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Office management of common anorectal problems.

Abstract
Common anorectal problems can often be treated in the office setting. Hemorrhoids are usually relieved with use of bulk laxatives or stool softeners; if this fails, coagulation or rubber band ligation may be effective. Surgical therapy is still preferred for third- and fourth-degree hemorrhoids. Perirectal and perianal abscesses are treated by drainage, but in up to 30% of cases a fistula occurs following treatment. Surgical evaluation is appropriate when a fistula is suspected. Acute anal fissures often heal with conservative management; sphincterotomy may be needed for chronic fissures. Anal warts tend to recur and require several treatment sessions with use of ablative techniques.
AuthorsT J Stahl
JournalPostgraduate medicine (Postgrad Med) Vol. 92 Issue 2 Pg. 141-6, 149-50, 153-4 (Aug 1992) ISSN: 0032-5481 [Print] England
PMID1495874 (Publication Type: Journal Article, Review)
Topics
  • Aged
  • Anus Diseases (diagnosis, therapy)
  • HIV Infections (complications)
  • Hemorrhoids (therapy)
  • Humans
  • Middle Aged
  • Primary Health Care

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