Management of Common Benign Anorectal Disease: What All Physicians Need to Know

Am J Med. 2018 Jul;131(7):745-751. doi: 10.1016/j.amjmed.2018.01.050. Epub 2018 Feb 27.


Benign anorectal conditions produce anal pain, rectal bleeding, or discharge from the perianal region, which are highly prevalent symptoms in the general population. Hemorrhoidal disease, anal fissure, perianal abscess, proctalgia syndromes, and pruritus anii are the most common clinical disorders. Well-trained physicians, irrespective of their specialty, can treat most of these disorders and refer them to a specialist in proctology only when necessary. The aim of this review is to provide a practical guide to the management of benign anorectal disorders in terms of their initial management and the criteria for specialist referral.

Keywords: Anal pain; Anorectal disease; Proctology.

Publication types

  • Review

MeSH terms

  • Fissure in Ano / diagnosis
  • Fissure in Ano / therapy
  • Hemorrhoids / diagnosis
  • Hemorrhoids / therapy
  • Humans
  • Pruritus Ani / diagnosis
  • Pruritus Ani / therapy
  • Rectal Diseases / diagnosis
  • Rectal Diseases / therapy*
  • Rectal Fistula / diagnosis
  • Rectal Fistula / therapy