1. Anal Fissure Self Help Page Self help page for those seeking more information on anal fissures. Since hemorrhoids often appear to happen with anal fissures, I talk about them too. http://www.boardsailor.com/jack/af/

Anal Fissure Self Help Page Summary This is a self help page for those seeking more information on anal fissures. Since hemorrhoids often appear to happen with anal fissures, I talk about them too. My goal is to help others by providing information on these ailments. Email List for people with Anal Fissures to communicate with each other. Search this Site Modification History Why Do This? I had an anal fissure and was in a lot of pain and did a web search only to find two pages that dealt with anal fissures and I wished there were more. I appreciated reading Joe's saga. I especially liked the last few paragraphs where he said that his fissure receded into oblivion in the two weeks following surgery. I think my self help pages are like an anonymous self help group. It is obvious from the many hits my pages are receiving that they are filling a need. Many of the hits are from searches on "anal + fissure" so people are looking for these pages when they find them. If you would like to contribute anything from a patient or physicians perspective, please do (I will keep your name off of any material you give me unless you want it on the material). Isn't this embarrassing?

2. The Bright, The Beautiful, The Anal Fissure Web Page things to never, ever type into a google image search. no pictures, please. no, really. i have an anal fissure. some traumas are more glamorous than others. let me assure you, anal fissures hurt http://www.ambiguous.org/quinn/medical/fissure.html

so i have this problem with my butt. key quinn toys inside ... contact me things to never, ever type into a google image search no pictures, please. no, really. i have an anal fissure . some traumas are more glamorous than others. begging off of a saturday night with friends because you broke your ankle on the black diamond last week is one end of the spectrum. "sooorry guys, i gotta stay in, my aaaanal fisssure is acting up" would be the other end of that spectrum. and that's where i am- the other end. frankly this is an embarrassing illness, at least at first. you're sniggering at yourself, with your going on about ass-pain all the time. snigger, you say, about my butt! chortle. gee, you joke, someone really lit a fire under my.... after a while though, you stop making jokes. this is because you can't access the language centers of your brain anymore, which have been converted along with everything else into additional pain centers. i've become something of a connoisseur of pain in my time. it's been kidney stones, kidney infections, GERD , IBS, catheters of various stripes, a cone biopsy of the cervix without any anesthetic, childbirth without drugs, and two years of backfiled taxes- i feel as though i qualify as something of an amateur expert on the subject. if there was a job which only required sitting in a room and hurting i feel i would be eminently qualified to do so. it's not my kink or anything, i just know how to endure buttloads of senseless pain. let me assure you, anal fissures hurt like hell. you aren't a wimp, it's not in your head, other people aren't living with this all the time far more gracefully than you ever could. this shit hurts.

3. Treatment Of Anal Fissures anal fissures originally are a superficial tear in the tissue which lines the anal canal Most patients with anal fissures relate pain with evacuation, rectal bleeding, itching http://www.gastromd.com/education/treatmentanalfissures.html

Home Dr. Jensen General Info Privacy Statement ... Print this page Anal fissures originally are a superficial tear in the tissue which lines the anal canal. This superficial tear may deepen and eventually reach the underlying tissues. These tissues are the internal sphincter. With exposure to chronic irritation, the internal sphincter's function may become compromised, Subsequently, sentinel tags, hypertrophied anal papilla and anal stenosis may occur. Most patients with anal fissures relate pain with evacuation, rectal bleeding, itching, swelling and anal discharge. History is usually sufficient for the initial diagnosis. Eventually, further evaluation with palpation (rectal exam) and an endoscopic evaluation are useful. The etiology of an anal fissure may be associated with constipation, diarrhea, rubber band ligation for hemorrhoids or injection of the anal area. Other diseases such as chlamydia, gonorrhea, herpes, syphilis, AIDS, neoplasms, tuberculosis, and Crohn's disease may also present as anal fissures. A gastrointestinal work-up for these diseases is based upon the patient's presentation and clinical history. Treatment of anal fissures is divided into medical and surgical groups. Medical treatment of acute fissures is based upon topical creams, sitz baths, perirectal hygiene and dietary changes consisting of increasing fiber content.

