Relationship between perianal diseases and toilet habits Perianal diseases and toilet habits

Aim: In this study, we aimed to examine the relationship between perianal diseases and body mass index, smoking status, alcohol consumption, dietary and exercise habits, and toilet habits and to compare individuals with and without perianal diseases. Material and Methods: This case-control study was conducted by administering a questionnaire to 280 individuals, 140 patients and 140 controls, who presented to the General Surgery Training Outpatient Clinic of Konya City Hospital for any reason between November 1, 2021, and January 1, 2022. Results: Of the participants, 43.5% were female and 56.5% were male. While 70.7% of the participants were aged 18-55 years, 29.3% were aged 56 years and older. The rate of smokers was statistically significantly higher in the patient group than in the control group. Individuals who consumed fiber-rich foods every day were 0.279 times less likely to have perianal diseases than those who consumed high-fiber foods once a month. In addition, those consuming high-fiber foods several times a week were 0.049 times less likely to have perianal diseases than those consuming high-fiber foods once a month. Discussion: Hemorrhoidal disease and anal fissure are common diseases that can be easily diagnosed and followed up in primary healthcare services. The most important step in the diagnosis of these diseases is anamnesis and physical examination, and sometimes inspection alone can be sufficient. Primary health care providers evaluating their patients with a biopsychosocial approach and making recommendations will significantly contribute to the quality of life of patients.