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Topic: Anal fissure


  
 eMedicine - Anal Fissure : Article by Lisa S Poritz, MD
The fibers of the internal anal sphincter are visible in the base of the chronic fissure, and often, an enlarged anal skin tag is present distal to the fissure and hypertrophied anal papillae are present in the anal canal proximal to the fissure.
Surgical therapy: Surgical therapy is usually reserved for acute anal fissures that remain symptomatic after 3-4 weeks of medical therapy and for chronic anal fissures.
A newer therapy for acute and chronic anal fissures is botulinum toxin (BOTOX®).
http://www.emedicine.com/med/topic3532.htm   (3552 words)

  
 Closed versus open lateral internal sphincterotomy in chronic anal fissure:
Anal fissure is a common proctological problem, which presents with pain in the anal region during and after defecation.
Kortbeek, Langevin, Khoo19 had concluded in their study that closed lateral internal sphincterotomy for chronic anal fissure is effective and may result in significantly less postoperative discomfort, shorter postoperative length of stay and a comparable rate of complications compared with the open lateral internal sphincterotomy.
The main aim of the study was to use best technique for the treatment of chronic anal fissure.
http://www.pmrc.org.pk/fissure.htm   (2154 words)

  
 Neuromyogenic properties of the internal anal sphincter: therapeutic rationale for anal fissures -- BHARDWAJ et al. 46 ...
Pathophysiology of anal fissures and rationale of therapy
Pharmacological study of the internal anal sphincter in patients with chronic anal fissure.
A pharmacological approach to the treatment of anal fissures is an alternative modality to lateral sphincterotomy.
http://gut.bmjjournals.com/cgi/content/full/46/6/861   (5949 words)

  
 Seow-Choen Colorectal Centre Pte Ltd
Constipation, high anal sphincter tone, chronic inflammation and ischaemia have all been put forward as plausible explanations for the development of chronicity.
Surgical methods with lateral anal sphincterotomy and excision of the hypertrophied anal papilla is by far still the most important treatment in ensuring healing.
However a gentle prying apart of the buttock cleft should allow confirmation of the anal fissure so that appropriate therapy can be instituted.
http://www.colorectalcentre.com/anal_fissure.html   (387 words)

  
 Anal Fissure
A fissure may develop if you are constipated and try to pass a large, hard stool; if you don't relax your anal muscles (sphincter muscles) during a bowel movement; or sometimes after repeated diarrhea.
However, if the fissure is extremely painful, the health professional will usually wait until it has begun to heal before performing a rectal exam or using an anoscope (anoscopy) to rule out other problems.
Occasionally a fissure takes more than 6 weeks to heal (chronic anal fissure), in which case it usually requires medication to heal.
http://www.healthnowny.com/kbase/topic/mini/uf4764/overview.htm   (938 words)

  
 Anal Fissure, Abscess and Fistula
Fissures that do not heal can be corrected with surgery.
Over 90% of the patients who need surgery for fissures have no further problems.
Patients with conditions that reduce the body's immunity, such as cancer or AIDS, are also more likely to develop anal abscesses.
http://www.gicare.com/pated/ecdgs38.htm   (1240 words)

  
 Anal fissure
Then, unless some way is found to heal the fissure, or the body repairs itself, the fissure becomes chronic.
Why do so many chronically constipated patients have chronic anal fissures they had no idea existed because no doctor had ever examined their anal canal?
So far, most of the patients I have treated for AF with wheatgrass that have returned for follow up have either had a dramatic improvement in symptoms (pain, bleeding, constipation) within a couple of weeks or healed completely.
http://www.wheatgrassprofessional.info/anal_fissure.htm   (752 words)

  
 eMJA: Faecal incontinence: common and treatable
Topical pharmacological therapies have radically altered the management of anal fissure, thereby preventing the need for surgical sphincterotomy (one of the causes of incontinence).
Behavioural techniques, such as "biofeedback" (teaching patients to improve sphincter function using physiological feedback, such as anal electromyography or pressure measurement) and sphincter exercises, help about two-thirds of patients, including some with structural sphincter damage.
The first such topical therapy was glyceryl trinitrate (GTN), which lowers anal tone, thereby allowing fissures to heal.
http://www.mja.com.au/public/issues/176_02_210102/kam10579_fm.html   (1421 words)