4. EMedicine - Anal Fistulas And Fissures : Article By Ingrid Legall, MD Anal Fistulas and Fissures An anal fissure is a superficial linear tear in the anoderm most commonly caused by passage of a large, hard stool. This tear is distal to the dentate line. Anal Pathophysiology In anal fissures, anus distal to dentate line is involved http://www.emedicine.com/emerg/topic495.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Gastrointestinal Anal Fistulas and Fissures Last Updated: January 9, 2004 Rate this Article Email to a Colleague Synonyms and related keywords: fissure-in-ano, anal tear, anorectal disorder, intersphincteric fistula, transsphincteric fistula, suprasphincteric fistula, extrasphincteric fistula AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Ingrid Legall, MD , Consulting Staff, Assistant Professor, Department of Emergency Medicine, University of Florida Ingrid Legall, MD, is a member of the following medical societies: American Academy of Emergency Medicine , and American Medical Association Editor(s): Michael S Beeson, MD, MBA , Program Director, Department of Emergency Medicine, Summa Health System; Associate Professor of Clinical Emergency Medicine, Northeastern Ohio Universities College; Francisco Talavera, PharmD, PhD

5. HealthCentral - General Encyclopedia - Anal Fissure anal fissures are common in young infants, and studies suggest 80% of infants will have had an anal fissure by age 1 http://www.healthcentral.com/mhc/top/001130.cfm

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6. Anal Fissure Self Help Page Self Help page for those with anal fissures. http://www.boardsailor.com/jack/af/index.html

Anal Fissure Self Help Page Summary This is a self help page for those seeking more information on anal fissures. Since hemorrhoids often appear to happen with anal fissures, I talk about them too. My goal is to help others by providing information on these ailments. Email List for people with Anal Fissures to communicate with each other. Search this Site Modification History Why Do This? I had an anal fissure and was in a lot of pain and did a web search only to find two pages that dealt with anal fissures and I wished there were more. I appreciated reading Joe's saga. I especially liked the last few paragraphs where he said that his fissure receded into oblivion in the two weeks following surgery. I think my self help pages are like an anonymous self help group. It is obvious from the many hits my pages are receiving that they are filling a need. Many of the hits are from searches on "anal + fissure" so people are looking for these pages when they find them. If you would like to contribute anything from a patient or physicians perspective, please do (I will keep your name off of any material you give me unless you want it on the material). Isn't this embarrassing?

7. 0.2% Nitroglycerin Ointment Management of anal fissures. Stephen Patients with anal fissures usually present with minor anal bleeding and severe anal pain. The http://www.boardsailor.com/jack/af/gorfine_paper.html

Management of Anal Fissures Stephen R. Gorfine, MD Associate Clinical Professor Department of Surgery The Mount Sinai School of Medicine New York, New York An anal fissure is a linear crack or tear in the distal anoderm. Patients with anal fissures usually present with minor anal bleeding and severe anal pain. The etiology of anal fissures is not known with certainty, however, a considerable body of evidence now suggests an association between abnormal internal anal sphincter (IAS) function and anal fissures. Many studies have documented elevated resting anal pressures in fissure patients.(1,2) It is probable that an abnormal pressure response of the IAS plays a role in the causation of these lesions. Many acute fissures resolve with conservative treatment, however, fissures which become chronic usually require surgical therapy. The Standards Task Force of the American Society of Colon and Rectal Surgeons recommends management of chronic anal fissures by "subcutaneous or open lateral internal sphincterotomy, posterior internal sphincterotomy with advancement flap, or manual dilatation".(3) Healing will occur following sphincterotomy in 95 percent of cases.(4) Successful sphincterotomy (or anal dilatation) is associated with a significant decrease in intra-anal pressure.(5,6) Although sphicterotomy is quite effective in promoting healing of anal fissures, it is not without risk. Many studies have demonstrated complications, most notably, temporary or permanent incontinence to gas, liquid and solid stool following sphincterotomy or anal dilatation.(7,8)

