Alfi Surgery /English edition
Saudi ArabiaEgypt
Dr. Tamer Rushdy ElalfyDr. Tamer Rushdy ElalfyConsultant General & Laparoscopic Surgeon

Version 2.0 · 2026

Common Anal Conditions

A Practical, Algorithmic Handbook for Non-Surgeons

Dr. Tamer Rushdy Elalfy

Common Anal Conditions

A Practical, Algorithmic Handbook for Non-Surgeons

Dr. Tamer Rushdy Elalfy · Version 2.0 — Second Open-Access Clinical Edition

  • For healthcare professionals
  • Written in English
  • Open access · Free

A practical, algorithm-based handbook on haemorrhoids, fissures, abscesses and fistulas, rectal bleeding, red flags and safe referral — written for emergency physicians, GPs, medical specialists and nurses.

Written for healthcare professionals. Patients should follow the advice of their treating team.

DOI
10.5281/zenodo.23605089
Licence
CC BY-NC-SA 4.0
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Contents

19 chapters · 6 appendices

Front matter

  1. Open-Access Copyright, Licence and Cataloguing Page3 min read
  2. Dedication, Clinical Audit and How to Use This Handbook1 min read
  3. What’s New in Version 211 min read

Chapters

  1. Chapter 01 — Anatomy and Physiology in Three Minutes13 min read
  2. Chapter 02 — Before You Assume Haemorrhoids — The Differential and the Look-Alikes14 min read
  3. Chapter 03 — Haemorrhoids — Grading, BPRST, and Non-Surgical Mastery15 min read
  4. Chapter 04 — Anal Fissure — Break the Pain–Spasm–Ischaemia Cycle11 min read
  5. Chapter 05 — Suppurative Disease — Abscess, Fistula, and Fournier’s Gangrene15 min read
  6. Chapter 06 — High-Yield Gap-Fillers for the ER and Primary Care15 min read
  7. Chapter 07 — Anal Cancer, Anal Intraepithelial Neoplasia, and Non-Healing Anorectal Lesions15 min read
  8. Chapter 08 — Rectal Bleeding and Colorectal Cancer Triage16 min read
  9. Chapter 09 — Perianal Crohn’s Disease and Inflammatory Bowel Disease13 min read
  10. Chapter 10 — Faecal Incontinence, Constipation, and Pelvic-Floor Disorders14 min read
  11. Chapter 11 — Sexually Transmitted Infections, Proctitis, and Anorectal Sexual Health12 min read
  12. Chapter 12 — Anorectal Trauma, Sexual Assault, and Foreign Bodies12 min read
  13. Chapter 13 — Pregnancy, Postpartum, and Pelvic-Floor Anorectal Disease11 min read
  14. Chapter 14 — Paediatric and Adolescent Anorectal Conditions10 min read
  15. Chapter 15 — Rare but Important Conditions Non-Surgeons Should Recognise10 min read
  16. Chapter 16 — The Safety Net — Red Flags, Drug Pitfalls, and the Triage Matrix8 min read
  17. Chapter 17 — Getting the Examination Right — Systematic and Tolerable8 min read
  18. Chapter 18 — Nursing and Multidisciplinary Team Excellence8 min read
  19. Chapter 19 — Synthesis — Master Comparison Table, Capstone Case, and Rapid-Fire Rules7 min read

Appendices & references

  1. Appendix A — Master Referral Form2 min read
  2. Appendix B — Medication Safety Quick Reference5 min read
  3. Appendix C — When Not to Do a DRE or Rectal Instrumentation2 min read
  4. Appendix D — Post-Procedure Discharge Instructions6 min read
  5. Appendix E — SBAR Handover Templates4 min read
  6. Appendix F — Patient Education Pages6 min read
  7. Final Quick-Reference Section5 min read
  8. Consolidated Reference List8 min read
  9. List of Tables and Algorithms4 min read
  10. List of Recommended Medical Illustrations4 min read
  11. Clinical Safety Review and Final Quality-Control Checklist2 min read