Ano-Rectal Syndrome

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These are painful but common conditions like haemorrhoids, tears, fistula, or abscesses that affect the anal region.

Causes

STI Related

• Chlamydia trichomatis
• Treponema palladium and Herpes simplex

Non-STI Related

• Anal fissure
• Faecal impaction
• Food intolerance
• Gastroenteritis
• Inflammatory bowel disease
• Crohn’s disease
• Ulcerative colitis

Signs and symptoms

• Pus discharge
• Redness of the rectum/anal canal (proctitis)
• Itching of the rectum; burning sensation

Evaluation/Investigations

• Palpitation of anogenital area
• Digital anoscopy
• HIV tests
• Other investigations as appropriate

Pharmacological treatment

Ceftriaxone IM 250 mg in a single dose PLUS Doxycycline oral 100 mg twice a day for 7 days

Referral

Refer for specialist care if no improvement