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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