Abstract
Preview Both patients and physicians tend to ascribe all anorectal symptoms to hemorrhoids, but many are caused by other common conditions. Anal fissure, perianal abscess, pruritus ani, and condylomata acuminata that have reached a large size also cause considerable discomfort. Dr Metcalf summarizes identifying characteristics of the disorders, treatments that can be performed in an office visit, and circumstances that may warrant more extensive surgical procedures.
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