What's the anal disease?

39 years old male suffering from one week. Chief Complaints Burning sensation, tenderness, itching No any other complain. History Same problem arise before one year ago. Vitals BP - 120/80 mm/ hg. Puls - 84 bpm. SpO2 - 99% Physical Examination Acne type blisters, redness around the anus. Image attached below. Investigations Please suggest essential investigation?? Diagnosis What's the disease? Management Please suggest Treatment and management.

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He is a c/o hemorrhoids gr1o2 need proctoscopy Present complaints are suggestive of PROCTITIS Rx modified diet by fiber rich and avoiding junk iily fast and nonvage completely Constipation to be cared by bulk laxatives sos 9r daily Locally anometerogyl oint twice daily Cap pilon 1bd for 3months Antiinflamatory Tab cefixime+ofloxacin 1bd Smuth oint for soothing effect Keep followup and repeat proctoscopy time to time Otherwise suggest hemorrhoidectomy

Thanx dr Mohd Adil
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Haemorrhoids. Swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding. Haemorrhoids are usually caused by straining during bowel movements, obesity or pregnancy. It is common to have Proctitis...Which  is a condition in which the lining tissue of the inner rectum becomes inflamed. In case of Proctitis, STD/ IBS / Truma following anal sex/ Chron's Disease should be differnciated Proctosedyl ointment. Cremafin liq. NSAID. Lifestyle change.. If necessary seek surgical intervention

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It appears as fissure in ano with sentinel like tag, it corresponds with complains of burning sensation in perianal region Adv Stool softener - isapgol husk Laxative - cremaffin syrup Anovate ointment for local application

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Anal fissures leading to burning sensation during defaecation with multiple external piles or sentinel piles associated itching may be due to proctitis or due to thread worm infestation as eggs are being laid in the anal verge To clean the part properly after defaecation and to take proper personal hygiene Stool softner A Tab Albendazole 400 mg at night then to repeat after 10 days Sietz bath Lignocaine jelley to apply lically

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Sphincter tone to b assessed by dre If sphincter relaxed go for proctoscope examination Examination on table can be done if patient not co operative Could be hemorrhoids with fissure Stool softener High fibre diet Plenty of water intake Sitz bath tds

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? ANAL TAG'S.. ? SENTINEL PILES.. ? ANAL PRURITIC RASH...

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SUGGESTIVE. OF ANAL FISSURES PROCTITIS EXTERNAL. PILES WITH .WORM INFESTATION

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Hemorrhoids naagkesar chooran bol parpati arshkuthar rasa giloy satwa kankayan wati syp abhyarishta

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Fissure only amp with sentinel skin tag or piles

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External haemorrhoid with anal fissure. Tab. Dan sp tid for 3 days. Tab. Zifi cv 200 bd for 3 days. Proctosedyl ointment.

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