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RICHARD L. NELSON, Northern General Hospital, Sheffield, United Kingdom. This clinical content conforms to AAFP criteria for continuing medical education CME. See the CME Quiz Questions. Author disclosure: Richard L.

An acute anal fissure typically heals within 6 weeks with conservative treatment.

Some disappear when constipation is treated. Anal fissures that last for 6 weeks or more are called chronic anal fissures.

These fail conservative treatment and need a more aggressive, surgical approach. The reduced blood flow prevents healing.

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Medicine, Botox injections, and even some topical treatments that improve blood flow, may help anal fissures heal. The risks from Botox injections and medicines used to treat anal fissures are relatively mild.

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Complications from surgery include the risk for infection, bleeding, and persistent gas and fecal incontinence, or uncontrolled bowel movements. If you have an anal fissure, take these precautions to avoid making it worse and avoid recurrences:. Contact your healthcare provider if you notice blood in your stool or if your bowel movements are so painful that you are avoiding going to the bathroom.

Treatment for chronic anal fissure. Anal fissures, in most cases, heal within a few days to a week. But in some cases, the pain, cut, and tear in the anus remain for the long term or tend to recur frequently. Such cases are referred to as chronic anal fissures as they last for a month or two or more. Chronic anal fissures do not health with home Estimated Reading Time: 3 mins Anal fissure - Symptoms and causes - Mayo Clinic 22/1/  What is a chronic anal fissure? 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

Health Home Conditions and Diseases. Anal Fissures Facebook Twitter Linkedin Pinterest Print Anal fissures are tears, or cracks, in your anus.

Causes Fissures result from the stretching of your anal mucosa beyond its normal capacity. Symptoms You may have these symptoms with an anal fissure: Pain during and after a bowel movement Visible tear or cut in the area Bright red bleeding during or after a bowel movement Risk factors Certain factors raise the risk for anal fissures, including: Constipation with straining to pass hard stool Eating a low-fiber diet Intense diarrhea Recent weight loss surgery, because it leads to frequent diarrhea Vaginal childbirth Minor trauma, especially trauma caused by high-level mountain biking Any inflammatory condition of the anal area Anal fissures may also result from inflammatory bowel disease, surgery, or other medical treatments that affect bowel movements or the anus.

Diagnosis Your healthcare provider will make a diagnosis based on: Your personal health history Your description of symptoms Rectal exam Because other conditions can cause symptoms similar to an anal fissure, your healthcare provider might also order tests to find out whether there is blood in your stool.

Anal Fissure - Surgery Video Lectures - Medical Education - V-Learning™ -

Your doctor might also prescribe you calcium channel blockers for treating the chronic fissures. Calcium channel blockers are used to reduce hypertension, and so the same mode of action is observed on anal blood circulation.

It reduces tension from the anal sphincter and stabilized blood flow. Your doctor might prescribe you topical ointment or give you tablets.

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We repeat, read the instructions carefully on the label, and follow the dosage as advised by your doctor. Side effects of calcium channel blockers are headachedizziness, and itching in anus post-application.

Surgical treatment is one of the most promising and successful treatment choices for chronic anal fissures.

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The most popular and effective surgery is internal sphincterotomy, which involves removing a portion of the sphincter muscle to reduce the pressure and tension from the anus. Another method used is- Fissurectomy, which involves removing anal fissures surgically.

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Fissurectomy is not as effective as sphincterotomy but may be useful in children with chronic fissures. Categories: Digestive Health.

Remember me on this computer Forgot your password? Forgot password Email:. Anal fissure: Diagnosis, management, and referral in primary care.

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British Journal of General Practice. Stewart DB. Anal fissure: Clinical manifestations, diagnosis, prevention. Ferri FF. In: Ferri's Clinical Advisor Brady JT, et al.

Treatment for anal fissure: Is there a safe option? The American Journal of Surgery.

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Nelson RL, et al. Non surgical therapy for anal fissure. Cochrane Database of Systematic Reviews.

Brown AY. AllScripts EPSi. Mayo Clinic. Anoscopy and sigmoidoscopy.

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Merck Manual Professional Version.

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