  
 MUSC DDC - Symptoms
Fissures are cracks in the anal skin caused by small or hard bowel movements.
If the pain is extremely bad, or if the fissures do not disappear as a result of fiber therapy, they can be cured by simple outpatient surgery.
Once the incision is made in the skin, some of the muscle fibers of the internal sphincter are divided.
http://www.ddc.musc.edu/ddc_pub/digestiveProbs/symptoms/fissures.htm   (263 words)

  
 anal fissure: Definition and Much More From Answers.com
An anal fissure is a fairly common, painful condition in which the lining of the anal canal is torn.
These painful fissures cut through the sphincter muscle thus making it prone to spasm, which exacerbates the fissure and aborts the healing process.
Anal fissures in infants usually self-heal without anything more than frequently changing diapers.
http://www.answers.com/topic/anal-fissure   (859 words)

  
 Anal Fissure Self Help Page
Patient 54 This fellow had his fissure heal and then went on to have a sphincterotomy that stop the intense pain that was being caused by pressure and tightness of the rectal muscles.
Patient 22 This lady had anal fissure surgery but it was not immediately effective.
Wannas was able to prove the cause and the persistence of the chronic anal fissure is not internal sphincter spasm, and thus, there is no need for its division.
http://www.boardsailor.com/jack/af   (5485 words)

  
 Research Articles on Anal Fissures
Thrombosed external hemorrhoids (TEH) and anal fissure (AF) are 2 frequent sources of anal pains during childbirth.
SUBJECTS AND METHODS: Records of 112 anal fissure patients, 46 (41.0%) males and 66 (58.9%) females, ranging in age from 12-95 years (mean 39) were studied.
Lateral internal anal sphincterotomy for anal fissure: with or without associated anorectal procedures.
http://www.hemorrhoidsinplainenglish.com/anorectal/journal-anal-fissures.htm   (810 words)

  
 Other Diseases with Symptoms Similar to Hemorrhoid
While painful, anal fissure, abscess and fistula are not life-threatening.
Its symptoms include itching, severe pain, and the development of anal sores and blisters.
When fecal materials become trapped in glands located between the sphincter muscles in the anal canal, a painful, tender, and swollen bulge called an anorectal abscess can develop.
http://www.hemorrhoidsinplainenglish.com/hemorrhoid/other-diseases.htm   (1044 words)

  
 Maintenance therapy with unprocessed bran in the prevention of acute anal fissure recurrence -- Jensen 80 (5): 296 -- ...
Maintenance therapy with unprocessed bran in the prevention of acute anal fissure recurrence
patients with recently healed acute posterior anal fissures.
Maintenance therapy with unprocessed bran in the prevention of acute anal fissure recurrence -- Jensen 80 (5): 296 -- Journal of the Royal Society of Medicine
http://www.jrsm.org/cgi/content/abstract/80/5/296   (226 words)

  
 MedlinePlus Medical Encyclopedia: Anal fissure
Anal fissures are extremely common in young infants but may occur at any age.
Another option for nonhealing fissures is a minor surgicial procedure to relax the sphincter.
Fissures are much less common among school-aged children than among infants.
http://www.nlm.nih.gov/medlineplus/ency/article/001130.htm   (538 words)

  
 Fissureinano website for information and treatment
I was suggested immediate surgery by an eminent surgeon, as I had terrible pain in anus due to the fissures.
This web site has been developed for the patients suffering from one of the most painful conditions, called Fissure-in-ano or anal fissures.
In a few days time, my pain was gone; I was back to my work.
http://fissure-in-ano.com   (220 words)

  
 ANAL FISSURE INFORMATION PAGE
The anal fissure is expected to heal now that the internal anal sphincter muscle is more relaxed and the fissure is cleaned up.
May, 1999: I experienced an excruciatingly painful acute anal fissure as a result of passing constipated stools.
He said that he would cut into the internal anal sphincter muscle to relax it.
http://www.paxcredo.net/surgical.html   (1984 words)

  
 Ano-rectal problems
Bleeding and pain are thought by many laypeople and doctors alike to be the symptoms of hemorrhoids.
Levator muscle spasm is a rather common condition.
Skin tags are thought by laypeople as well as doctors as causing pain.
http://www.nwsurgeons.com/ano.htm   (2100 words)

