Rectal trauma may be caused by assault, road accidents, birth trauma, and sexual assault.
- Patients present with pain
- Purulent rectal discharge.
Clinical findings include
- Anal laceration
- Features of peritonitis
- Fever with or without foreign bodies in the rectum.
- Address the primary problem.
- For mild to moderate cases, manage conservatively, which includes:
- Administration of antibiotics like metronidazole 400mg orally 8 hourly and cefuroxime 750mg IV 8 hourly.
- Saline sitz bath and analgesics.
- Diclofenac 50mg orally 8 hourly or ibuprofen 400mg orally 8 hourly.
- For severe cases, carry out surgical interventions.
- Provide counselling and other support services of the patient as needed.