The clinical characteristics of patients with chronic idiopathic anal pain
The aim of this study was to investigate the clinical characteristics, treatment outcomes and psychological distress in patients with chronic idiopathic anal pain. The study was conducted on patients referred to Hangzhou Third Hospital for chronic anal pain from January, 2010 to December, 2014. Pati...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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De Gruyter
2017-05-01
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| Series: | Open Medicine |
| Subjects: | |
| Online Access: | http://www.degruyter.com/view/j/med.2017.12.issue-1/med-2017-0015/med-2017-0015.xml?format=INT |
| _version_ | 1818881615005220864 |
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| author | Mao Weiming Liao Xiujun Wu Wenjing Yu Yanyan Yang Guangen |
| author_facet | Mao Weiming Liao Xiujun Wu Wenjing Yu Yanyan Yang Guangen |
| author_sort | Mao Weiming |
| collection | DOAJ |
| description | The aim of this study was to investigate the clinical characteristics, treatment outcomes and psychological distress in patients with chronic idiopathic anal pain. The study was conducted on patients referred to Hangzhou Third Hospital for chronic anal pain from January, 2010 to December, 2014. Patient demographics, clinical history, anorectal physiology, and radiological imaging data were recorded for all patients. The treatment outcome was noted for patients treated and followed up for more than 6 month at the present unit. Ninety-six patients with mean age of 45.1 years (range, 17-82) were studied. Seventy-one patients (74.0%) had functional anorectal pain(FARP). The main complaints were dull, sharp, stabbing, or spasm pain. Among all patients, 34.3% reported that their pain radiated into other locations. Fifty-one patients (53.1%) had bowel dysfunction, while 28.1% patients had urinary dysfunction. The common factors associated with pain relief were day time, lying down and warm water baths; the factors that contributed to aggravated pain were night time, defecation or sitting. 92.7% (89/96) of patients reported symptoms of psychological disturbance. FARP patients exhibited increased depression than non-FARP patients(P<0.05). In addition, female patients were more likely to have depression than male patients (P<0.05). The overall pain treatment success rate was 55.2% (53/96). The pain treatment outcome was better in non-FARP patients than in FARP patients(χ2=3.85, P<0.05). Conclusively, chronic idiopathic anal pain is a complex clinical symptom, involving pelvic floor muscles, the nervous system, endocrine system, and the patients’ psychological conditions. Further research is needed to improve diagnosis and treatment for patients with chronic idiopathic anal pain. |
| first_indexed | 2024-12-19T15:04:40Z |
| format | Article |
| id | doaj.art-47d95113f385402ca758d035793710bd |
| institution | Directory Open Access Journal |
| issn | 2391-5463 |
| language | English |
| last_indexed | 2024-12-19T15:04:40Z |
| publishDate | 2017-05-01 |
| publisher | De Gruyter |
| record_format | Article |
| series | Open Medicine |
| spelling | doaj.art-47d95113f385402ca758d035793710bd2022-12-21T20:16:28ZengDe GruyterOpen Medicine2391-54632017-05-01121929810.1515/med-2017-0015med-2017-0015The clinical characteristics of patients with chronic idiopathic anal painMao Weiming0Liao Xiujun1Wu Wenjing2Yu Yanyan3Yang Guangen4Department of Colorectal Surgery, Hangzhou Third Hospital, 38th of the Xihu Avenue, Hangzhou, Zhejiang province, 310009, ChinaDepartment of Colorectal Surgery, Hangzhou Third Hospital, 38th of the Xihu Avenue, Hangzhou, Zhejiang province, 310009, ChinaDepartment of Colorectal Surgery, Hangzhou Third Hospital, 38th of the Xihu Avenue, Hangzhou, Zhejiang province, 310009, ChinaDepartment of Colorectal Surgery, Hangzhou Third Hospital, 38th of the Xihu Avenue, Hangzhou, Zhejiang province, 310009, ChinaDepartment of Colorectal Surgery, Hangzhou Third Hospital, 38th of the Xihu Avenue, Hangzhou, Zhejiang province, 310009, ChinaThe aim of this study was to investigate the clinical characteristics, treatment outcomes and psychological distress in patients with chronic idiopathic anal pain. The study was conducted on patients referred to Hangzhou Third Hospital for chronic anal pain from January, 2010 to December, 2014. Patient demographics, clinical history, anorectal physiology, and radiological imaging data were recorded for all patients. The treatment outcome was noted for patients treated and followed up for more than 6 month at the present unit. Ninety-six patients with mean age of 45.1 years (range, 17-82) were studied. Seventy-one patients (74.0%) had functional anorectal pain(FARP). The main complaints were dull, sharp, stabbing, or spasm pain. Among all patients, 34.3% reported that their pain radiated into other locations. Fifty-one patients (53.1%) had bowel dysfunction, while 28.1% patients had urinary dysfunction. The common factors associated with pain relief were day time, lying down and warm water baths; the factors that contributed to aggravated pain were night time, defecation or sitting. 92.7% (89/96) of patients reported symptoms of psychological disturbance. FARP patients exhibited increased depression than non-FARP patients(P<0.05). In addition, female patients were more likely to have depression than male patients (P<0.05). The overall pain treatment success rate was 55.2% (53/96). The pain treatment outcome was better in non-FARP patients than in FARP patients(χ2=3.85, P<0.05). Conclusively, chronic idiopathic anal pain is a complex clinical symptom, involving pelvic floor muscles, the nervous system, endocrine system, and the patients’ psychological conditions. Further research is needed to improve diagnosis and treatment for patients with chronic idiopathic anal pain.http://www.degruyter.com/view/j/med.2017.12.issue-1/med-2017-0015/med-2017-0015.xml?format=INTChronic anal painClinic characteristicsPsychological distressFARP |
| spellingShingle | Mao Weiming Liao Xiujun Wu Wenjing Yu Yanyan Yang Guangen The clinical characteristics of patients with chronic idiopathic anal pain Open Medicine Chronic anal pain Clinic characteristics Psychological distress FARP |
| title | The clinical characteristics of patients with chronic idiopathic anal pain |
| title_full | The clinical characteristics of patients with chronic idiopathic anal pain |
| title_fullStr | The clinical characteristics of patients with chronic idiopathic anal pain |
| title_full_unstemmed | The clinical characteristics of patients with chronic idiopathic anal pain |
| title_short | The clinical characteristics of patients with chronic idiopathic anal pain |
| title_sort | clinical characteristics of patients with chronic idiopathic anal pain |
| topic | Chronic anal pain Clinic characteristics Psychological distress FARP |
| url | http://www.degruyter.com/view/j/med.2017.12.issue-1/med-2017-0015/med-2017-0015.xml?format=INT |
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