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2.1
Anal Stenosis
Anus Steis

Presentation

RESULTS: The most common presenting symptoms were constipation and decreasing calibre of stool. The main causes of anal stenosis were previous surgery, neoplasia and fissure. [ncbi.nlm.nih.gov]

Unfortunately, most patients present with advanced disease, with adjuvancy providing no clear benefits (3,8). Overall survival is poor despite aggressive management: From 5 % to 21 % at 5 years (3,8-10). [scielo.isciii.es]

We describe a case of a 6-month-old male child who presented with intermittent passage of fecal matter in urine along with ribbon-shaped stools through anal orifice, on straining. [saudisurgj.org]

Entire Body System

  • Anemia

    His celiac panel was normal, and there was no evidence suggestive of any other cause of anemia. [springerplus.springeropen.com]

    貧血 anemia of prematurity 未熟児貧血 anemia of preterm infant 早産児貧血 anencephalus 無脳体 anencephaly 無脳症 anergy アネルギー anesthesia 麻酔 1251 ~ 1300 番を表示 (全 8148 件) [jpeds.or.jp]

    Abdominal Pain ADD/ADHD Anxiety Canker sores Constipation Diarrhea Fatigue Fibromyalgia Gas Headaches Heartburn Indigestion Infertility Iron deficient anemia Irritability Irritable bowel syndrome Joint Pain Osteoporosis Poor Growth Poor immune function [center.babygaga.com]

    Results of laboratory studies showed thrombocytopenia and iron deficiency anemia, but normal electrolyte levels, normal thyroid function, and negative celiac serology results. Physical examination findings were normal except for tight anal stenosis. [consultant360.com]

Gastrointestinal

  • Constipation

    The presence constipation in two generations of this family with YPS suggests that constipation could be a gastrointestinal manifestation of the condition. [consultant360.com]

    […] picking up miralax today to hopefully keep any constipation away, and on wednesday she has an appointment to get it checked out. [center.babygaga.com]

    It comes on slowly so the patient is not fully aware of the narrowing nd attributes it to "constipation". [proctocure.com]

    It comes on slowly so the patient is not fully aware of the narrowing and attributes it to “constipation”. [ayurvedapilescure.com]

    The constipation left her with a significant protruding stomach and constant abdominal pain. Every few weeks, Aubrey was back at her doctor's office due to the constipation. [nutritionalwellness.com]

  • Rectal Pain

    Rectal pain that stemmed from an ano-rectal fissure was an important differential in this scenario; however, the patient’s negative history for any signs of rectal bleeding and negative physical exam made it less probable. [springerplus.springeropen.com]

    Furthermore, some patients are so miserably affected by the rectal pain that several weeks of conservative therapy is not an option. [glowm.com]

  • Rectal Mass

    On examination, superficial abscesses will be indurated, erythematous, tender masses. Deeper abscesses may be palpated as a tender boggy mass on digital rectal exam; however, the exam may be deceivingly unremarkable. [glowm.com]

  • Blood in Stool

    […] sedimentation rate, c-reactive protein, creatine kinase and vitamin D 25-hydroxy) hair analysis (toxic elements and essential elements), basic urine dipstick and blood occult stool test. [nutritionalwellness.com]

Urogenital

  • Incontinence

    Patients can be left with severe rectal evacuatory difficulties, anal fissuring and resistant faecal incontinence. The management of such patients is difficult since surgical treatment can worsen faecal incontinence. [ncbi.nlm.nih.gov]

    Preoperative and 12-month postoperative Cleveland Clinic Incontinence Scores were 0.83 ± 1.15 (range, 0–4) and 0.39 ± 0.70 (range, 0–2) ( p = 1.0). The clinical success rate was 88.9%. No severe postoperative complications were observed. [ingentaconnect.com]

Neurologic

  • Irritability

    Abdominal Pain ADD/ADHD Anxiety Canker sores Constipation Diarrhea Fatigue Fibromyalgia Gas Headaches Heartburn Indigestion Infertility Iron deficient anemia Irritability Irritable bowel syndrome Joint Pain Osteoporosis Poor Growth Poor immune function [center.babygaga.com]

