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Anorectal problems are common and tend to cause serious anxiety in the patient due to its alarming symptoms like extreme pain, discharge, bleeding, pruritus and lumps. Some of the conditions to be kept in mind in order not to miss out on correct condition would include anal fissure, haemorrhoids, perianal abscess and solitary rectal ulcer. Anal fissure can be extremely painful and a careful inspection alone must be done to come to a diagnosis. Perianal abscess presents with throbbing pain, fever and tender swelling can be felt. Look for evidence of a fistula. Bleeding is the main and only symptom in case of haemorrhoids. In solitary ulcer, sigmoidoscopy helps. Management is difficult and a chronic course is common.
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