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Madrid, Spain. Correspondence addressed to:. The Flexi-Seal Fecal Management System is a device designed to offer improved care to critical care patients with fecal incontinence.

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Adelaide A. Hebert on adding clinical research to your practice. Correspondence: Bridget P.

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An anal fissure is a common and often painful problem caused by a small tear or ulcer open sore in the lining of the anus back passage. This can cause bleeding, local itching and pain with a bowel movement, which can be severe. When someone has an anal fissure the first treatments can include a high-fibre diet, laxatives and applying anaesthetic ointments to the affected area.

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Although rectal bleeding is common, only about one-third of those affected seek treatment. Symptoms usually develop quickly, and most causes are treatable and not serious. In some cases, rectal bleeding can be a symptom of a serious disease, such as colorectal cancer.

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For full functionality, it is necessary to enable JavaScript. Here are instructions how to enable JavaScript in your web browser. Healthline Media, Inc.

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Histologic examination showed psoriasiform hyperplasia with confluent parakeratosis. Within the dermis were granulomatous infiltrates composed of histiocytes, epithelioid cells, and Langhans giant cells mixed with aggregates of neutrophils and perivascular lymphocytic inflammation. Findings of polymerase chain reaction testing for Mycobacterium tuberculosis DNA from the skin biopsy specimen were positive.

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The Journal publishes articles on basic or clinical research relating to nephrology, arterial hypertension, dialysis and kidney transplants. It is governed by the peer review system and all original papers are subject to internal assessment and external reviews. The journal accepts submissions of articles in English and in Spanish languages.

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Spotlight On Click here for issue 1, featuring our GI editor Dr. Raul Gonzalez. Gonzalez, M.

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Anal itching, also referred to as pruritus ani, is a rash or irritation of the skin just outside of the anal opening. Usually raw and chapped, small ulcers or sores may also be present on the skin. This can cause severe itching, burning and even pain.

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Anal herpes is an infection caused by the herpes virus that erupts as sores or blisters around the anus, the opening through which bowel movements pass. Syphilischancroidand donovanosis are infections that can cause different types of lesions around the anus. The same virus that causes genital herpes can cause lesions in the genitals, anus, or perianus. But, not everyone with genital herpes has anal herpes.

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