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Dyschezia

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Abstract

Dyschezia refers to difficult or painful elimination of faeces during defecation. Primarily indicative of anorectal disease or perianorectal disorders, it often, but not invariably, coexists with tenesmus. This chapter provides a general diagnostic approach to dyschezia, considering the clinical features, relevant history, physical examination and diagnostic tests.

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Figures

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22.1 Algorithm showing an approach to the patient with dyschezia.
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22.3 Anus of a dog with early anal furunculosis. Note that it would be very easy to miss these draining tracts if the patient was conscious and the clinician was not able to perform a careful physical examination.

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