Anal Issues & achalasia Flashcards
What is an anorectal abscess
Infection in anorectal tissue
Cause of anorectal abscess
Anal fistula
Crohns
Anal trauma
Signs and symptoms of anorectal abscess
Perianal pain
Perianal swelling
Fever
Treatment of anorectal abscess
Surgical drainage
What is an anal fistula
Abnormal open connection between the anal canal and the skin of the butt
Cause of anal fistula
Anorectal abscess (70%)
Crohns ulcerations (30%)
Signs and symptoms of anal fistula
Throbbing pain worse when sitting
Blood mucus in stool
Pruritus ani
Treatment for anal fistula
Surgery
What is an anal fissure
Tear in lower anal canal usually due to trauma
Cause of anal fissure
Constipation
Anal trauma
Crohns
TB
Signs and symptoms of anal fissure
Extreme pain on passing motion
Blood in stool/ on wiping
Treatment for anal fissure
Fluids and more fibre
What is a pilonidal sinus / abscess
Ingrown hair ~~ inflammation ~~ hole in skin ~~ infected
Define achalasia
degeneration of ganglions in auerbachs/ myenteric plexus
pathophysiology of achalasia
nerves in lower oesophageal sphincter do not work — LOS cannot relax — obstruction