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All About
Anal Fissure
Symptoms
An anal fissure may cause one or more of the following symptoms:
- a visible tear in the skin around your anus
- a skin tag, or small lump of skin, next to the tear
- sharp pain in the anal area during bowel movements
- streaks of blood on stools or on toilet paper after wiping
- burning or itching in the anal area
Causes
An anal fissure most often occurs when passing large or hard stools. Chronic constipation or frequent diarrhea can also tear the skin around your anus. Other common causes include:
- straining during childbirth or bowel movements
- inflammatory bowel disease (IBD), such as Crohn’s disease
- decreased blood flow to the anorectal area
- overly tight or spastic anal sphincter muscles
In rare cases, an anal fissure may develop due to:
More about Treatment
An anal fissure is a small cut or tear in the lining of the anus. The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements. At times, the fissure can be deep enough to expose the muscle tissue underneath.
An anal fissure usually isn’t a serious condition. It can affect people of all ages, and it’s often seen in infants and young children since constipation is a common problem in these age groups.
In most cases, the tear heals on its own within four to six weeks. In cases where the fissure persists beyond eight weeks, it’s considered chronic.
Certain treatments can promote healing and help relieve discomfort, including stool softeners and topical pain relievers.
If an anal fissure doesn’t improve with these treatments, you may need surgery. Or your doctor may need to look for other underlying disorders that can cause anal fissures.
FAQ on this Treatment
When Surgical treatment done?
Surgical treatment is advocated when medical treatment fails or patient is at risk of complication.
What is surgical treatment done?
Dorsal fissureectomy with sphincterotomy is removal of fissure and incision of sphincter
Lateral anal sphincterotomy consist of diving internal sphincter either right or left side . It has 90% success rate with nless chances of reoccurance .
Anal Advacement flap is newer method implied generally in females and those with lowor normal resting anal pressure. Edges of fissure are excised and skin overlying sphincter is mobilized over blood supply.
For acute cases stretching with finger under local anasethesia to relax the sphincter can be implied.
What is prescribed after SURGERY?
Patients are generally maintained on stool softner, bulking agents and topican sphincter relaxents.
What are the complication of surgery?
Complication of surgery include haematoma formation,perianal bruising, fistula and incontinence.
How many days of hospitalisation is required after surgery?
Patient generally gets discharge on same day Or within 24-48 hours as it is day care surgery.
I am Hypertensive or Diabetic can I undergo this treatment?
Diltiazem causes headache and dizziness so you need to inform about your medical conditions and medication you are taking.