1) BLEEDING AND PAIN
1.Bleeding With Pain
Fissure
Thrombosed Hemorrhoid ( external and internal)
Cancer
2.Bleeding Without Pain
Internal Hemorrhoids
Polyp
Proctitis
Fistula
Cancer
3.Pain Without Bleeding
Fissure
Levator Muscle Spasm
Thrombosed Hemorrhoid
Genital Herpes
Cancer
4, Pain with fever
abscess
Intra-rectal abscess( Leion st high place of rectum)
Fistula with Inflammation.
Intra-rectal fistula( at high place).
2) PROTRUSION
1.Protrusion With Pain
Thrombosed Hemorrhoid
Abscess
Pilonidal Abscess
Fissure With Associated Skin Tag (+polyp)
2.Protrusion Without Pain
Skin Tag
External Hemorrhoid ( mild)
Thrombosed Hemorrhoid
Polyp
Prolapse ( rectal)
Anal Warts (Condyloma)
3) DRAINAGE
Fistula
Abscess ( after rupturred)
Pilonidal Sinus
Pruritus
Internal Hemorrhoids (advanced case)
Cancer ( with contaminated mucinous fluid)
4) ITCHING
Pruritus,
Dermatitis,(candida, eczema,steroid dermatitis, )( itching,)
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