Anorectal Disorder and its Treatment

Anorectal Malformation and its Treatment


“Ano" means the anus, which is the orifice at the end of the GIT through which feces passes when a person has a bowel movement. "Rectal” Is for the rectum, which is the part of the large intestine which is just before the anus.
Anorectal malformations are birth defects (Pathological cases that develop as a baby is developing during pregnancy). With this defect, the anus and rectum (the last end of the GIT) are not made efficiently.
anorectal disorder
During a GIT movement, feces passes from the large intestine to the rectum and then to the anus. Anal Muscles always help to control when we have a bowel movement. There are numerous nerves in the anal area. Nerves in the area help the muscles sense the need for a bowel movement and also stimulate muscle activity.
With an Anorectal malformation, many deformities can occur, including the following:
  • Due to the narrowness of anal pathway
  • Anal opening may have a thin membrane
  • Anus and rectum may have no connection
  • A fistula could be present by which it may be connected to urinary tract.
  • A fistula may be present by which it may be connected to the reproductive system of the body.
  • The treatment for the malformation depends on which type of abnormality is present.
  • An anal opening may be absent.
  • Wrongly placed anal opening.
  • Vagina and intestine connection.
  • A Cloaca may join urinary system, vagina and intestine.
  • In females, the intestine can join with the urinary system and vagina in a single opening, known as a cloaca.
How Anorectal Disorder is Diagnosed?
First of all general body examination is done and physician checks the condition of the anus and rectum. After general examination the following ways of diagnosis are made.
  • Abdominal X-ray
  • Abdominal Ultrasound (also called Sonography)
  • Computed Tomography Scan (also called a CT or CAT scan )
  • Magnetic resonance imaging (MRI)
  • Lower GIT barium Anema .
  • Upper GIT barium Swallow.
  • Cardiac echocardiogram
 
How the Treatment of Anorectal Diseases is done?
The whole treatment of this disease depends upon the followings:
  • Problem extent.
  • The overall health.
  • Medical history of the patient.
  • Physician’s opinion
  • Disease’s course expectation.
The following types of the most commonly used treatments are done for the treatment of the Anorectal malformation:
  •  Narrow Anal Passage dilation.
  •  Anal membrane is removed.
  •  Connection of anal /rectal connection.
  •  Colostomy.
How long will my child be in the hospital after the operation…….?
If the child is feeding normal and he is having normal bowel movement and he is feeling well then he can go to the home. But if there is a fistula present. Then a Foley catheter is placed in the bladder during the time of operation. By this way the fistula closure finds the time to heal. And Foley will be removed before the child goes to home.

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