Section 21 — Anus, Rectum, Piles

Anus.

Have you any trouble of the anus ?

Abcess, aching, beating, bleeding, boil, boring clawing, constriction, spasmodic contraction, cramping, crawling, cutting, darting, discharge (other than stool), dragging, drawing, dryness, eruptions, excoriated (chafed, raw), fissures (cracks), fistula (an opening beside the anus with constant discharge), dullness, heat, heaviness, inflamed (sore), injured itching, jerking, pain (see Section 6), pinching, feeling as of a plug, pressure, pricking, prolapsed (protruding) ; state when and the effect, relaxed, sensitive, shooting, smarting (when ?), sticking, stinging, stitches, straining, sweat, swelling, throbbing, tickling, tingling, ulcers, warts.

Rectum. (The intestine just within the anus.)

Same questions as under Anus.

Piles. (Haemorrhoids).

Describe the appearance of them. Color and shape.

When do they come down ?

What causes them to come down ?

What relieves the pain in them ?

What aggravates them ?

How long have you had them ?

For the pain, see Section 6.

For the discharge, see Section 7.

Any peculiar feeling in them (Section 4) ?

Any bleeding ?

How much and when ?

Any pain or trouble anywhere else that accompanies the piles ?

Do they come with diarrhoea or constipation ?

Any itching, burning, smarting, soreness ?

Are they large or small ?

When and under what circumstances did you first have them ?

Have you ever had an operation for the piles ?

Have you ever had an injection of medicine into the piles ?