Question
A 38-year-old man complains of severe pain from defecation for a week. He has seen streaks of blood every time he has a bowel action. He has been very constipated ever since he has been on strong analgesia for his fractured ankle, which is in plaster. What is the probable diagnosis?
| A. |
Anal fissure
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| B. |
Fistula in ano
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| C. |
Anal stenosis
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| D. |
Hemorrhoids
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Show Answer
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Correct Answer � A
Explanation
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|
Answer- A Anal fissure
This young man has an acute fissure-in-ano (anal fissure).
This man has a history of constipation brought about by the ingestion of analgesics.
C/F
Painful bleeding per rectum
Constipation- severe painful defecation with spasm
Hard stool
Chronic anal fissure –> Skin tag/ Sentinel pile
IOC is external inspection of the anal region
Management- Laxative, sitz bath.
And if patient is not responding to conservative management will carry out surgery
Reference- Bailey and Love, Short practice of surgery, 27th edition published in 2018, Pg 1351- 1353