  
 Gastrointestinal Bleeding
Anal and rectal fissures are often exquisitely painful and can be the underlying reason for irritability and distressed crying.
Irritability due to painful defecation can be mistakenly confused with esophagitis and GE reflux since a straining and crying infant is more prone to vomit and the gastrocolic reflex will stimulate a bowel movement at the time of feedings.
The shiny mucosa will most often occur posteriorly or a small skin tag (a "sentinel pile") might be present between the anus and the perineum.
http://www.naspgn.org/sub/Gastrointestinal_Bleeding.htm   (4716 words)

  
 Anal Fissure???---help, new problem - Topic Powered by Groupee Community
Don't know anything about anal fissures but now I need to research and see if that's what I have.
chronic fissures can, however, develop a skin tag that protrudes next to the tear.
I just did some research on medicinenet.com and think I really do have a fissure.
http://ibsgroup.org/eve/ubb.x/a/tpc/f/73310261/m/86010769   (1369 words)

  
 Patient 2
Before each bowel movement I was to put some jelly on the finger cots and put inside the bowel and massage the area to try to relax the sphincter.
Your information from Patient 1 was very reassuring for me. I had anal fissure surgery 13 days ago.
Certainly no where near the pain of the initial fissure, so an successful surgery.
http://www.boardsailor.com/jack/af/patient_2.htm   (988 words)

  
 News - Nitroglycerin Ointment Superior to Botulinum Toxin for Chronic Anal Fissure, Study Finds
Fruehauf concluded that both medications are safe and effective treatments for chronic anal fissure, but that nitroglycerin is superior to the more expensive botulinum toxin for initial healing.
Ten complained of headache and 3, all on nitroglycerin, of anal pruritus.
Those still not healed received 2 weeks of combined treatment, after which further management was at the discretion of the physician.
http://www.docguide.com/news/content.nsf/news/8525697700573E188525700A006B8227   (540 words)

  
 Anal Problems in Dogs
Peter- Most dogs are not too concerned about having their anal sacs expressed but we do have some that resent it -- even though they are trying hard to express them on their own by scooting and rubbing on the rug or ground.
I read in your FAQ section, some person massaged his dogs' anal area, and that caused expression of the anal sac contents...
Your dog would be a little young for the problem based on our experiences with it but I don't think this problem could be ruled out.
http://www.vetinfo.com/doganal.html   (3786 words)

  
 Hemorrhoids, Natural Hemorrhoids Treatment & Cure
Rue Care Oil is a blend of natural oils with oil of Rue medical plant used for centuries for natural health care, treatment and cure of hemorrhoids, itching piles, skin problems, varicose veins, anal fissure and much more.
Rue Care Oil is a proven highly effective self administered natural hemorrhoids treatment that bring immediate relief from intense pain and eliminate hemorrhoid (piles) and anal fissure.
Rue Care Oil deeply penetrate the derma and deliver healing oils directly to the affected areas.
http://naturecare.port5.com   (488 words)

  
 Anal Abscess
Cutting a portion of one of the anal muscles helps the fissure to heal by preventing pain and spasm, which interferes with healing.
More than 90% of patients who require surgery for this problem have no further trouble from fissures.
Those which continue to cause pain and/or bleeding can be corrected by surgery.
http://www.sjcolondocs.com/questions/AnalFissure.htm   (343 words)

  
 Gale Encyclopedia of Medicine: Anorectal disorders
If the fissure doesn't heal, surgery is required.
It has many sensory nerves and is sensitive to pain.
It has very few sensory nerves and is, therefore, relatively insensitive to pain.
http://www.findarticles.com/p/articles/mi_g2601/is_0000/ai_2601000081   (644 words)

  
 Hemorrhoids and Hemorrhoids Treatment
Rue oil derives from Rue medical plant used for centuries for natural health care, treatment and cure of skin problems, itching piles, varicose veins, anal fissure, healing of hemorrhoids and much more.
Rambam was studying and used healing plants for natural health care, health treatment and cure, and wrote valuable books about natural medicine.
Order Rue Care Oil for natural treatment of internal hemorrhoids, external hemorrhoid, bleeding piles, thrombosed hemorrhoids and anal fissure.
http://www.natural-health-cure.com   (383 words)

  
 Treatment of Anal Fissures
those fissures which fail to heal postoperatively, should undergo a complete gastrointestinal evaluation and be treated with medical therapy.
However, the surgeon may wish to proceed with an internal sphincterotomy or manual dilation depending upon the clinical situation.
Treatment of anal fissures is divided into medical and surgical groups.
http://www.gastromd.com/education/treatmentanalfissures.html   (294 words)

