Getting to the bottom of the matter

Most patients with a sore bottom prefer to suffer in silence rather than mention their discomfort to their GP, a French study shows.

Prevalence rates of anal disorders are high, say the authors, at about 16%.

But in their observational study of more than 1000 people and 57 GPs, the vast majority of patients with symptoms did not spontaneously share them with their doctors.

Just over 2% declared it was the primary reason for the consultation.

“This not only reveals the high prevalence of anal symptoms in general practice but also highlights that they are under-reported by patients and