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With a gloved finger, the doctor probes the rectum. A fistula is a connection or tunnel between the anal gland and the buttocks, usually very close to the anal opening. Purulent discharges may be blood-streaked. Laparoscopy refers to the use of small incisions through which the surgeon may place a camera and surgical instruments, allowing them to perform the same procedures described above for abdominal approaches. Applied to the anus, vasoconstrictors make the blood vessels become smaller, which may reduce swelling. Although not exactly the same as rectal discharge, perianal discharge can be misinterpreted as such, given the anatomical proximity. Top Anal Itching Related Articles.
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Basic Anal/Rectal Anatomy & Physiology

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