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The first indication that a tear has occurred may be the presence of fresh blood on the rectal sleeve following rectal examination. The rectum should be packed with an antiseptic tampon positioned cranially to the tear and extending to the anus. Tears less that two to three centimetres in length usually heal without causing further problems and rarely require treatment. If a rectal tear is suspected, it is important to establish its extent as this dictates the treatment required and the prognosis for recovery. Before transportation it is essential that appropriate emergency care is provided and measures are taken to prevent faecal contamination. The prognosis for rectal tears depends on the size, location and grade of the tear and the length of time between occurrence and treatment.

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Other clinical signs indicative of a rectal tear may include passage of haemorrhagic faeces, straining to defecate and signs of colic.

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Scarlet. Age: 32.
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Epidural anaesthesia should be performed using either xylazine alone or xylazine in combination with lidocaine or mepivicaine. Grade 3 and Grade 4 tears are associated with a poor prognosis. The prognosis for rectal tears depends on the size, location and grade of the tear and the length of time between occurrence and treatment.

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