    For most people, rectal strictures are caused by one or a combination of these factors: constipation or straining to have a bowel movement, anal or rectal fissures (tears), trauma, weak blood vessels, irritation from constant diarrhea, inflammatory bowel [listentoyourgut.com]

    When the symptoms of anal stenosis persist, they are usually a result of one or more of the following causes: Constipation or straining during bowel movements Anal or rectal tears Complications from a surgical procedure, such as a hemorrhoidectomy Irritation [tgh.org]

    They are sometimes painful, and can be accompanied by swelling and irritation. deleted_user 07/19/2007 I suffer this from a hemorrhoidectomy in 2002. It is so frustrating. Anybody else out there got it? I feel so alone. [dailystrength.org]

    Bichloracetic acid is also applied in weekly intervals, but it may be applied in the anal canal. 5-FU 5% cream has also been used for condyloma, but causes severe skin irritation, making it less well tolerated. [glowm.com]

Workup

She did an exam and sent us to a pediatric surgeon to do a workup for anal stenosis, meaning she believes her anus is too narrow for her age. [forums.thebump.com]

Treatment

Both non-surgical and surgical treatments have been devised in the treatment of anal stenosis with good results. We described the results of the treatment of this disease in the Coloproctology Department of our institution. [ncbi.nlm.nih.gov]

Prognosis

For these children, a colostomy is indicated during the newborn period, but once the final surgery corrects the defect, the prognosis is likewise excellent. [drgreene.com]

These patients have an excellent prognosis for bowel control and fecal continence, and therefore, complete mobilization and resection of the anal canal must be avoided. [ncbi.nlm.nih.gov]

Prognosis is good as far as anal continence is concerned because the anal sphincter complex development is normal. [saudisurgj.org]

Since its initial description by Hermann in 1880 (2), 5-year survival rates have been estimated around 5 %-40 % (3-5), and one reason for this poor prognosis is delayed diagnosis due to overlapping with benign conditions. [scielo.isciii.es]

Etiology

Due to the rarity of this pathology and the different referral patterns among institutions, the etiology ranges widely between published reports. [ncbi.nlm.nih.gov]

Hegar dilators in the handling of annal stenosis of inflammatory etiology. Abstract Introduction: Anal stenosis (EA) often complicates the development of inflammatory lesions. [aeeed.com]

Epidemiology

[…] anaerobic culture 嫌気培養 anaerobic infection 嫌気性感染 anaerobic threshold 無酸素性作業閾値 anal agenesis 肛門無形成 anal fissure 裂肛/痔裂 anal fistula 痔瘻 anal stage 肛門期 anal stenosis/stenosis of anus 肛門狭窄/肛門狭窄症 analbuminemia 無アルブミン血症 analgesia 痛覚脱出/痛覚消失 analgesic 鎮痛薬 analytic epidemiology [jpeds.or.jp]

Epidemiology of constipation in children and adults: a systematic review. Best Pract Res Clin Gastroenterol. 2011;25(1):3-18. Tabbers MM, DiLorenzo C, Berger MY, et al. [consultant360.com]

Proc R Soc Med 71:180–185 Google Scholar Trombetta LJ, Place RJ (2001) Giant condyloma acuminatum of the anorectum: trends in epidemiology and management: report of a case and review of the literature. [link.springer.com]

Pathophysiology

This article presents the definition, pathophysiology, diagnosis, and treatment of anal stenosis, and methods to prevent it. Copyright 2010 Elsevier Inc. All rights reserved. [ncbi.nlm.nih.gov]

The pathophysiology of chronic anal fissures has not been clearly established. [obesityhelp.com]

Prevention

Prevention of this condition may be achieved by adequate intake of dietary fiber or regular bulk laxatives in these debilitated patients. [ncbi.nlm.nih.gov]

However, anal stenosis can, in many cases, be prevented from occurring in the first place. [tgh.org]

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