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24 Jan 2017

Ano-Rectal Problems in Women


The terminal segment of the digestive tract where the faecal matter is stored is called rectum and the final orifice from where the faecal matter is passed outside the body is the anus. A lot of problems arise in the anal and rectal region because of sensitive nerve endings about which people often feel too embarrassed to discuss nor seek medical help. Comparatively, women experience more ano-rectal problems due to the complex structural anatomy of their reproductive organs, adjoining the lower digestive tract. In addition, the post-partum complications further tend to aggravate the ano-rectal problems. These anomalies are quite bothering, painful and interfere with day-to-day activities.

Haemorrhoids :

Piles or haemorrhoids are swollen clusters of veins in the anal portion, bulging outside the anal canal or remain inside the rectal canal. They cause severe pain and discomfort, and bleeding in extreme cases. Haemorrhoids are quite common in occurrence, generally follow-on to constipation, unhealthy low fibre diet and excessive pressure on the blood vessels because of strained bowel movement. Women experience the problem during pregnancy while the growing size of the uterus presses against the rectal wall, straining the muscles. Laxatives, sitz bath, fibre rich diet and more fluid intake relieve the problem. However, in acute condition haemorrhoids need surgical treatment.

Fissures, Abscess, Fistulas :

When the anal lining is torn due to trauma or excessive pressure, it causes itchiness, irritation and pain giving rise to fissures. Constipation is a key factor of developing fissures.

An inflamed pus filled cavity blocking the anal glands gives rise to an abscess and if the problem becomes worse, a tunnel to the skin of the buttock called fistula is formed. Fistulas are painful, red and swollen in appearance. Usually, an underlying gastrointestinal complication like Crohn’s disease increases the risk of developing an abscess and fistula. Mostly when an abscess recurs, it leads to the formation of a fistula. Surgery is the only possible treatment to eliminate the fistula, create a groove in the tunnel and heal the anal tissues.

Levator Syndrome :

Painful spasm cycles on the left side of the pelvic muscles initiate pain in the rectal region too, causing tenderness and excruciating pain. Levator syndrome, common in women, is associated with deep muscular pain arising from the pelvic area up to the anus, a common symptom of the syndrome. Arthritis, tailbone pain and child birth trauma can trigger the muscle pain, creating cyclic pains in the rectal muscles. Electro-galvanic technique helps in relieving the pain.

Faecal Incontinence :

Accidental pass out of stool due to loss of control in the anal sphincter is called incontinence. A trauma or injuries related to the abdominal and pelvic area in the past result in faecal incontinence. Back trauma and ano-rectal surgery at times damage the sphincter muscles. Chronic medical conditions such as anal or colo-rectal cancer, diabetes and multiple sclerosis affect the muscular movement of the anal sphincter, thereby triggering the onset of involuntary emptying of bowel. Women suffer the trauma of prolonged childbirth, vaginal and forceps-assisted delivery, and during delivery of a heavy infant, the anal muscles are compromised. Biofeedback, kegel exercises and surgical correction can strengthen the sphincter muscles.

Pruritis Ani :

The problem refers to a constant itching around the anal area, especially more often and intense at night and every time after defecation. Women, who use fragrant soaps and aromatic substances to cleanse and maintain excessive hygiene in a wrong manner by frequently wiping the rear portion, damage the delicate skin of the anal orifice that results in soreness. Citrus, caffeine and aerated beverages aggravate the condition. Gentle cleaning and abstaining from spicy food is an effective way to appease the problem.

Koya Stopiles Clinic in Hyderabad, and now in Bangalore, is a specialized clinic with expertise to deal with ano-rectal problems. The team of doctors have years of experience in diagnosis and treatment of ano-rectal problems, seeking monitored help from experts overseas. Ladies visiting the clinic can discuss the ano-rectal problems and attain relief from their discomfort, pain and inconvenience. Their cases are assigned to female doctors for complete discretion, proper diagnosis and treatment without hesitation or inhibitions. The techniques are US-FDA approved and minimally invasive in treatment of haemorrhoids, fistulas, fissures and other ano-rectal problems.




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