  
 The bright, the beautiful, the anal fissure web page
that can be hard to do once you have the anal fissure- consciously or not, the anticipated pain can make it very hard to work up the willingness to do your business.
getting an anal fissure is not a freudian thing, it doesn't mean you rebelled against your parents by practicing anal retention and practice makes perfect.
anal fissures range in pain from being so deep in that language is no longer possible to being mildly annoying.
http://www.commonhouse.net/ambiguous/quinn/medical/fissure.html   (2842 words)

  
 Rectal Bleeding
Is there anal pain and a hard, large stool associated with bleeding?
A finger exam can provide information when there is tenderness or a tumor inside.
Older people tend to have polyps and cancer more often.
http://www.gicare.com/pated/ecdgs29.htm   (875 words)

  
 BioMed Central Abstract Chronic Anal Fissure
It is important to emphasize that although the aforementioned therapies can heal fissure-in-ano, simpler lifestyle measures may be effective in the majority of patients with acute anal fissure.
These drugs should now be regarded as the mainstay of therapy for chronic fissure-in-ano.
Today, chronic anal fissure can be treated and often cured by nonsurgical therapy.
http://www.biomedcentral.com/1092-8472/2/385/abstract   (186 words)

  
 Anal Fissure
The fissure becomes more painful or shows no improvement after 3 days of treatment.
You may need surgery if it fails to heal.
You may encounter the following procedures and equipment during your stay.
http://www.healthsquare.com/mc/fgmc0540.htm   (671 words)

  
 Datamonitor - Cellegy's anal fissure ointment granted FDA priority review - News
Cellegy Pharmaceuticals has announced that its new drug application covering the use of Cellegesic for the treatment of pain associated with chronic anal fissure has been granted a priority review by the FDA.
"The granting of a priority review for Cellegesic recognizes that there is no FDA-approved product on the market for the treatment of chronic anal fissure."
This list is automatically generated and occasionally companies may appear that have similar names to those mentioned.
http://www.datamonitor.com/industries/news/article/?pid=6B6A2F1A-685C-4AA1-82BC-6F6D5B481593&type=NewsWire   (242 words)

  
 Anorectal abscess
Superficial perianal abscesses are not uncommon in infants and toddlers who are still in diapers and have a history of anal fissures.
To find more information on specific conditions, please visit our partner sites:
Deep rectal abscesses may be caused by intestinal disorders such as Crohn's disease or diverticulitis.
http://www.healthcentral.com/mhc/top/001519.cfm   (296 words)

  
 IngentaConnect Treatment of anal fissure with glyceryl trinitrate in patients re...
IngentaConnect Treatment of anal fissure with glyceryl trinitrate in patients re...
http://api.ingentaconnect.com/content/bsc/ans/2001/00000071/00000004/art02095   (11 words)

  
 Anal Fissure
For minor pain, use non-prescription drugs, such as acetaminophen or topical anesthetics
Bulk stool softeners will help to avoid the pain occurring with bowel movements
You or your child has symptoms of an anal fissure, especially pain that persists despite
http://www.whisperingpinesmedicalclinic.com/pis/pissheets/analfissurepis.htm   (280 words)

  
 Rectal Bleeding During Pregnancy AHealthyMe.com
Sit on an inflatable ring--shaped like a big donut--if you find the pain intolerable.
Meanwhile, here are some suggestions to take care of hemorrhoids:
Hemorrhoids can be painful, itchy, and often bleed.
http://www.ahealthyme.com/topic/260   (689 words)

  
 Colon and Rectal Care Newsletter
in the anal area may be accompanied by pain, swelling and sometimes discharge of pus or blood.
Resistant fissures are Rei treated with minor surgery.
Most of the time, fissures can be treated medically with stool softeners or bulking agents, suppositories and warm baths.
http://www.colonandrectalcare.com/newsletter/page2.htm   (605 words)

  
 Anal Fissure And Fistulas: Health Topics: UI Health Care
Complete healing may take a few weeks, but the pain will disappear in a few days.
Anal Fissure And Fistulas: Health Topics: UI Health Care
The fear of this pain may cause the person to not eliminate the stool when the urge occurs.
http://www.uihealthcare.com/topics/digestivesystem/dige3495.html   (482 words)

