Anal Fissure
What Is Anal Fissure?
The anal fissure is a small tear in the lining of the anus. The anal fissure can cause pain, bleeding and/or itching.
Most fissures occur along the mid-line - the top or bottom - of the anus.
An anal fissure (AY-nul FISH-er) is a tear in the anus causing a painful linear ulcer at the margin of the anus. An anal fissure, also known as fissure-in-ano, may cause itching, pain or bleeding. Fissures can extend upward into the lower rectal mucosa; or extend downward causing a swollen skin tab or tag to develop at the anal verge, also known as a sentinel pile.
Causes of Anal Fissure
The anal fissure usually develops when the anal tissue is damaged during a hard and dry bowel movement which tears the anal lining.
The anal fissure can also develop due to higher than normal pressure in the anal sphincters. Diarrhea and inflammation of the anorectal area can also cause an anal fissure.
Many women during childbirth develop an anal fissure. Other causes of the anal fissure are: digital insertion (during examination), foreign body insertion, or anal intercourse.
Diagnosis
Diagnosis can be made by inspection. Closer inspection will frequently reveal a tag or sentinel pile. After gentle separation of the skin of the anal verge, the ulcer usually posterior can be seen. Frequently the fibers of the internal anal sphincter muscle can be seen at the base of this punched-out ulcer.
How can a fissure be treated?
Often treating one's constipation or diarrhea can cure a fissure. An acute fissure is typically managed with non-operative treatments and over 90% will heal without surgery. A high fiber diet, bulking agents (fiber supplements), stool softeners, and plenty of fluids help relieve constipation, promote soft bowel movements, and aide in the healing process. Increased dietary fiber may also help to improve diarrhea..........
Will the problem return?
Fissures can recur easily, and it is quite common for a healed fissure to recur after a hard bowel movement..........
What can be done if a fissure doesn't heal?
A fissure that fails to respond to treatment should be re-examined. Persistent hard or loose bowel movements, scarring, or spasm of the internal anal sphincter muscle all contribute to delayed healing. Other medical problems such as inflammatory bowel disease, infections, or anal growths (skin tumors) can cause fissure-like symptoms, and patients suffering from persistent anal pain should be examined to exclude these conditions.
Risk
Factors that increase your risk of developing an anal fissure include:
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Having the industry's most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at each partner hospital, we provide you the smoothest and seamless care ever imagined. With a ratio of one Patient Care Manager to five patients our patient care standards are unmatched across the sub continent.
What Is Anal Fissure?
The anal fissure is a small tear in the lining of the anus. The anal fissure can cause pain, bleeding and/or itching.
Most fissures occur along the mid-line - the top or bottom - of the anus.
An anal fissure (AY-nul FISH-er) is a tear in the anus causing a painful linear ulcer at the margin of the anus. An anal fissure, also known as fissure-in-ano, may cause itching, pain or bleeding. Fissures can extend upward into the lower rectal mucosa; or extend downward causing a swollen skin tab or tag to develop at the anal verge, also known as a sentinel pile.
Causes of Anal Fissure
The anal fissure usually develops when the anal tissue is damaged during a hard and dry bowel movement which tears the anal lining.
The anal fissure can also develop due to higher than normal pressure in the anal sphincters. Diarrhea and inflammation of the anorectal area can also cause an anal fissure.
Many women during childbirth develop an anal fissure. Other causes of the anal fissure are: digital insertion (during examination), foreign body insertion, or anal intercourse.
Diagnosis
Diagnosis can be made by inspection. Closer inspection will frequently reveal a tag or sentinel pile. After gentle separation of the skin of the anal verge, the ulcer usually posterior can be seen. Frequently the fibers of the internal anal sphincter muscle can be seen at the base of this punched-out ulcer.
How can a fissure be treated?
Often treating one's constipation or diarrhea can cure a fissure. An acute fissure is typically managed with non-operative treatments and over 90% will heal without surgery. A high fiber diet, bulking agents (fiber supplements), stool softeners, and plenty of fluids help relieve constipation, promote soft bowel movements, and aide in the healing process. Increased dietary fiber may also help to improve diarrhea..........
Will the problem return?
Fissures can recur easily, and it is quite common for a healed fissure to recur after a hard bowel movement..........
What can be done if a fissure doesn't heal?
A fissure that fails to respond to treatment should be re-examined. Persistent hard or loose bowel movements, scarring, or spasm of the internal anal sphincter muscle all contribute to delayed healing. Other medical problems such as inflammatory bowel disease, infections, or anal growths (skin tumors) can cause fissure-like symptoms, and patients suffering from persistent anal pain should be examined to exclude these conditions.
Risk
Factors that increase your risk of developing an anal fissure include:
- # Infancy. Many infants experience an anal fissure during their first year of life, although experts aren't sure of the reason.
- # Old age. Older adults may develop an anal fissure partly because of slowed circulation, resulting in decreased blood flow to the rectal area.
- # Constipation. Straining during bowel movements and passing hard stools increase the risk of tearing.
- Childbirth. Anal fissures are more common in women after they give birth.
- * Crohn's disease. This inflammatory bowel disease causes chronic inflammation of the intestinal tract, which may make the lining of the anal canal more vulnerable to tearing.
Please log on to : Anal Fissure
Please log on to : Minimally Invasive Surgery
We Care Core Values
"We have a very simple business model that keeps you as the center."
Having the industry's most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at each partner hospital, we provide you the smoothest and seamless care ever imagined. With a ratio of one Patient Care Manager to five patients our patient care standards are unmatched across the sub continent.
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