Creatine (/ËkriËÉtiËn/ or /ËkriËÉtÉªn/) is a nitrogenous organic acid that occurs naturally in vertebrates and helps to supply energy to all cells in the body, primarily muscle. This is achieved by increasing the formation of adenosine triphosphate (ATP).
Condylomata lata are painless, soft, flat, pink lesions caused by secondary syphilis that may appear in the perianal region.7 The lesions often occur at the same time as the maculopapular rash of secondary syphilis, can produce a large amount of copious discharge, and are highly infectious.
Forceful coughing: Can cause excessive force on the perianal region, leading to hematoma development. Surgery: Occurs due to direct trauma to the area. Invasive medical procedures: Medical equipment such as a proctoscopy, which is used to examine the anus and lower part of the rectum and can damage blood vessels lining the perianal area.