Clinical Profile And Emergency Management Of Painful Anorectal Disorders In A Tertiary Care Setting In South India

Authors

  • Priyanka Prakash Author
  • T. Raghupathy Author
  • Alexander Mechery Antony Author

DOI:

https://doi.org/10.64252/xjdtwh04

Keywords:

Anorectal pain, haemorrhoids, anal fissure, fistula-in-Ano, emergency surgery, proctology, perianal disorders.

Abstract

Background:Anorectal disorders such as haemorrhoids, anal fissures, and fistula-in-Ano are among the few most common causes of anal and perianal pain,often requiring emergency intervention. These conditions are often underdiagnosed due to stigma and lack of access tocare,especiallyin the LMICcountries.
Objective:To assess the distribution, clinical characteristics, risk factors, and treatment approaches for anorectal disorders causing pain in the anal and perianal region among patients presenting to the emergency department of a tertiary care hospital.
Methodology:A prospectiveobservational study was conducted between November 2023 and November 2024 at Sree Balaji Medical College & Hospital, Chennai. A totalof 220 adult patients presenting with anorectal pain were included. Data were collected on demographics,clinical presentation, diagnostic findings, and management. Statistical analysis was performed using SPSS version 21.
Results:Haemorrhoids (22.3%), fissure-in-Ano (17.7%), and fistula-in-Ano (14.5%) were the most common conditions. The mean age was 38.5 years, with a male predominance (63.2%). Risk factors included chronic constipation (42.7%), low fibre inta ke (38.6%), and sedentary lifestyle (33.2%). Most patients delayed seeking treatment; malignant conditions had the longest duration before presentation. Conservative management was effective in 58% of cases, while 42% needed surgical intervention.
Conclusion:Painful anorectal disorders are highly prevalent in emergency surgical settings. Early recognition, public awareness,
and targeted interventions are essential to reduce morbidity. Improving access to proctologic care and addressing modifiable risk factors can improve outcomes.

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Published

2025-07-02

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Articles

How to Cite

Clinical Profile And Emergency Management Of Painful Anorectal Disorders In A Tertiary Care Setting In South India. (2025). International Journal of Environmental Sciences, 2510-2522. https://doi.org/10.64252/xjdtwh04