Prevalence of Anorectal disease among the patients attending health screening camp in different parts of Eastern Nepal: A cross-sectional study

Background: Anorectal disease has a significant impact on patients’ quality of life (QoL), and surgical treatment may further diminish QoL. The purpose of this study was to identify the prevalence of anorectal diseases, its management and improving the patient’s quality of life.
Methods: Study is carried out in various health screening camps of eastern Nepal, the study was done in patients who attended the health screening camp with in period of three months. (Nov 2024-Jan 2025) The objective of study is to find prevalence of anorectal disease, its management and improving patient’s quality of life. All patients with anorectal conditions presented and managed at our camp were included. Surgical intervention was done in the hospital. Excluded were patients less than 20 years old, pregnant and lactating mother.
Results: The patients with anorectal diseases presenting in camp with ages more than 20 years old, both genders were included. All patients were examined by surgeon. 366 patients with anorectal diseases were included in study. Most patients were female 256(69.95%) and male 110(30.05%). Most common anorectal diseases were Hemorrhoids (59.56%), Anal Fissure (12.84%), Rectal polyp (9.56%), and Fistula in Ano (8.75%). Out of 366 patients with anorectal disease, 146 were given surgical treatment and 220 were managed with conservative treatment. This study may contribute to epidemiological knowledge about the prevalence of anorectal disorders.
Conclusion: Hemorrhoids, anal fissure and rectal polyp, were the common anorectal condition

Anorectal disease , health , surgical treatment

1. Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology 1990;98:380-6. [Google Scholar] [Crossref]

2. Pfenninger JL. “Common anorectal conditions: Part I. Symptoms and complaints”. Am Fam Physician (2001);63: 2391–2398. [Google Scholar] [Crossref]

3. Patcharatrakul T. “Update on the pathophysiology and management of Anorectal Disorders”. Gut Liver. 2018;12: 375–384. [Google Scholar] [Crossref]

4. Nelson RL, Abcarian H, Davis FG, Persky V. Prevalence of Benign Anorectal disease in a randomly selected population.Dis Colon Cancer. 2019;38(4):341-344 [Google Scholar] [Crossref]

5. Ramesh G. Quackery–a feedback discussion. J Indian Med Assoc 2007; 105:656. [Google Scholar] [Crossref]

6. Jain. BK Anal symptoms to anal obliteration quackery in proctology continues. Tropical Gastroenterol 201 4; 35(4):274–276. [Google Scholar] [Crossref]

7. Parés D, Abcarian H. Management of Common Benign Anorectal Disease What All Physicians Need to Know. Am J Med. 2018; 131(7):745-751. https://doi.org/10.1016/j.amjmed.2018.01.050 10. [Google Scholar] [Crossref]

8. Cohee MW, Hurff A, Gazewood JD. Benign anorectal conditions Evaluation and management. Am Fam Physic. 2020; 101(1):24-33 [Google Scholar] [Crossref]

9. Kumar AS, Babu MS, Aanandhi VM. Prospective Study on the Quality of Life in Patients with Anorectal Disease. Res J Pharm & Tech. 2017; 10(1): 145 148. [Google Scholar] [Crossref]

10. Ferrer-Ma´rquez M, Robert JM. Analysis and description of disease specific quality of life in patients with anal fistula. Cir Esp. 2018; 96:213–220. [Google Scholar] [Crossref]

11. McKenna C, Bartlett L, Ho YH Espı´nola-Corte´s N, Reina Duarte A, Granero-Molina J, Ferna´ndez-Sola C et all. Fecal incontinence reduces quality of life more than you may think. Dis Colon Rectum. 2017; 60:59 7–598. [Google Scholar] [Crossref]

12. Balde A. K., A, T. J., MD, S., TM, B., A, M., K, B. A., & S, D. Hyperopia in young people: risk factors and prognosis at the CADES/O of the Donka National Hospital Guinea. Journal of Medical Research and Health Sciences. 2022;5(8):2135–2144. [Google Scholar] [Crossref]

13. Ram Adhar Yadav, Sirjana Shrestha, Jitendra Shrestha and Amit Man Joshi* The Prevalence of Anorectal Disorders among Residents of Kirtipur Municipality in Nepal [Google Scholar] [Crossref]

14. Dr. Ashish Mishra, Dr. Abhilash Kumar Pithawa, Dr Dilip Kothari, (2024), "Prevalence and Characteristics of Anorectal Diseases in a Tertiary Care Setting", International Journal of Science and Research (IJSR), 13(12), 1154-1158. https://dx.doi.org/10.21275/SR241214144252, https://www.ijsr.net/getabstract.php?paperid=SR241214144252 [Google Scholar] [Crossref]

• Measuring Waste of Patient Time in Health Care at Non-Digitized Hospital: An Observational Study in Bangabandhu Sheikh Mujib Medical University, Bangladesh
• Reaffirming Clinical Confidence in Atorvastatin Therapy: A Digital Outreach Case Study from Tamil Nadu, India
• Clinical Manifestations and Therapeutic Response in a Patient with Hypothyroidism: A Case Report
• Eranda (Ricinus Communis) In Gridhrasi (Sciatica): Classical Rationale, Pharmacology and Clinical Evidence- A Narrative Literature Review
• Magnetotherapy in Pain Management: Mechanisms, Clinical Applications, and Future Perspectives – A Review