Anorectal Bleeding (DV058)-VIDEO

Video Transcription

Video Summary

Anorectal bleeding is a common symptom leading to outpatient clinic visits with a prevalence of 13 to 20 percent. Most anal pathologies can be detected through digital examination and endoscopy. Rectal ischemia is rare due to a rich vascular network. Internal drainage exits via systemic and portal circulation, where the rectum and upper anal canal drain into the portal system. An assessment of anal rectal bleeding involves inspection, palpation, and instrumental examinations. Hemorrhoids are caused by displaced cushions and often need surgical intervention, with grades indicating the severity. Procedures like rubber band ligation can treat grade 1 to 3 hemorrhoids, while surgery is needed for grade 4. Anal fissures are characterized by tears in the anal canal and can be managed with conservative measures or surgical treatments like lateral internal sphincterotomy if medical options fail. Infectious proctitis can occur due to sexually transmitted diseases or non-sexually transmitted infections, while rectal cancer should be suspected in patients with rectal bleeding. Endoscopic interventions like argon plasma coagulation are effective for treating chronic radiation proctopathy. Other conditions causing rectal bleeding include rectal varices, hemangiomas, and duloscan ulcers. Veterinaryman may be needed for diagnosis and treatment planning.

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Keywords

Anorectal bleeding

Outpatient clinic visits

Digital examination

Endoscopy

Rectal ischemia

Internal drainage

Hemorrhoids

Rubber band ligation

Anal fissures

Infectious proctitis

Rectal cancer