An anal fissure is a common and often painful problem caused by a small tear or ulcer open sore in the lining of the anus back passage. This can cause bleeding, local itching and pain with a bowel movement, which can be severe. When someone has an anal fissure the first treatments can include a high-fibre diet, laxatives and applying anaesthetic ointments to the affected area. Anal fissures usually heal within a few weeks but those that have not healed after 4—6 weeks are called chronic fissures. If someone has a chronic fissure, it is thought that the reason it has not healed is that the ring muscle sphincter that goes around the anus back passage has become so tense that the flow of blood to the lining of the anus is reduced.
Jump to navigation. Sometimes the most difficult thing about a problem is overcoming the fear of facing it. When people have painful conditions of the anus, they tend to be embarrassed to talk about that part of the body and even less enthusiastic about inviting a doctor to take a look. But anal pain is best treated sooner than later, and an earlier diagnosis can improve patients' outcomes in the long run. What's more, the new protocol offers superb results without cutting the anal sphincter muscle. Anal fissures are small cuts or tears at the skin of the anal opening.
Fissure in ano is a troubling and painful condition that affects a great majority of the population world over. The nature and anatomy of fissure in ano is quite clear, and much is known about the various predisposing and contributing factors that lead to initiation and progression of the disease. The preferred method of treating them, one that results in optimal clinical results and the least pain and inconvenience to the patient, however, has been open to debate. This paper outlines a brief account of the present scenario of different techniques available for the treatment of chronic anal fissure. Medical manipulation of the internal sphincter should be a first-line treatment in anal fissure.
Related Editorial. Child victims of sexual abuse may present with physical findings that can include anogenital problems, enuresis or encopresis. Behavioral changes may involve sexual acting out, aggression, depression, eating disturbances and regression. Because the examination findings of most child victims of sexual abuse are within normal limits or are nonspecific, the child's statements are extremely important.