Anorectal Disorders

Feb 1, 2018 Issue
Hemorrhoids: Diagnosis and Treatment Options [Article]

Treatment of hemorrhoids begins with conservative therapies, such as a high-fiber diet, increased water intake, warm water baths, fiber supplementation, stool softeners, and topical preparations. If these are unsuccessful, office-based and surgical procedures are warranted. Office-based procedures are generally more effective for lower-grade hemorrhoids.

Mar 15, 2016 Issue
Chronic Anal Fissures [Clinical Evidence Handbook]

What are the effects of surgical treatments for chronic anal fissure?

Mar 15, 2012 Issue
Evaluation and Management of Common Anorectal Conditions [Article]

The prevalence of benign anorectal conditions in the primary care setting is high, although evidence of effective therapy is often lacking. In addition to recognizing common benign anorectal disorders, physicians must maintain a high index of suspicion for inflammatory and malignant disorders. Patie...

Nov 15, 2011 Issue
Colonic Diverticular Disease [Clinical Evidence Handbook]

What are the effects of treatments for uncomplicated diverticular disease and what treatments prevent complications? What are the effects of treatments for acute diverticulitis?

Jul 15, 2011 Issue
Hemorrhoids [Article]

Most patients with hemorrhoids experience only mild symptoms that can be treated with nonprescription topical preparations. Patients usually seek treatment when symptoms increase. Internal hemorrhoids typically present with prolapse or painless rectal bleeding. External hemorrhoids also bleed and ca...

Oct 1, 2006 Issue
Hemorrhoids [Clinical Evidence Handbook]

What are the effects of treatments for hemorrhoidal disease?

Apr 15, 2002 Issue
Hemorrhoidectomy for Thrombosed External Hemorrhoids [Article]

External hemorrhoids represent distended vascular tissue in the anal canal distal to the dentate line. Persons with thrombosed external hemorrhoids usually present with pain on standing, sitting or defecating. Acutely tender, thrombosed external hemorrhoids can be surgically removed if encountered w...

Jul 1, 2001 Issue
Common Anorectal Conditions: Part II. Lesions [Article]

Patients with a wide variety of anorectal lesions present to family physicians. Most can be successfully managed in the office setting. A high index of suspicion for cancer should be maintained and all patients should be questioned about relevant family history or other indications for cancer screen...

Jun 15, 2001 Issue
Common Anorectal Conditions: Part I. Symptoms and Complaints [Article]

Anorectal symptoms and complaints are common and may be caused by a wide spectrum of conditions. Although most conditions are benign and may be successfully treated by primary care practitioners, a high index of suspicion for colorectal cancer should be maintained, and all patients should be appropr...

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