Intense pain during defecation that often persists for one to two hours afterwards is the primary symptom of an analįissure. Symptoms and history usually indicate anal fissuresĪnal fissures can usually be diagnosed based on the patient’s description of their condition and a brief history, although Where medical management fails to resolve symptoms and help heal the fissure, referral to secondary care for surgery orīotulinum toxin treatment is usually required. Subsidised, with Special Authority, as a treatment option for people who have had an anal fissure for at least three weeks. Topical glyceryl trinitrate is now available, fully This are considered chronic and should be managed more intensively. Spontaneous resolution occurs in one-third of people, usually within six weeks. HIV, syphilis and herpes simplex), anal cancer, local trauma (anal intercourse), tuberculosis or receiving chemotherapy. Spasm of the anal sphincter or local ischaemiaĬan predispose people to, or worsen, anal fissures.Ītypical anal fissures may develop in people with Crohn's disease, sexually transmitted diseases (particularly 1 Women giving birth areĪt increased risk of developing anal fissures due to pressure on the perineum. They areĮqually common in both sexes, and most frequently affect people aged 15 – 40 years. Most anal fissures are caused due to straining during bowel movements, constipation or repeated diarrhoea. Almost all patients (greater than 95%) have rapid healing after surgery and no further trouble with an anal fissure.Anal fissures are small tears in the epithelium of the anus that can be intensely painful. Most patients have a significant reduction in their discomfort immediately after the surgery, and many can go back to work and resume normal activities the following day. This decreases spasm in the muscle and allows the fissure to heal. During this procedure a few fibers of the internal anal sphincter muscle are cut. This procedure is usually done under anesthesia, takes a few minutes, and patients go home the same day as outpatients.
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