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Perianal conditions (Anal fissures - a small cut in the lining of the anus…

- - - - Flexible sigmoidoscopy
      - Colonoscopy
      - Anoscopy
      - Anoplasty
  - - - Sphincter spasm
      - Ischemia fail to heal
      - Split of anoderm
      - Forceful dilation
- - - - Blood cultures are taken to the laboratory
      - An ultrasound is conducted for investigation.
      - -Rectal cancer examination is done .
      - Screen test for sexually transmitted disease
      - Screening for diverticular disease
  - - - Anal crypts obstruction
      - Glandular secretion stasis
      - Abscess formation
      - Infections & suppuration
- - - - Bloody or foul smell drainage from the opening of the anus
      - Pain with bowel movements
      - Pain and swelling around the anus
      - Fever,chills and general feeling of fatigue.
      - Frequent anal abscesses
    - - Anoscope used to view the anal canal
      - Anorectal manometry used to measure the sensitivity & function of rectum.
      - Endoscopic ultrasound used to identify fistula & its surrounding areas
      - Colonoscopy to view the colon.
      - MRI used for mapping the fistula tract , providing detailed images of sphincter muscle.
    - - Restore balanced fluid diet
      - Monitor site for impaired tissue integrity
      - protect the skin integrity
      - Monitor both intake and out output.
      - Avoid infection ,teach client to keep the colostomy clean with soap & water
    - - Spread of the infection through all layers of the wall of anal canal
      - -Perianal abscess formed
      - Abscess formation
      - Infection & inflammation of the anal gland
      - Abcess burst to the exterior at the perianal region