Perianal Symptoms

Question 1

Name the 4 main catagories of perianal symptoms

Answer 1

• itch
• pain
• lumps
• bleeding

Question 2

Name causes of perianal itching - 5

Answer 2

• excessive sweating
• irritation - e.g. from soaps
• infection e.g. worms
• candida in women
• haemorrhoids

Question 3

Name causes of perianal pain - 4

Answer 3

• Haemorrhoids
• Proctalgia fugax (intense pain)
• Anal fissure
• Abscess

Question 4

Causes of bright red bleeding from anus - 5

Answer 4

• anal fissue
• haemorrhoids
• diverticulitis
• IBD
• Colorectal cancer

Question 5

C

Causes of perianal lumps - 3

Answer 5

• skin tags
• warts
• anal cancer

Question 6

Difference between internal and external haemorrhoids - prx and trx

Answer 6

internal
* relatively painless but can enlarge and prolapse through anal canal.
* treated by high fibre, high hydration to soften stool. Then rubber band ligation around a prolapse

external
* (piles) very painful
* surgical treatment