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Monday, November 3, 2008

Anal fissure

What is anal fissure?
An anal fissure is a small tear or cut in the skin lining the anus which can cause pain and/or bleeding.

What are the symptoms of an anal fissure?
Extreme pain during defecation and red blood streaking the stool. A patient may try to avoid defecation because of the pain.

What causes an anal fissure?
A hard, dry bowel movement can cause a tear in the anal lining, resulting in a fissure. Other causes of a fissure include diarrhea and inflammation of the anorectal area.

How can a fissure be treated?
An acute fissure is managed with non-operative treatments and over 90% will heal without surgery. Bowel habits are improved with a high fiber diet, plenty of fluids to avoid constipation. Warm baths for 10-20 minutes several times are recommended. A chronic fissure (lasting greater than one month) may require additional treatment.

What is surgical procedure for anal fissure ?
Surgery usual consists of a small operation to cut a portion of the internal anal sphincter muscle. This helps the fissure to heal by decreasing pain and spasm. Commonly done surgery: Lateral sphincterotomy, Excision of anal fissure.

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