Anal canal disorders

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Find an ACG member gastroenterologist with a specialized interest in liver disease. The rectum refers to the last four or five inches of the digestive tract. The rectal outlet or opening is called the anal canal or anus. Problems in this area are common, but many adults are too shy or embarrassed to ask their doctor about them. Fortunately, most of these problems are treatable when recognized early and properly diagnosed. Remember that symptoms of rectal pain or bleeding should always be thoroughly evaluated by your doctor.
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Anal Disorders

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Common Anorectal Disorders

Anorectal disorders result in many visits to healthcare specialists. These disorders include benign conditions such as hemorrhoids to more serious conditions such as malignancy; thus, it is important for the clinician to be familiar with these disorders as well as know how to conduct an appropriate history and physical examination. This article reviews the most common anorectal disorders, including hemorrhoids, anal fissures, fecal incontinence, proctalgia fugax, excessive perineal descent, and pruritus ani, and provides guidelines on comprehensive evaluation and management. Anorectal disorders are a common reason for visits to both primary care physicians and gastroenterologists. These disorders are varied and include benign conditions such as hemorrhoids to more serious conditions such as malignancy; thus, it is important for the clinician to be familiar with these disorders as well as know how to conduct an appropriate history and physical examination. This article reviews the most common anorectal disorders, including hemorrhoids, anal fissures, fecal incontinence FI , proctalgia fugax, excessive perineal descent, and pruritus ani, and provides guidelines on comprehensive evaluation and management. Hemorrhoids are an extremely common condition, affecting approximately 10 million persons per year.
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Overview of the Anus and Rectum

When a tubular organ or blood vessel becomes excessively narrow such that it can no longer perform as nature intended, it is a condition referred to by physicians as stenosis. Anal stenosis, also known as an anal stricture, is the narrowing of the anal canal, located just before the anal sphincter. The anal sphincter is a complex part of the body that maintains a seal that can be opened to discharge body waste. It is strong enough to restrict the passage of any fecal material but sensitive enough to differentiate between solid, liquid, and gas. There are actually two anal sphincter muscles … internal and external.
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The anus is the opening at the end of the digestive tract where stool leaves the body. The rectum is the section of the digestive tract above the anus where stool is held before it passes out of the body through the anus. The anus is formed partly from the surface layers of the body, including the skin, and partly from the intestine. The rectal lining consists of glistening red tissue containing mucus glands—much like the rest of the intestinal lining. The lining of the rectum is relatively insensitive to pain, but the nerves from the anus and nearby external skin are very sensitive to pain.
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