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17 Possible Causes for Anal Fissure, Tenesmus, Urinary Hesitancy

  • Crohn's Disease

    A feeling of wanting to go to the toilet but with nothing to pass (tenesmus) is also common. Pain occurs in about 7 in 10 cases.[patient.info] Abnormal skin tags in the bottom area and anal fissures are also symptoms of the disease; however, the most common cause of an anal fissure is constipation.[health.clevelandclinic.org] fissure, fistula or perirectal abscess other bowel-related fistula febrile (fever) episode over 100 degrees during past week 5.[ibdjohn.com]

  • Large Bowel Obstruction

    […] tumours: Change in bowel habit, Absolute constipation •Highindex of suspicion for malignancy –Askabout “Redflag” symptoms – night sweats, weight loss, change in bowel habit, tenesmus[cram.com] fissures -aim for soft, formed BM -Sitz baths -Nitroglycerin ointment -Botox -if not healed in 3-4 wks then surgery[quizlet.com] Patients with bowel endometriosis may experience rectal pain, which worsens with defecation, sitting and menstruation, fecal tenesmus, constipation, diarrhea, rectal bleeding[karger.com]

  • Internal Hemorrhoids

    There were no differences between the multiple group and single group concerning postligation pain and tenesmus (6.5% vs 2%, p 0.532), urinary hesitancy and frequency (6.5%[ncbi.nlm.nih.gov] All 10 patients had relief of chronic anal pain within two treatments and nine anal fissures healed within 4 weeks.[ncbi.nlm.nih.gov] […] hemorrhoidal disease, with a rectal mucopexy in patients with hemorrhoidal prolapse, reported an overall success rate of 90.7% and an overall morbidity of 18.0% (pain or tenesmus[emedicine.medscape.com]

  • Colonic Crohn's Disease

    A feeling of wanting to go to the toilet but with nothing to pass (tenesmus) is also common. Pain occurs in about 7 in 10 cases.[patient.info] Fissure 325 Anorectal Abscesses and Fistulas 339 Malignant Tumours of the Anal 361 1 373 Dermatological Anal 387 3 417 Clinical Management of Patients 425 for Fecal Incontinence[books.google.com] Other symptoms may include anal pain or drainage, skin lesions, anal abscess, painless anal fissures and arthritis. How is Crohn’s Disease diagnosed?[annapoliscolon.com]

  • Ulcerative Colitis

    The patient referred an acute bloody and mucous diarrhea, lasting for three weeks, with no fever or rectal tenesmus. Stool studies were negative.[ncbi.nlm.nih.gov] However, unless surgery is being considered, treatment of both conditions is similar; Anal fissure (a tear in the mucous membrane that lines the rectum and anus); Infectious[myvmc.com] […] increased the coagulation index of prothrombin time, and mean platelet volume, and reduced the clinical symptoms of abdominal pain, diarrhoea, pus and bloody stool, and tenesmus[ncbi.nlm.nih.gov]

  • Ulcerative Proctitis

    Symptoms of proctitis include rectal bleeding, urgency, tenesmus, diarrhea or constipation, and occasionally rectal pain.[ncbi.nlm.nih.gov] . - Development of proctitis may contribute to hypothermia, diseases of the rectum and the adjacent organs hemorrhoids , anal fissure, abscess, abscess Douglas space, prostatitis[medusanews.com] The symptoms involved in this Diarrhea, Bleeding, Tenesmus, Mucus discharge, rectal pain, Accidental Bowel Leakage.[omicsonline.org]

  • Anorectal Fistula

    […] post-surgical complication post-ultralow anterior resection hysterectomy post-pelvic radiotherapy childbirth pelvic malignancies Symptoms are variable, including anal pain, tenesmus[radiopaedia.org] Anal fissures are linear splits in the anal mucosa. Acute fissures typically resolve within a few weeks; chronic fissures persist longer than 8 to 12 weeks.[ncbi.nlm.nih.gov] Symptoms vary depending on the specific infection or pathologic process but typically include rectal discomfort, tenesmus, rectal discharge and constipation.[aafp.org]

  • Pure Autonomic Failure

    Changes in urination including nocturia (the need to urinate during the night), urinary hesitancy (difficulty starting or maintaining a urinary stream), urgency, dribbling[ww2.mc.vanderbilt.edu] She described other dysautonomic symptoms such as constipation and voiding problems: tenesmus and nocturia.[elsevier.es] Thus, severe muscle spasms, an anal fissure, or a blocked urethral catheter can result in paroxysmal hypertension (due to increased spinal sympathetic nerve activity, independent[emedmd.com]

  • Rectal Pain

    Urinary frequency, urgency, hesitancy and other symptoms of a chronic Urinary Tract Infection are most common.[drseckin.com] Fluid here may produce tenesmus by it’s irritating effect on the rectum. Your next move should probably be a call to the patient’s obstetrician.[epmonthly.com] Anal fissure: An anal fissure is a small tear in the skin at the opening of the rectum.[emedicinehealth.com]

  • Dysuria

    Important historical features include vaginal or penile discharge, flank pain, rectal/perineal pain, nausea or vomiting, fever, hematuria, urinary hesitancy, urinary urgency[accessmedicine.mhmedical.com] Therefore, it is extremely important that the distinction between the clinical signs of tenesmus and dysuria be made immediately.[cal.vet.upenn.edu] fissure Miyake et al. 2003 ESCRS Binkhorst lecture 2002: pseudophakic preservative maculopathy1 Levenson et al. 1957 Effect of thermal burns on wound healing EP0093380A2[google.com]