Bukkake anal sphincter soreness

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J Am Board Fam Pract ;4: Patients may use the term to indicate the lack of an urge to defecate, a decreased frequency of bowel movements, difficulty in passing hard scybalous stools, the sensation of incomplete evacuation or prolonged straining at toilet. In general, constipation is regarded as fewer than three bowel movements per week in a person consuming at least 19 g of fiber daily. This condition can be due to diet, medications, functional disturbances, endocrine and metabolic disorders, collagen vascular disease, central or peripheral neuromuscular disorders or colonic inertia. It is imperative that the clinician rule out obstructing lesions or painful anal lesions. It is common in bedridden or nursing home patients or after a cerebral vascular accident and is the most common gastrointestinal disorder occurring in patients with a spinal cord injury.
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These treatments include sclerotherapy for hemorrhoids and vaginal hysterectomy. Diagnosis As the symptoms vary from person to person and are similar to other medical conditions, similar conditions must be ruled out before making a definite diagnosis. These conditions can include hemorrhoids, abscesses, and fissures. Diagnosis involves a thorough medical examination, including of the genital region. The doctor may also order blood tests and an endoscopy test to look at the lining of the bowel.
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Anal Fissures: Management and Treatment

The goal of treatment is to lower the pressure on the anal canal by making stools soft as well as easing discomfort and bleeding. Conservative treatments are tried first and include one or more of the following: However, when treatments fail and anal fissures persist or recur other measures can be tried, including: Using hydrocortisone-containing suppositories, foams, or creams to reduce inflammation Applying other creams and ointments; these may include a medicated cream to help heal the fissure , a topical muscle relaxant to relax the anal muscles , an anesthetic ointment to reduce pain, if pain interferes with having a bowel movement , nitroglycerin or calcium channel blocker ointments to relax the anal muscles and increase blood flow to the region, promoting healing Injecting botulinum toxin type A Botox into the anal sphincter. The injection temporarily paralyzes the anal sphincter muscle, relieving pain and promoting healing Surgery What does a surgical approach involve?
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