8. Anal Fissure - Digestion: Health And Medical Information Concerning Digestive Sy About 5075% of anal fissures treated in this fashion will heal in several weeks to months. Anal Fissure At A Glance anal fissures are tears in the anal canal. http://www.medicinenet.com/Anal_Fissure/article.htm

MedicineNet Home Digestion Home > Anal Fissure Advanced Search Printer-Friendly Format Add to Favorites Email to a Friend ... Next page Anal Fissure Medical Author: Dennis Lee, M.D. Medical Editor: Jay W. Marks, M.D. What is an anal fissure? How is it diagnosed? What is the treatment? ... Anal Fissure At A Glance What is an anal fissure? An anal fissure is a fairly common, painful condition in which the lining of the anal canal is torn. The anal canal is the last part of the rectum which ends at the anus. Stool passes through the anal canal and anus during a bowel movement. An anal fissure is caused by constipation or a forceful bowel movement, though a tight anus also may be a contributing factor. Once the skin is torn, each subsequent bowel movement can be painful, and the pain often is severe. There often is bleeding associated with the painful bowel movement. The amount of bleeding is small and may be noticed in the toilet bowl or on the toilet paper as bright red in color. The symptoms of an anal fissure are commonly mistaken for hemorrhoids , but hemorrhoids generally do not cause pain with bowel movements.

9. Community Drug disease, had been diagnosed as having chronic anal fissures. Stool softeners and the addition of bethanacol are as effective as nitroglycerin in the management of anal fissures http://www.communitydrug.com/CaseStudy_Display.cfm?CaseStudyID=23

10. MedlinePlus Medical Encyclopedia: Anal Fissure anal fissures are extremely common in young infants but may occur at any age. The incidence of anal fissures decreases rapidly with age. http://www.nlm.nih.gov/medlineplus/ency/article/001130.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Anal fissure Contents of this page: Illustrations Definition Causes, incidence, and risk factors Symptoms ... Prevention Illustrations Rectum Definition Return to top An anal fissure is a small split or tear in the anal mucosa that may cause painful bowel movements and bleeding . There may be blood on the outside of the stool or on the toilet tissue following a bowel movement. Causes, incidence, and risk factors Return to top Anal fissures are extremely common in young infants but may occur at any age. Studies suggest 80% of infants will have had an anal fissure by age one. Most fissures heal on their own and do not require treatment, aside from good diaper hygeine. However, some fissures may require medical treatment. The incidence of anal fissures decreases rapidly with age. Fissures are much less common among school-aged children than among infants. In adults, fissures may be caused by constipation , particularly when passing large, hard stools, or by prolonged diarrhea. In older adults, anal fissures may be caused by decreased blood flow to the area.

11. Treatment Of Anal Fissures anal fissures originally are a superficial tear in the tissue which lines the anal canal. This superficial tear may deepen and eventually reach the underlying tissues. These tissues are the internal http://www.gastromd.com/education/print_treatmentanalfissures.html

Back Anal fissures originally are a superficial tear in the tissue which lines the anal canal. This superficial tear may deepen and eventually reach the underlying tissues. These tissues are the internal sphincter. With exposure to chronic irritation, the internal sphincter's function may become compromised, Subsequently, sentinel tags, hypertrophied anal papilla and anal stenosis may occur. Most patients with anal fissures relate pain with evacuation, rectal bleeding, itching, swelling and anal discharge. History is usually sufficient for the initial diagnosis. Eventually, further evaluation with palpation (rectal exam) and an endoscopic evaluation are useful. The etiology of an anal fissure may be associated with constipation, diarrhea, rubber band ligation for hemorrhoids or injection of the anal area. Other diseases such as chlamydia, gonorrhea, herpes, syphilis, AIDS, neoplasms, tuberculosis, and Crohn's disease may also present as anal fissures. A gastrointestinal work-up for these diseases is based upon the patient's presentation and clinical history. Treatment of anal fissures is divided into medical and surgical groups. Medical treatment of acute fissures is based upon topical creams, sitz baths, perirectal hygiene and dietary changes consisting of increasing fiber content.

