Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Anal fistula history and symptoms
Introduction
Overview
Overview
The hallmark of anal fistula is rectal pain during defecation, sitting and cough. A positive history of Crohns disease, Rectal abscess, Obstetric injury and prior anorectal injury is suggestive of anal fistula. Common symptoms are intermittent rectal pain during defecation, sitting and any activity, pain is throbbing in quality and sometimes occur throughout the day and resolved by opening the track, recurrent perianal malodourous discharge, perianal bloody discharge, perianal pruritis. Less common symptoms of anal fistula are fever and pain referred to thighs, low back, or buttocks.
History and Symptoms
History and Symptoms
- The hallmark of anal fistula is rectal pain during defecation, sitting and cough.
- A positive history of Crohns disease, Rectal abscess, Obstetric injury and prior anorectal injury is suggestive of anal fistula.
Common Symptoms
Common symptoms of anal fistula are:[1][2][3]
- Intermittent rectal pain during defecation, sitting and any activity.
- Pain is throbbing in quality and sometimes occur throughout the day and resolved by opening the track.
- Recurrent perianal malodourous discharge.
- Perianal bloody discharge.
- Perianal pruritis.
Less Common Symptoms
Less common symptoms of anal fistula:
References
References
- ↑ Seow-Choen F, Nicholls RJ (1992). “Anal fistula”. Br J Surg. 79 (3): 197–205. PMID 1555083.
- ↑ Vogel JD, Johnson EK, Morris AM, Paquette IM, Saclarides TJ, Feingold DL, Steele SR (2016). “Clinical Practice Guideline for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula”. Dis. Colon Rectum. 59 (12): 1117–1133. doi:10.1097/DCR.0000000000000733. PMID 27824697.
- ↑ “www.fascrs.org” (PDF).
- ↑ Held D, Khubchandani I, Sheets J, Stasik J, Rosen L, Riether R (1986). “Management of anorectal horseshoe abscess and fistula”. Dis. Colon Rectum. 29 (12): 793–7. PMID 3792160.
- ↑ Herr CH, Williams JC (1994). “Supralevator anorectal abscess presenting as acute low back pain and sciatica”. Ann Emerg Med. 23 (1): 132–5. PMID 8273946.
- ↑ “www.smj.org.sa”.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]