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A patient presents with severe anal pain, lasting hours after each bowel movement. She notices some intermittent bleeding with defecation. She comes to the office with the presumed diagnosis of hemorrhoids. Are her symptoms consistent with hemorrhoidal disease, or does she have another disorder? Benign anorectal disorders are common and increasing in incidence. The decreasing intake in dietary fiber over the 20th century and into the 21st has contributed to a steady rise in preventable anorectal disorders.
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Anal fissure - Symptoms and causes - Mayo Clinic

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Anal Disorders

The anus is the opening at the end of your anal canal. The rectum sits between your colon and anus and acts as a holding chamber for stool. When pressure in your rectum becomes too great, the internal ring of muscle called the anal sphincter relaxes to allow stool to pass through your anal canal, the anus, and out of your body.
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The human anus from Latin anus meaning "ring", "circle" [1] [2] is the external opening of the rectum. Two sphincters control the exit of feces from the body during an act of defecation , which is the primary function of the anus. These are the internal anal sphincter and the external anal sphincter , which are circular muscles that normally maintain constriction of the orifice and which relaxes as required by normal physiological functioning. The inner sphincter is involuntary and the outer is voluntary.
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