A Simple Guide To Anal Disorders, Diagnosis, Treatment And Related Conditions

by Kenneth Kee

Overview

This book describes Anal Disorders, Diagnosis and Treatment and Related Diseases

The anus is that lowest part of the intestinal tract that passes through the muscular canal of the pelvis and anal sphincters.

It is the final opening (orifice) through which stool passes out of the body.

In adults, the length of the anus is 4 to 5 centimeters long.

The lower half of the anal canal has very sensitive nerve ends.

There are blood vessels under the lining, and in its middle section there are numerous tiny, anal glands.

Disorders of the anus are frequent.

They are hemorrhoids, abscesses, fistulas (tracts), fissures (cracks), and cancer.

The most frequent causes of Anal Disorders are:
1. Constipation
2. Chronic diarrhea
3. Hereditary factors
4. Excessive sweating in the area around the anus
5. Aging

Risk Factors for Anal Disorders

These factors may raise the likelihood of Anal Disorders:
1. High daily salt intake
2. History of diabetes
3. Hyperlipidemia (high lipids in blood)
4. Suffering from dermatitis
5. History of anorectal surgery
6. History of smoking and alcohol intake
7. Sedentary lifestyle
8. Excessive intake of spicy food
9. Prolonged sitting on the toilet for defecation

Symptoms of Anal Disorders are indicative of Anal Disorders:

1. Pain in the perianal area
2. Constipation
3. Drainage from the rectum
4. Fever
5. Chills
6. Palpable mass near the anus
7. Itchiness
8. Burning sensation
9. Pus discharge
10. Blood
11. Diarrhea
12. Swelling in around the rectum and anus

While all anal disorders produce some type of anal discomfort or pain, other symptoms differ, depending on the specific anal disorder.

For anal fissure, symptoms may be:
1. Pain in the anal area, often described as sharp, searing or burning, and normally activated by a bowel movement
2. Mild rectal bleeding, typically a small amount of bright red blood with a bowel movement or on the toilet paper.

For anal abscess, symptoms are:
1. A firm, tender mass or swelling in or around the anal area
2. Occasionally fever, chills and a generally sick feeling.

For an anal fistula, symptoms may be:
1. Mild pain around the anus, centered in a region where an old anal abscess has either drained spontaneously, or has been opened surgically by a doctor
2. Persistent drainage of blood, pus or foul-smelling mucus from the anal area.
3. Symptoms of a recurrent anal abscess which may develop if the external opening of the fistula becomes clogged and the old abscess reactivates

For thrombosis of an external hemorrhoid, the symptoms are:
1. A firm and normally quite painful swelling at the anal orifice
2. Occasionally bloody discharge, if the surface of the hemorrhoid breaks down.

Procedures for Treatment of Anal Disorders are:
1. Surgical excision: To control pain
2. Rubber band ligation: To decrease the amount of redundant tissue
3. Sclerotherapy: To increase fixation of the hemorrhoid tissue to the wall of the rectum
4. Infrared coagulation: To decrease vascularity
5. Hemorrhoidopexy: To fix the anal cushions in place and resect the tissue
6. Hemorrhoidectomy: To remove hemorrhoids
7. Sphincterotomy: To treat anal fissure
8. Incision and drainage: To prevent spread, recurrence, and subsequent fistulization
9. Sacral nerve stimulation: Improves squeeze pressures of the anal sphincter and rectal sensation

While it is not always possible to prevent other types of anal disorders, the patient may be able to decrease the risk by:
1. Using gentle techniques to clean the anal area
2. Keeping the anal area dry by changing underwear often and using powder to absorb moisture
3. Always using a condom if the patient practices anal intercourse

TABLE OF CONTENT
Introduction
Chapter 1 Anal Disorders
Chapter 2 Anal Fissure
Chapter 3 Anal Fistula
Chapter 4 Anal Abscess
Chapter 5 Pruritis Anus
Chapter 6 Hemorrhoids
Chapter 7 Anal Cancer
Chapter 8 Anusitis
Epilogue

Product Details

BN ID:	2940164850906
Publisher:	Kenneth Kee
Publication date:	03/16/2021
Sold by:	Smashwords
Format:	eBook
File size:	729 KB

About the Author

Medical doctor since 1972.

Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.

Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.

Dr Kenneth Kee is still working as a family doctor at the age of 70.

However he has reduced his consultation hours to 3 hours in the morning and 2 hours in
the afternoon.

He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.

His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com

This autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.

From which many free articles from the blog was taken and put together into 1000 eBooks.

He apologized for typos and spelling mistakes in his earlier books.

He will endeavor to improve the writing in futures.

Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.

He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.

The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.

He does not do any night duty since 2000 ever since Dr Tan had his second stroke.

His clinic is now relocated to the Buona Vista Community Centre.

The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.

He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting
with the Apple computer and going to PC.

The entire PC is upgraded by himself from XT to the present Pentium duo core.

The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.

He is also into DIY changing his own toilet cistern and other electric appliance.

His hunger for knowledge has not abated and he is a lifelong learner.

The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.

This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.

Dr Kee is the author of:

"A Family Doctor's Tale"

"Life Lessons Learned From The Study And Practice Of Medicine"

"Case Notes From A Family Doctor"