This article possibly contains original research .(April 2010) |
Rectal thermometry is taking a person's temperature by inserting a thermometer into the rectum via the anus. [1] This is generally regarded as the most accurate means of temperature-taking, but some may consider it to be an invasive or humiliating procedure. Thus, it is often used sparingly and primarily on infants, children, or adults for whom taking an oral temperature would risk injury (e.g., an unconscious patient, a post-oral surgery patient, or a person suffering a seizure) or be inaccurate (due to recently ingested liquids or breathing through the mouth).
The precise history of rectal thermometry is largely unknown, but medical thermometers have long been made in a tube shape that fits into the anus. Medical literature shows the practice dating back to at least the 18th century, and it is probable that rectal thermometry was thought to be a safer alternative to oral temperature-taking, due to the use of mercury and other toxic chemicals in early thermometers.
In 1966, Time Magazine noted:
Near dawn every morning, a nurse walks into the hospital room, wakes the patient and subjects him to what for many remains a humiliating procedure, although it has become routine: insertion of a rectal thermometer. [2]
As thermometry-related technology improves in the 21st century, rectal thermometry is becoming decreasingly pervasive, but it is still the preferred method for taking the temperature of infants and pets.[ citation needed ]
Rectal thermometry is widely used in veterinary medicine and pediatrics, as well as by adults at home who want the most accurate possible temperature reading and overlook the invasive nature associated with the painless procedure. It is accomplished by inserting the tip of a thermometer, usually lubricated with personal lubricant to eliminate friction and aid in insertion past the tightly retentive anal sphincter, to a depth of, for an adult 1.5 inches (3.8 cm),[ medical citation needed ] or for a child between .5 and 1 inch (1.3 and 2.5 cm). [3] The thermometer tip must then be left in place until a reading can be derived, usually about 3 minutes for mercury thermometers and 1 minute for newer electronic types. It is important to remember that the normal human core temperature range measured with a rectal thermometer spans from 37.0 to 38.0 degrees Celsius.
Rectal thermometers are often colored cherry red to differentiate them from oral or axillary thermometers, as well as have a shorter, squat, pear, or stubby bulb shape. They are not meant to be used interchangeably with other types of thermometers.
A thermometer is a device that measures temperature or temperature gradient. A thermometer has two important elements: (1) a temperature sensor in which some change occurs with a change in temperature; and (2) some means of converting this change into a numerical value. Thermometers are widely used in technology and industry to monitor processes, in meteorology, in medicine, and in scientific research.
Prostate massage is the massage or stimulation of the male prostate gland for medical purposes or sexual stimulation.
Medical fetishism refers to several sexual fetishes in which participants derive sexual pleasure from medical scenarios including objects, practices, environments, and situations of a medical or clinical nature. In sexual roleplay, a hospital or medical scene involves the sex partners assuming the roles of doctors, nurses, surgeons and patients to act out specific or general medical fetishes. Medical fantasy is a genre in pornography, though the fantasy may not necessarily involve pornography or sexual activity.
Hematochezia is a form of blood in stool, in which fresh blood passes through the anus while defecating. It differs from melena, which commonly refers to blood in stool originating from upper gastrointestinal bleeding (UGIB). The term derives from Greek αἷμα ("blood") and χέζειν. Hematochezia is commonly associated with lower gastrointestinal bleeding, but may also occur from a brisk upper gastrointestinal bleed. The difference between hematochezia and rectorrhagia is that rectal bleeding is not associated with defecation; instead, it is associated with expulsion of fresh bright red blood without stools. The phrase bright red blood per rectum is associated with hematochezia and rectorrhagia.
A suppository is a dosage form used to deliver medications by insertion into a body orifice, where it dissolves or melts to exert local or systemic effects. There are three types of suppositories, each to insert into a different sections: rectal suppositories into the rectum, vaginal suppositories into the vagina, and urethral suppositories into the urethra of a male.
Digital rectal examination (DRE), also known as a prostate exam, is an internal examination of the rectum performed by a healthcare provider.
Rectal foreign bodies are large foreign items found in the rectum that can be assumed to have been inserted through the anus, rather than reaching the rectum via the mouth and gastrointestinal tract. It can be of clinical relevance if the patient cannot remove it the way they intended. Smaller, ingested foreign bodies, such as bones eaten with food, can sometimes be found stuck in the rectum upon X-ray and are rarely of clinical relevance.
Anal masturbation is an autoerotic practice in which a person masturbates by sexually stimulating their own anus and rectum. Common methods of anal masturbation include manual stimulation of the anal opening and the insertion of an object or objects. Items inserted may be sex toys such as anal beads, butt plugs, dildos, vibrators, or specially designed prostate massagers or enemas.
