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Is it severe? The presence of severe rectal bleeding would suggest ulcerative colitis, amebic dysentery, bacillary dysentery, intussusception, mesenteric thrombosis or embolism, diverticulitis, ischemic colitis, and coagulation disorders ... DIAGNOSTIC WORKUP
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Is there bleeding? The presence of bleeding with pain suggests an anal fissure, hemorrhoids, carcinoma, rectal prolapse, and intussusception.
Is there a mass? The presence of rectal pain along with a mass would suggest internal and ... DIAGNOSTIC WORKUP
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Rectal complaints are common and distressing for patients. Although most causes of rectal pain and bleeding are benign and treatable, carcinoma must be considered and ruled out in older patients (>40 years) and those with suggestive findings (e.g., polyps). Many of the rectal... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... This discussion considers the causes of bright red or maroon stools. (The causes of melena or black stools are the same as the causes of hematemesis; the differential diagnosis is given on page 261.) Bright-red blood may occasionally result from an upper GI lesion if there is associated diarrhea.
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... Practically the whole specialty of proctology is devoted to taking care of patients with rectal pain. To develop the differential diagnosis it is useful first to divide the conditions into extrinsic and intrinsic. To recall the
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... Aside from the common external hemorrhoids (which will not be seen in many cases unless the patient is asked to bear down), anal masses may include any of the following:
Skin tag from previous ruptured or incised hemorrhoids
Sentinel piles from rectal
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... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the internal sphincter, the patient may refer to all local pain as rectal pain. ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Colorectal cancer is the second most common visceral malignant neoplasm in the United States and Europe. Incidence is equally distributed between men and women. Colorectal malignant tumors are almost always adenocarcinomas. About one-half of these are sessile lesions of the rectosigmoid area;... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Primarily a disease of older adults, cancer is second only to cardiovascular disease as the leading cause of death in the United States (more than 560,000 deaths annually). More than 67% of patients who die of cancer are older than age 65. The most common cancers in the United States... What causes cancer? ... Immune response ... Diagnostic methods ... Staging and grading ... Five major therapies ... Maintaining nutrition and fluid balance ... If the patient can't eat ... Total parenteral nutrition ... Pain control critical ... The hospice approach ... Psychological aspects ... Pictures
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... Malignant spinal neoplasms may be any one of many tumor types similar to intracranial tumors; they involve the cord or its roots and, if untreated, can eventually cause paralysis. As primary tumors, they originate in the meningeal coverings, the... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the internal sphincter, the patient may refer to all local pain as rectal pain.
Because the... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling
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... The passage of bloody stools, also known as hematochezia, usually indicates—and may be the first sign of—GI bleeding below the ligament of Treitz. However, this sign—usually preceded by hematemesis—may also accompany rapid hemorrhage of 1 L or more from... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Ted Epperly
Rectal bleeding is a common problem encountered by primary care providers across the United States. Annually, approximately 3% of the general population will report seeing blood in the toilet bowl and roughly 12% to 20% will note blood on... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
❑ Hemorrhoid
❑ Rectal fissure
❑ Prostatitis
❑ Anal fistula
❑ Pruritus ani... Diagnostic Approach ... Clinical Findings
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... In the United States and Europe, colorectal cancer is the second most common visceral neoplasm. Incidence is equally distributed between men and women. Colon cancer affects more than twice as many people as rectal cancer. Incidence increases with age, with... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the internal sphincter, the patient may refer to all local pain as rectal pain. ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the internal sphincter, the patient may refer to all local pain as rectal pain.
Because the... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
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... The passage of bloody stools, also known as hematochezia, usually indicates—and may be the first sign of—GI bleeding below the ligament of Treitz. However, this sign—usually preceded by hematemesis—may also accompany rapid... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
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This discussion considers the causes of bright red or maroon stools.
(The causes of melena or black stools are the same as the causes of
hematemesis; the differential diagnosis is given on page 215.) Bright-red blood may occasionally result from an ... Pictures
... READ EXCERPTS »
...
Practically the whole specialty of proctology is devoted to taking care
of patients with rectal pain. To develop the differential diagnosis it is
useful first to divide the conditions into extrinsic and
intrinsic. To recall the extrinsic... Pictures
... READ EXCERPTS »
...
Aside from the common external hemorrhoids (which will not be seen in
many cases unless the patient is asked to bear down), anal masses may
include any of the following:
... Pictures
... READ EXCERPTS »
Life isn't easy for people living with cancer and especially for young patients like filmmaker Jessica Wing whose illness and complications had...
Colorectal cancer affects the colon and rectum, and catching it early can save your life. Learn how you can reduce your risk of getting colorectal...
A tiny camera called laparoscope can be used to peek inside the body and diagnose disease. Learn how this minimally invasive technique is now being...
People who have been living with ulcerative colitis for a long time must be checked regularly for colon cancer. Listen to the story a patient that...