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Anal Disorders

What is the anus?

Your anus is the opening at the end of your large intestine. It is where stool (poop) leaves your body.

What are anal disorders?

Problems with the anus are common. They include:

  • Hemorrhoids
  • Abscesses
  • Fissures, small cracks or tears in the lining of your anus
  • Anorectal fistula, an abnormal tunnel from your anus or rectum to the skin surface
  • Anal itching (pruritus ani)
  • Cancer
What are the symptoms of anal disorders?

Your symptoms will depend on which disorder you have. But some of the more common symptoms may include:

  • Bleeding
  • Discharge
  • Itching
  • Pain
  • Swelling
How are anal disorders diagnosed?

To make a diagnosis, your health care provider will ask about your symptoms and medical history. Depending upon your symptoms, your provider may:

  • Check the skin around your anus for anything that looks abnormal.
  • Perform a digital rectal exam (DRE). For this exam, your provider inserts a lubricated, gloved finger into the lower part of your rectum to feel for lumps or anything unusual.
  • Order tests, such as an anoscopy.

You may be embarrassed to talk about your anal troubles. But it's important to let your provider know about your symptoms, especially if you have pain or bleeding. The more details you can give about your problem, the better your provider can help you.

How are anal disorders treated?

Treatments vary, depending on the condition you have.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Appendicitis

The appendix is a small, tube-like organ attached to the first part of the large intestine. It is located in the lower right part of the abdomen. It has no known function. A blockage inside of the appendix causes appendicitis. The blockage leads to increased pressure, problems with blood flow, and inflammation. If the blockage is not treated, the appendix can burst and spread infection into the abdomen. This causes a condition called peritonitis.

The main symptom is pain in the abdomen, often on the right side. It is usually sudden and gets worse over time. Other symptoms may include:

  • Swelling in the abdomen
  • Loss of appetite
  • Nausea and vomiting
  • Constipation or diarrhea
  • Inability to pass gas
  • Low fever

Not everyone with appendicitis has all these symptoms.

Appendicitis is a medical emergency. Treatment almost always involves removing the appendix. Anyone can get appendicitis, but it is more common among people 10 to 30 years old.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Bile Duct Diseases

Your liver makes a digestive juice called bile. Your gallbladder stores it between meals. When you eat, your gallbladder pushes the bile into tubes called bile ducts. They carry the bile to your small intestine. The bile helps break down fat. It also helps the liver get rid of toxins and wastes.

Different diseases can block the bile ducts and cause a problem with the flow of bile:

  • Gallstones, which can increase pressure in the gallbladder and cause a gallbladder attack. The pain usually lasts from one to several hours.
  • Cancer
  • Infections
  • Birth defects, such as biliary atresia. It is the most common reason for liver transplants in children in the United States.
  • Inflammation, which can cause scarring. Over time, this can lead to liver failure.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Bladder Diseases

The bladder is a hollow organ in your lower abdomen that stores urine. Many conditions can affect your bladder. Some common ones are:

  • Cystitis - inflammation of the bladder, often from an infection
  • Urinary incontinence - loss of bladder control
  • Overactive bladder - a condition in which the bladder squeezes urine out at the wrong time
  • Interstitial cystitis - a chronic problem that causes bladder pain and frequent, urgent urination
  • Bladder cancer

Doctors diagnose bladder diseases using different tests. These include urine tests, x-rays, and an examination of the bladder wall with a scope called a cystoscope. Treatment depends on the cause of the problem. It may include medicines and, in severe cases, surgery.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Body Weight

What is body weight?

Body weight is the total mass of your body. Keeping track of your weight is one way to check for changes in your health, but it can't tell you the whole story. That's because your weight includes muscle, bone, fat, and water. Also, everyday factors can play a role in your weight, such as your:

  • Diet
  • Activity level
  • Stress level
  • Sleep habits
  • Family history and genetics
  • Age
What factors help determine a healthy body weight?

A healthy weight is more than just a number on the scale. It's about feeling good, having energy, and lowering your risk of disease. Your health care provider can help you determine a healthy body weight based on several factors. These include your:

  • Body Mass Index (BMI). BMI is a measure of how much you weigh compared to how tall you are. The higher your BMI, the higher your risk for certain diseases. BMI does not distinguish between fat, muscle, and bone mass. It also may overestimate body fat in athletes or those with a muscular build, or underestimate body fat in older persons or others who have lost muscle.
  • Waist circumference. If most of your body fat is around your abdomen (belly) rather than your hips, you may be at a higher risk for heart disease and type 2 diabetes.
  • Health history. Your health care provider will likely consider your risk factors for diseases and health conditions, such as having high cholesterol, in determining your healthy body weight.
What are body weight ranges?

Having a healthy body weight may lower your chance of developing certain health problems. Carrying too much or too little weight can affect your health. Ranges of body weight include:

  • Underweight. Your weight is lower than it should be for your health.
  • Normal. Your weight is within a healthy range.
  • Overweight. Your weight is greater than it should be for your health.
  • Obese. Your body fat is greater than it should be for your health.

Body weight needs can be different at different ages. For children, weight and growth are tracked over time based on their age. For older adults, keeping muscle and strength is key, and sudden weight loss should always be checked by your provider.

What if I have a sudden gain or loss of weight?

Talk to your provider if you're losing or gaining weight without trying. A sudden, unexpected change in weight can be a sign of a medical problem.

Causes for sudden weight loss can include:

  • Thyroid problems
  • Cancer
  • Infectious diseases
  • Digestive diseases
  • Certain medicines

Causes for sudden weight gain can include:

  • Certain medicines
  • Thyroid problems
  • Heart failure
  • Kidney disease
  • Liver disease
How can I maintain a healthy body weight?

Maintaining a healthy body weight can improve energy, sleep, and overall wellbeing. Talk to your provider about what a healthy weight would be for you. If they recommend that you gain or lose weight, they might refer you to a dietician for support. A dietician is a professional who has special training to help you learn the best way to eat.

  • Good nutrition and exercise can help in losing weight. Even a small change in weight can lower your risk of developing certain diseases.
  • Eating extra calories within a well-balanced diet and treating any underlying medical problems can help you gain weight.

Focus on your health, not just the number on the scale. With daily healthy habits and self-compassion, you can support lasting improvements in your overall wellbeing.

NIH: National Heart, Lung, and Blood Institute

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