A clinical study of anorectal disorders in southern east (Rural) Rajasthan
Author(s): Dr. Biram Chand Mewara and Dr. Shakeel Ahamad
Abstract: Anorectal disorders include a diverse group of pathological disorders that generate significant patient discomfort and disability. Its prevalence in general population is much higher than seen in clinical practice. Since most patients with symptoms referred to anorectal disorders do not seek medical attention. Of these symptoms, most patients with anorectal disease present with bleeding PR, pain during defecation, protrusion or itching. Anorectal disorders include hemorrhoids, fissures in ano, fistulas in ano, perianal abscesses, pruritis ani and ano rectal growth. In this study, most common anorectal disorders seen, are hemorrhoids in 50% cases followed by fissure in ano 31.36%. Most cases seen in the age group of 21-40years (55.45%). The most common presenting symptom was bleeding per rectum seen in 122 (55.45%) cases followed by pain during defecation 96(43.63%). Constipation and poor hygiene were the most common predisposing factors seen in most anorectal disorders.
Most of the patients were treated with the surgical management in 92% cases with minimal recurrence without any mortality. All patients were discharged within 3 - 5 post operative days.