12. Anal Fissure And Fistula - Fissures Symptoms, Treatment And Healing BUPA health factsheet explaining what anal fissures and fistulas are, the causes, who is at risk and the common symptoms and complications. Anal fissure. http://hcd2.bupa.co.uk/fact_sheets/mosby_factsheets/anal_fissure_and_fistula.htm

search home services health information ... BUPA Products and services Health insurance Financial protection Hospitals Care homes ... International cover Visitor interest areas Individuals Business Intermediaries Health professionals ... BUPA members Facilities finder Find local health and fitness facilities World of BUPA BUPA services around the world at bupa.com health information ABC of health Anal fissure R E L A T E D L I N K S Download a pdf of this factsheet Published by BUPA's Health Information Team November 2003 An anal fissure is a tear in the skin around the opening of the anus. It can cause sharp pain, especially when opening the bowels. Anal fissure is thought to be a common disorder for which many people do not seek medical advice. It can be easily confused with haemorrhoids (piles). ... Anal fissures occur most commonly in young adults. Anal fissure What causes anal fissures? Frequently, no cause is found for an anal fissure. However, it is commonly linked to constipation, where straining on hard stools can tear the skin of the anus. The internal anal sphincter (see diagram, above) is thought to play a key role in the development of an anal fissure. This is one of two muscles that control the opening of the anus. Both muscles need to relax in order to pass a stool. Unlike the exterior anal sphincter, which can be tensed or relaxed voluntarily, there is no voluntary control of the internal sphincter. Because of the pain of a fissure, the internal anal sphincter may go into spasm - causing a raised pressure within the anus.

13. American Family Physician: Treatment Of Anal Fissures September 2000, p. 839.) anal fissures are splits in the anal mucosa immediately within the anal verge than 80 percent of acute anal fissures will heal spontaneously with the http://www.findarticles.com/cf_0/m3225/5_63/71267980/p1/article.jhtml?term=anal

14. Anal Fissure Treatment - Anus & Sphincter Pain, Symptoms & Surgery Anal fissure Anal fissure. What causes anal fissures? Frequently, no cause is found for an anal fissure. Acute and chronic anal fissures. http://hcd2.bupa.co.uk/fact_sheets/html/anal_fissure.html

search home services health information ... BUPA Products and services Health insurance Financial protection Hospitals Care homes ... International cover Visitor interest areas Individuals Business Intermediaries Health professionals ... BUPA members Facilities finder Find local health and fitness facilities World of BUPA BUPA services around the world at bupa.com Anal fissure R E L A T E D L I N K S Download a pdf of this factsheet Published by BUPA's Health Information Team November 2003 An anal fissure is a tear in the skin around the opening of the anus. It can cause sharp pain, especially when opening the bowels. Anal fissure is thought to be a common disorder for which many people do not seek medical advice. It can be easily confused with haemorrhoids (piles). ... Anal fissures occur most commonly in young adults. Anal fissure What causes anal fissures? Frequently, no cause is found for an anal fissure. However, it is commonly linked to constipation, where straining on hard stools can tear the skin of the anus. The internal anal sphincter (see diagram, above) is thought to play a key role in the development of an anal fissure. This is one of two muscles that control the opening of the anus. Both muscles need to relax in order to pass a stool. Unlike the exterior anal sphincter, which can be tensed or relaxed voluntarily, there is no voluntary control of the internal sphincter. Because of the pain of a fissure, the internal anal sphincter may go into spasm - causing a raised pressure within the anus. This excess pressure makes it harder to pass a stool, making constipation worse, and contributing to a vicious circle. The spasm of the internal anal sphincter can also restrict the blood supply to the anal skin, which reduces its ability to heal.