Colorectal surgery is a field in medicine dealing with disorders of the rectum, anus, and colon. The field is also known as proctology, but this term is now used infrequently within medicine and is most often employed to identify practices relating to the anus and rectum in particular. The word proctology is derived from the Greek words πρωκτός proktos, meaning "anus" or "hindparts", and -λογία -logia, meaning "science" or "study".
Vital signs are a group of the four to six most crucial medical signs that indicate the status of the body's vital (life-sustaining) functions. These measurements are taken to help assess the general physical health of a person, give clues to possible diseases, and show progress toward recovery. The normal ranges for a person's vital signs vary with age, weight, sex, and overall health.
Endometrial ablation is a surgical procedure that is used to remove (ablate) or destroy the endometrial lining of the uterus. The goal of the procedure is to decrease the amount of blood loss during menstrual periods. Endometrial ablation is most often employed in people with excessive menstrual bleeding, who do not wish to undergo a hysterectomy, following unsuccessful medical therapy.
Proctalgia fugax, a variant of levator ani syndrome, is a severe, episodic pain in the regions of the rectum and anus. It can be caused by cramping of the levator ani muscle, particularly in the pubococcygeal part.
An anoscopy is a medical examination using a small, rigid, tubular instrument called an anoscope. This is inserted a few inches into the anus in order to evaluate problems of the anal canal. Anoscopy is used to diagnose hemorrhoids, anal fissures, and some cancers.
A medical thermometer or clinical thermometer is a device used for measuring the body temperature of a human or other animal. The tip of the thermometer is inserted into the mouth under the tongue, under the armpit, into the rectum via the anus, into the ear, or on the forehead.
Proctoscopy, or rectoscopy, is a common medical procedure in which an instrument called a proctoscope is used to examine the anal cavity, rectum, or sigmoid colon. A proctoscope is a short, straight, rigid, hollow metal tube, and usually has a small light bulb mounted at the end. It is approximately 15 cm (5 inches) long, while a rectoscope is approximately 25 cm (10 inches) long. During proctoscopy, the proctoscope is lubricated and inserted into the rectum, and then the obturator is removed, allowing an unobstructed view of the interior of the rectal cavity. This procedure is normally done to inspect for hemorrhoids or rectal polyps and might be mildly uncomfortable as the proctoscope is inserted further into the rectum. Modern fibre-optic proctoscopes allow more extensive observation with less discomfort.
An anal plug is a medical device that is often used to treat fecal incontinence, the accidental passing of bowel moments, by physically blocking involuntary loss of fecal material. Fecal material such as feces are solid remains of food that does not get digested in the small intestines; rather, it is broken down by bacteria in the large intestine. Anal plugs vary in design and composition, but they are typically single-use, intra-anal, disposable devices made out of soft materials to contain fecal material and prevent it from leaking out of the rectum. The idea of an anal insert for fecal incontinence was first evaluated in a study of 10 participants with three different designs of anal inserts.
Normal human body temperature is the typical temperature range found in humans. The normal human body temperature range is typically stated as 36.5–37.5 °C (97.7–99.5 °F).
A pelvic examination is the physical examination of the external and internal female pelvic organs. It is frequently used in gynecology for the evaluation of symptoms affecting the female reproductive and urinary tract, such as pain, bleeding, discharge, urinary incontinence, or trauma. It can also be used to assess a woman's anatomy in preparation for procedures. The exam can be done awake in the clinic and emergency department, or under anesthesia in the operating room. The most commonly performed components of the exam are 1) the external exam, to evaluate the vulva 2) the internal exam with palpation to examine the uterus, ovaries, and structures adjacent to the uterus (adnexae) and 3) the internal exam using a speculum to visualize the vaginal walls and cervix. During the pelvic exam, sample of cells and fluids may be collected to screen for sexually transmitted infections or cancer.
The rectum is the final straight portion of the large intestine in humans and some other mammals, and the gut in others. The adult human rectum is about 12 centimetres (4.7 in) long, and begins at the rectosigmoid junction at the level of the third sacral vertebra or the sacral promontory depending upon what definition is used. Its diameter is similar to that of the sigmoid colon at its commencement, but it is dilated near its termination, forming the rectal ampulla. It terminates at the level of the anorectal ring or the dentate line, again depending upon which definition is used. In humans, the rectum is followed by the anal canal, which is about 4 centimetres (1.6 in) long, before the gastrointestinal tract terminates at the anal verge. The word rectum comes from the Latin rēctumintestīnum, meaning straight intestine.
Anorectal manometry (ARM) is a medical test used to measure pressures in the anus and rectum and to assess their function. The test is performed by inserting a catheter, that contains a probe embedded with pressure sensors, through the anus and into the rectum. Patients may be asked to perform certain maneuvers, such as coughing or attempting to defecate, to assess for pressure changes. Anorectal manometry is a safe and low risk procedure.