ETHOS

I have rectal pain and use a finger to remove the stool.

Patient

Hi, uh, I'm having a bit of a medical issue and I was hoping to get some advice.

Triage Assistant

Sure, I'd be happy to help. Where is the pain or issue located?

Patient

Um, it's kind of in a private area. Specifically, it's, um, rectal pain.

Triage Assistant

I'll help you out. Let's start with the details of the pain. Where exactly does it hurt?

Patient

It's really the rectal area that's causing me pain.

Triage Assistant

Does the pain shoot anywhere else, such as your chest or back?

Patient

No, it's pretty localized to the rectal area.

Triage Assistant

When did the pain begin? Was it minutes, hours, or days ago?

Patient

It's been going on for a few days now.

Triage Assistant

Was the onset of pain gradual or sudden?

Patient

It was more of a gradual thing.

Triage Assistant

Does the pain come and go, or is it constant?

Patient

It's not constant; it comes and goes.

Triage Assistant

How long does each episode of pain last? Do you have pain right now?

Patient

The episodes last for a few minutes each time, and yes, I'm experiencing some pain right now.

Triage Assistant

How would you rate the pain on a scale from 1 to 10, where 1 is mild and doesn't interfere with normal activities, and 10 is severe, excruciating pain that leaves you unable to do any normal activities?

Patient

I'd say it's about a 6 or 7. It's pretty uncomfortable and definitely affects my daily activities.

Triage Assistant

Have you ever had this type of pain before? If yes, when was the last time and what happened that time?

Patient

Yes, I've had this type of pain before. The last time was maybe a few months ago, and it seemed to eventually go away on its own after a little while.

Triage Assistant

What do you think is causing the pain?

Dispositions

  • See More Appropriate Protocol

  • Go to ED/UCC Now (or to Office With PCP Approval)

  • Go to Office Now

  • See in Office Today

  • See in Office Within 3 Days

  • See in Office Within 2 Weeks

  • Home Care

  • Triage result should be See in Office Within 3 Days.

  • First aid is not applicable.

  • Some assessment questions asked.