15. Disease Category Listing (328): Anal Fissures CenterWatch Listing of Clinical Research Trials for anal fissures Clinical Trials anal fissures. There are no studies currently listed in this category on the CenterWatch web site. http://www.centerwatch.com/patient/studies/cat328.html

Clinical Trials: Anal Fissures There are no studies currently listed in this category on the CenterWatch web site. Back to Clinical Trials by Medical Areas Research centers specializing in this illness area Additional resources ... in this illness area This site is run by CenterWatch, a publishing company that focuses on the clinical trials industry. The information provided in this service is designed to help patients find clinical trials that may be of interest to them, and to help patients contact the centers conducting the research. CenterWatch is neither promoting this research nor involved in conducting any of these trials. Trial listing updated: June 1, 2004 at 2:56:33 PM Patient Resources: [ Trial Listing Notification Services Drug Directories About Clinical Research ... Patient Bookstore Professional Resources: [ Research Center Profiles Industry Provider Profiles Industry News Professional Resources ... Professional Bookstore General: [ Search Site Map Your Privacy CW World ... Home This site was developed in association with Illumina Interactive of Boston, MA

16. Encyclopaedia Topic : Anal Fissure, Section : References Nifedipine for local use in conservative treatment of anal fissures. Preliminary results of a multicentre trial. Glyceryl trinitrate for chronic anal fissures. http://www.nhsdirect.nhs.uk/en.asp?TopicID=26&AreaID=3010&LinkID=2414

17. FamilyFun Health Encyclopedia Anal Fissures An excerpt on anal fissures from the Disney Encyclopedia of Baby and Child Care is usually no need for concern. anal fissures can be treated successfully and seldom become chronic WHAT CAUSES http://www.family.com/raisingkids/child/health/childhealth/dony79enc_anfiss

18. ANAL FISSURE ANAL FISSURE. What is an anal fissure? anal fissures may be acute (recent onset) or chronic (present for a long time or recurring frequently). http://www.fascrs.org/displaycommon.cfm?an=1&subarticlenbr=3

19. Discovery Health Anal Fissure anal fissures are usually related to abnormal bowel movements. Usually, anal fissures can be prevented by maintaining regularly formed bowel movements. http://health.discovery.com/diseasesandcond/encyclopedia/182.html

20. Bob The Anal Fissure Subject My anal fissure Bob Date Tue, 28 Dec 93 234900 +0200. Medical personnel here don t like being quizzed by foreigners with anal fissures. http://www.zug.com/scrawl/analbob/analbob5.html

Subject: My anal fissure Bob Date: Tue, 28 Dec 93 23:49:00 +0200 It's been a while since my violent anal dilation. I'm afraid that I have neglected my duties by not telling you about it sooner. But I have been at some loss for words about it. My anal fissure Bob who had plagued me for the last three years is in the process of dying. After the violent anal dilation I had expected to awaken from my anaesthetized slumber to find that Bob had been completely destroyed. Annihilated by modern medicine in a small sterile room of a hospital in Seinajoki Finland. A rich heritage of blood and pain wiped out in minutes by strangers in mask and gown. It all started a couple of Mondays ago at 7 am. I hadn't slept much the night before. Bob was quiet, but I lay awake thinking about what was to come the next morning. I was a little worried. I was about to experience something called violent anal dilation and I was a bit concerned. I found out later that my fears about the procedure where in fact pretty close to reality. I arrived at the hospital in good spirits. I was shown my bed and given the button up the back surgical minidress. Even though the procedure wasn't scheduled until 1:30 I was required to change into the garment. I suppose that it's a mandatory indignity to humiliate and degrade potential troublemakers. Maybe word had gotten out that I had been asking questions about the procedure. What kind of drugs that they would be giving me, if my physician had performed many of these procedures etc. Medical personnel here don't like being quizzed by foreigners with anal fissures. It had taken lots of explaining just to get permission to have a videotaped documentary of the procedure made and released to me. I had to get my local practitioner to request it. It has since been explained to me that most procedures are taped anyway. They just don't release the tapes to the public.

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