What is your diagnosis?
A 70-year old woman reported to the doctor with itching and pain in anorectal region for three months. DRE revealed normal sphincter activity, grade II varices no pain during examination. What should doctor do?
Patient had a colonoscopy 2 years earlier- exept diverticuli in sigmoid colon no other findings. It is Maybe difficult to notice but a few small polips were around anal canal. She was treated for fungal infection (itraconazole) locally ungm. with zinc. Diosmine oraly was also prescribed. After 2 weeks eaching was gone. The excisional biopsy of polips was taken which proved also HPV infection. The patient is under observation. DO NOT treat patients with steroids around anal canal if you are not certain what is the origin-usually after steroids all symptoms are gone during the usage, but after, it can make things worse, especially when virus or fungal infection is suspected.
Endoanal Ultrasound and the patient refers any dropping? It could be a fistula
Incontinence excitation. Poor hygiene....talk to her about barrier cream and prevention
Ben Black, yes, i was aware. you realize, the fact that you noticed that, tells me you should be an English professor.
Could these be anorectal varices from portal hypertension, secondary to cirrhosis?