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 ĎA Physicianís guide to common ano-rectal conditionsí 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 patientís 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.