Cardiovascular (I00-I99). Anal vein thrombosis (AVT; synonyms: Anal thrombosis, perianal thrombosis, perianal vein thrombosis, perianal thrombosis) – occlusion of a vein in the region of the anus; acute onset of perianal pain with stabbing pain symptomatology; occurrence after more vigorous pressing, lifting heavy loads, etc.; inspection (viewing) reveals one or more prallelastic nodules that are … Anal Discomfort (Anorectal Pain): Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? … Anal Discomfort (Anorectal Pain): Examination
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, blood), sediment, if necessary urine culture (pathogen detection and … Anal Discomfort (Anorectal Pain): Test and Diagnosis
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Proctoscopy (endoscopy of the rectum; examination of the anal canal and the lower rectum/ rectum) Abdominal sonography (ultrasound examination of the abdominal organs) – for basic diagnostics. Computed tomography … Anal Discomfort (Anorectal Pain): Diagnostic Tests
The following symptoms and complaints may occur along with Anorectal pain (anal discomfort): Leading symptom Pain occurring in the region of the anus and rectum. Associated symptoms Constipation (constipation) Warning signs (red flags) Unwanted weight loss with/without altered stool behavior → think of: Tumor disease Fever → think of: perianal abscess Rectal examination unbearable for … Anal Discomfort (Anorectal Pain): Symptoms, Complaints, Signs
