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Anal hypertonicity ms

Anal fissure is one of the most common anorectal problems. Anal fissure is largely associated with high anal sphincter pressures and most treatment options are based on reducing anal pressures. Conservative management, using increased fiber and warm baths, results in healing of approximately half of all anal fissures. In fissures that fail conservative care, various pharmacologic and surgical options offer satisfactory cure rates. Lateral internal sphincterotomy remains the gold standard for definitive management of anal fissure.
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Common Anorectal Conditions: Part II. Lesions

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Anorectal Disease: Anal Fissure

JOHN L. This is Part II of a two-part article on anorectal conditions. Patients with a wide variety of anorectal lesions present to family physicians. Most can be successfully managed in the office setting. A high index of suspicion for cancer should be maintained and all patients should be questioned about relevant family history or other indications for cancer screening.
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Anal sphincter dysfunction in multiple sclerosis: an observation manometric study

Constipation, obstructed defecation, and fecal incontinence are frequent complaints in multiple sclerosis. The literature on the pathophysiological mechanisms underlying these disorders is scant. Using anorectal manometry, we compared the anorectal function in patients with and without multiple sclerosis. The patients were divided into four groups: multiple sclerosis patients with constipation group A ; multiple sclerosis patients with fecal incontinence group B ; non-multiple sclerosis patients with constipation group C ; non-multiple sclerosis patients with fecal incontinence group D.
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