Haemorrhoids [top]

  • Fresh rectal bleeding
  • Usually painless but may cause pain anorectal pain
  • Blood on toilet paper when wiping
  • Protrusion following straining at defaecation

Anal fissure [top]

  • Anorectal pain, Rectal bleeding
  • Pain on defaecation
  • Pain on wiping

Proctalgia fugax [top]

  • Transient rectal pain unrelated to defaecation

Perianal abscess [top]

  • Marked pain adjacent to anus rectal pain
  • Palpable tender mass
  • May be associated with fever and systemic disturbance

Prostatitis [top]

  • Rectal pain
  • Urinary frequency, urgency, dysuria, haematospermia
  • Tendernes on digital rectal examination