Fissure of the anus and fistula in ano / by Lewis H. Adler.

Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Fissure of the anus and fistula in ano / by Lewis H. Adler. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    SYMPTOMATOLOGY—PHYSICAL EXPLORATION — DIAGNOSIS—PROGNOSIS. Symptoms.—The symptoms in the early stage of this disease are not usually severe, and are generally experienced during defecation, when at some point or other there will be an uneasy sensation, consisting of an itching, pricking, slight smarting, or a feeling of heat about the circumference of the anus. As the disease progresses, the discojnfort attending the movements of the bowel is greatly augmented, and at a variable period of time gives place to a severe pain, of a burning or lancinating character, which is fol- lowed by throbbing and excruciating aching, at- tended by violent spasmodic contraction of the sphincter muscles, continuing from half an hour to several hours. From reflex irritation, pains are often experienced in other parts, simulating sciatica or rheumatism; the urinary organs, as has already been mentioned, are liable to be sympathetically deranged, causing atten- tion to be diverted from the real seat of the disease. The ulcer being fully established, the suffering usually comes on with intensity shortly after the actual passage of the motion, and frequently it lasts for many hours, completely incapacitating the patient