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Welcome, medical contents search April 25, 2013
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Anal Fissure

more about Anal Fissure

  • This is a cut (ulcer or laceration) inside the anus.  The usual cause is Trauma to the anus because of a strained bowel movement, a hard bowel movement, or high internal sphincter tone (the area that allows stool to pass stays too tense to allow proper passage).

  • Severe tearing pain during a bowel movement
  • Throbbing pain in anus following a bowel movement
  • Blood on toilet paper or around the bowel movement

  • Constipation
  • Straining
  • High internal sphincter tone (explained above)

  • Visual inspection by physician
  • Tests:
    1. Anoscope
    2. Flexible sigmoidoscopy

  • Sitz baths (baths in a warm tub of water)
  • Fiber supplements
  • Stool softeners
  • Topical anesthetics (Mesalamine suppositories)
  • Topical nitroglycerin ointment (at 10% of the strength used for angina) -- relaxes the internal sphincter
  • Partial lateral internal sphincterotomy or excision of the fissure

  • Thrombosed external hemorrhoid
  • Solitary rectal fissure
  • Cancer of the anus

more about Anal Fissure

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