Bulging internal anal sphincter


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Die irr eversible Schwächung des. Azab El-Shabrawi. Helsinki-Abkommen durchge führt. These can result in significant discomfort to the patient. Direct current electrocoagulation works better for grades 3 and 4 hemorrhoids and is associated with less discomfort and fewer complications. Secondary changes can occur in their development, such as hypertrophied anal papillae close to the proximal edge of the fissure at the level of the pectinate line, also pathologically altered crypts anal cryptitis or sentinel tags secondary skin tags with or without incomplete or complete fistula.
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External anal sphincter - Wikipedia


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When the rectum fills beyond a certain capacity, the rectal walls are distended, triggering the defecation cycle. Perianal sensation was scored as 0: normal, 1: slight dysesthesia, 2: moderate dysesthesia, 3: anesthesia. Its action is entirely involuntary , and it is in a state of continuous maximal contraction.
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