Severe pain during defecation

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Reference no: EM133841713

Question

40 years old man with severe pain during defecation, for 10 days the pain starts after bowel motion, and persists for several hours, he is unable to stand even anal examination, which of the following is true about his condition

a. Patient most likely has intersphinteric abscess

b. Patient can be treated first conservatively with nitroglycerine, and calcium channel blockers, followed by anal dilatation after one week.

c. Lateral partial internal sphincterotomy is best surgical option, if conservative treatment fails.

d. Most lesions are located in sensitive mucosa in the pecten anterior in middline e. Most likely patient has chronic anal fissure.

Reference no: EM133841713

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