[Gutenberg 47387] • Fissure of the Anus and Fistula in Ano

Excerpt from Fissure of the Anus and Fistula in Ano

IN the following pages I have endeavored to give a con cise yet thorough account of the two affections Fissure of the Anus and Fistula in Ano, in respect to their etiology, symptomatology, diagnosis, and treatment. It has not been my object to write upon rectal fistula: in general.

While the two subjects treated in this volume have been ably written on at various times and by different authorities, it is undeniable that no organ of the body is more neglected by both the laity and the profession than is the rectum.

The neglect upon the part of the laity is largely attrib ntable to carelessness in regard to regularity of habit and to want of cleanliness in this portion of the body: This neglect is the prime factor in the causation of many of the rectal maladies frequently encountered by the specialist. Further more, patients suffering from rectal diseases, especially women, often from a false sense of modesty defer their visit to a physician as long as possible, allowing their trouble to proceed from bad to worse, and when their suffering finally becomes almost unbearable and a doctor is consulted they refuse to allow him to make a rectal examination; in this way error in diagnosis occurs, and consequently relief is not obtained. The use of improper paper for toilet purposes often occasions the production of rectal diseases.

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