If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Abdominal symptoms are common; the history and physical examination are the basis for differential diagnosis and efficient use of laboratory and imaging studies. History must delineate the character and sequence of the symptoms.
A sexually transmitted infection STI is an infection spread by sexual contact. There are many STIs. This FAQ focuses on chlamydiagonorrheaand syphilis.
Common sexually transmitted bacterial organisms may affect the anorectum and perianal skin. While some of these infections are a result of contiguous spread from genital infection, most result from receptive anal intercourse. Polymicrobial infection is common and there is overlap in symptoms caused by the organisms that may infect the anorectum.
Photo: Getty Images. Anal sex may seem taboo, but behind closed doors, plenty of women have tried it: According to a survey published in a issue of the Journal of Sexual Medicinemore than 1 in 3 women ages 19 to 44 has tried it at least once. Skip experimenting if you have hemorrhoids or are having digestive issues, and use plenty of lube.
Cellulitis is usually caused when bacteria enter a wound or area where there is no skin. The most common bacteria that cause cellulitis include:. Staph and strep bacteria are commonly found on the skin and mucous membranes of the mouth and nose in healthy people.
The first time Mary H. She was 22, living in New Jersey, and with the high school boyfriend she had been dating since she was 16 years old. She continued to feel the pain during subsequent attempts.
Anal pain can occur before, during, or after a bowel movement. It can range from a mild ache that can get worse over time to pain that is bad enough to restrict daily activities. Anal pain has many causes, most of which are common and treatable.
Basic Fact Sheet Detailed Version. Detailed fact sheets are intended for physicians and individuals with specific questions about sexually transmitted diseases. Detailed fact sheets include specific testing and treatment recommendations as well as citations so the reader can research the topic more in depth.
Proctalgia fugaxa variant of levator ani syndromeis a severe, episodic pain in the regions of the rectum and anus. It most often occurs in the middle of the night  and lasts from seconds to minutes;  pain and aching lasting twenty minutes or longer would likely be diagnosed instead as levator ani syndrome. In a study published in involving patients, the attacks occurred in the daytime 33 per cent as well as at night 33 per cent and the average number of attacks was