A Practitioner's Guide to Common Ano-Rectal Diseases

Book Description:

Diseases of the rectum and anus are common phenomena. Its prevalence in the general population is probably much higher than that seen in clinical practice, since most patients with symptoms referable to this part do not seek medical attention. As a doctor of first contact, the family practitioners frequently face with difficult questions concerning the optimum management of ano-rectal symptoms. Anorectal disorders are common and often readily managed in a primary care setting. This book ‘A Physician’s guide to common ano-rectal conditions’ gives a brief note of anatomy and evaluation of the anorectum to help physicians more confidently diagnose and treat anorectal disorders.

Most of the family physicians regard the anorectal canal with trepidation. It is a matter of concern that the physical examination of the ano-rectum is often inadequately performed in general clinical practice. Advances have been made in understanding the pathogenesis and management of various anorectal disorders. Each disorder is suggested by its characteristic history. The clinician who obtains a thorough history and performs a complete examination can accurately diagnose these disorders. Ancillary tests though are helpful but are needed only occasionally. While the examination and diagnosis of certain ano-perianal disorders is challenging, most of the common disorders of the ano-rectum can be easily recognized with a careful local examination and proctoscopy. The patient’s position for examination, use of various diagnostic tools and arriving at a diagnosis using these simple maneuvers is indicated as a separate chapter in this book.

The diagnosis and management of hemorrhoids, fissures, fistulae, constipation and pruritus ani on rough estimates, accounts for more than 81% of the complaints centering around this part of human anatomy. This book describes in details about these diseases, their symptomatology and treatment plans.

Authors: Pravin Jaiprakash Gupta (Nagpur, India)

Table of Contents:

Preface
Chapter I The Rectum and the Anal Canal 1
Chapter II Ano-Rectal Examination 5
Chapter III Ano-Rectal Pathologies at a Glance 19
Chapter IV Anal Fissure or Fissure-in-Ano 49
Chapter V Hemorrhoids or Piles 65
Chapter VI Ano-Rectal Abscess and Fistula 81
Chapter VII Pruritus Ani or Anal Itch 101
Chapter VIII Rectal Prolapse 109
Chapter IX Constipation 121
Chapter X Perianal and Pilonidal Sinus Disease 129
Chapter XI Proctology in Ante and Post Partum Period 135
Chapter XII Ano-Rectal Problems in the Elderly 143
Chapter XIII Pediatric Proctology 149
Chapter XIV Investigations to Diagnose Ano-Rectal Diseases 157
Chapter XV Role of Supportive Therapies in Ano-Rectal Pathologies 165
Chapter XVI Ano-Rectal Emergencies 173
Chapter XVII Functional Ano-Rectal Disorders 181
Chapter XVIII Day Surgery in Proctology 189
Chapter XIX Radiowave and its Uses in Ano-Rectal Surgery 193
Chapter XX Frequently Asked Questions about Ano-Rectal Problem 203
Index 211