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]

• Pain

  All patients referred obstructive defecation, painful evacuation or bleeding. Mean values for operative time were 30 min. Postoperative pain was 3.9 at day 1 and 3.0 at 7th day (VAS scale). [ncbi.nlm.nih.gov]

  Posts: 505 Joined: Aug 2014 I have not yet recovered from the pain of the last scoping. As a matter of fact, the pain is getting worse. [csn.cancer.org]

  They gave me 2 weeks of pain meds and I haven't used one. No pain at all. I feel great. [dailystrength.org]

  Frequent sense of meaning. 2, defecation difficulties Loss of elasticity of the anal sphincter, not flexible push excrement, cause defecate difficulty, and is also accompanied by a sense of pain, dull pain or tingling, the pain is strong and durable. [bestchinanews.com]

  Even in this case, surgery shouldn't be too painful, patients should be given adequate pain control using drugs as necessary. [anal-fissure.org]

• Surgical Procedure

  In addition to simple dietary and medication changes, surgical procedures, such as lateral internal sphincterotomy or transfers of healthy tissue are other potentially good options. [ncbi.nlm.nih.gov]

  […] the anal sphincter muscle is cut to open the anal canal Surgical procedures to alleviate anal stenosis The procedure that is performed to relieve anal stenosis is called an anoplasty. [ddc.musc.edu]

• Sepsis

  Anal stenosis can be the result of many things, such as: complications resulting from a surgical procedure overuse of laxatives a severe blood infection (sepsis) that compromises organs in the body loss of blood to a particular area of the body AIDS and [ddc.musc.edu]

  […] monitored closely. key words: rectal perforation, congenital anal stenosis Introduction Gastrointestinal perforation in neonates continues to be a serious problem in paediatric surgical practice because of the high morbidity due to peritonitis and resulting sepsis [jpss.eu]

  […] ring, [9] internal hernia, intussusception, [10] choledochal cyst, [11] volvulus, and thrombosis all may initiate bowel infarction, leading to disintegration, reabsorption of dead tissue, and sealing of bowel ends. [6] Bowel content is sterile; thus, sepsis [emedicine.medscape.com]

  Both techniques require the fistula tracts to be first curetted and all local sepsis treated. Fibrin glue is employed after identifying both the external and internal openings, which are then injected with the glue. [glowm.com]

• Severe Pain

  Pain is the primary complication of hemorrhoidectomy. Most patients experience moderate to severe pain after traditional hemorrhoid surgery and require narcotics for pain control. [livestrong.com]

  In our institution the patient presented with poorly controlled severe pain despite high-dose opioids, severe rectal incontinence, and a stricture 1 cm away from the pectineal line that hardly allowed a finger through it. [scielo.isciii.es]

• Fatigue

  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]

• Cough

  Normal hemorrhoid bundles provide some degree of fecal continence, especially during periods of increased abdominal pressure like sneezing or coughing. Removal of these bundles results in loss of this continence in less than 10 percent of patients. [livestrong.com]

• 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]

• Vomiting

  Case Report A 2-day-old previously healthy neonate presented to a district hospital with a 1-day history of poor feeding, abdominal distension and vomiting. Antenatal scans had shown no fetal abnormality and maternal history was normal. [jpss.eu]

  This enables us to keep the stomach empty so the baby does not vomit and your baby will be given fluid through a drip sited in one of its veins. [uhs.nhs.uk]

  We present the case of a 2-month-old boy who presented vomiting, constipation, weakness, and abdominal distension. [analesdepediatria.org]

  You should also tell if you are taking any muscle relaxer, antidepressant, antipsychotic, narcotic, or medicine for vomiting and nausea. [sieog.it]

  She had no history of vomiting. On examination, her abdomen was soft, non-tender, with no palpable mass, and not distended. [websurg.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]

• Nausea

  You should also tell if you are taking any muscle relaxer, antidepressant, antipsychotic, narcotic, or medicine for vomiting and nausea. [sieog.it]

• Skin Lesion

  It can be applied in weekly intervals to the perianal skin lesions, but should not be applied within the anal canal. [glowm.com]

• Fussiness

  I kept a log of her feedings and when she began to go too long and she would get fussy, then i would insert a glycerin suppository and poof that was all she needed to help her go. [mamapedia.com]

  My little guy has been very fussy and I can tell his tummy hurts a lot. He just can't go poop on his own. He's able to pas gas but can't poop unless I give him a suppository. I knew something wasn't right with him. [whattoexpect.com]

• 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]

• 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]

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]

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]

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]

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]

[…] 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]

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 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]