  
 Postpartum: Rectal bleeding
These painful cracks in the skin of the anus may be caused by passing hard stools as a result of constipation, which is common during pregnancy.
Both hemorrhoids and anal fissures are often caused and irritated by constipation, so staying regular can help.
"I had my baby 3 1/3 months ago and have been suffering also with a fissure.
http://www.babycenter.com/refcap/baby/physrecovery/11709.html   (870 words)

  
 The Herald
ProStrakan said Adcal, its osteoporosis drug, was now the market leader in its category by sales volume in the UK, and early sales of Rectogesic, for chronic anal fissure pain, and Tostrex, for testosterone deficiency, were both making good progress.
We would like to wish all our readers a very happy, healthy and hearty Christmas
The shares lifted 3.75p to 113.75p, helped by a trading update which reassured that progress and cash levels are in line with forecasts.
http://www.theherald.co.uk/53003.shtml   (298 words)

  
 Pediatric Surgery Handbook for Residents and Medical Students
are associated with hypertrophy of the anal papilla or a distal skin tag.
Long-term follow up (with both qualitative and quantitative quality of life considerations) of these patients is very important.
the associated constipation with stool softeners and anal dilatations, warm perineal baths to relax the
http://home.coqui.net/titolugo/handbook.htm   (15989 words)

  
 Anal fissure
Add natural laxatives until regular bowel habits are established.
An elongated split in the rectum close to the anal sphincter, often associated with internal Piles; though rare, condition is most common in middle age, but affects some children.
When a stool is passed, split is irritated, causing sphincter muscles to go into painful spasm; split may also bleed.
http://www.drlockie.com/disease/analfis.htm   (224 words)

  
 Wyeth Consumer Healthcare Inc.: Preparation H FAQ
There's no conclusive evidence, but some families do seem to have more trouble with hemorrhoids than others.
Sometimes a small split or crack occurs in the skin near the anus (anal fissure), often caused by large, hard bowel movements.
People also suffer from moderate or severe itching in and around the anus (pruritus ani) that is not caused by hemorrhoids but may be due to heat and tight-fitting clothing, improper hygiene, soaps and detergents and stress.
http://www.preparationh.ca/faq/answers.asp   (377 words)

  
 Oriental Medicine - Anal fissure
The pain will typically occur shortly after or during a bowel movement and can last for several hours post defecation
The fissures will cause pain and bleeding with defecation and is commonly accompanied by constipation.
Acute longitudinal tear or chronic ulcer in the anal canal.
http://www.energetique.net/om/treatment/dermato/rectum_fissure.htm   (78 words)

  
 ANAL FISSURE / The Rudd Clinic Can Help
ANAL FISSURE / The Rudd Clinic Can Help
Anal fissure, as opposed to the fissuring of anusitis, is usually a single split in the skin and has the typical symptoms of a tearing or cutting pain during a bowel movement, and an itching irritation typically one half hour later.
It is an acute fissure if present for less than 3 consecutive months, and after that it becomes a chronic fissure and requires a minor office procedure under local anesthetic which usually cures the problem immediately and permanently.
http://www.ruddclinic.com/patientcare-12.html   (113 words)

  
 Common Anorectal Conditions -- Pfenninger and Zainea 98 (6): 1130 -- Obstetrics & Gynecology
This anal cancer had been treated for three months with steroid suppositories although the patient had never had a physical examination.
Simple inspection of the external anal area allowed the physician to identify this aggressive tumor.
Anoscopy may enable the physician to identify the cause or find other lesions.
http://www.greenjournal.org/cgi/content/abstract/98/6/1130   (327 words)

  
 Anal Fissure -- eCureMe.com
Partial lateral internal sphincterotomy or excision of the fissure
http://www.ecureme.com/emyhealth/Pediatrics/Anal_Fissure.asp   (114 words)

  
 Hemorrhoids and Pregnancy Web Site
Do not feel embarrassed to talk to your health care professional about your symptoms.
All the other anorectal conditions discussed in this website may occur in the general population but are not directly linked to pregnancy or delivery.
Hemorrhoids and anal fissure are strongly associated to pregnancy and delivery.
http://hemorrhoidsandpregnancy.com   (254 words)

  
 Symptom: Rectal bleeding - CureResearch.com
Rectal bleeding type of: Bleeding symptoms (146), Bloody stool (41), Anal symptoms (38)
http://www.cureresearch.com/sym/rectal_bleeding.htm   (577 words)

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