21. Bob The Anal Fissure Back to the strange stories page Bob the Anal Fissure. By Joe Cidoni Medical personnel here don t like being quized by foriegners with anal fissures. http://www.frc.ri.cmu.edu/~mcm/bob.html

Back to the strange stories page... Bob the Anal Fissure By Joe Cidoni As it appeared in a series of posts to alt.tasteless. After lurking about in the wings the required 2 months I have felt the need to tell you about my anal fissure Bob. It all started about two years ago in Thailand. I had just fired a round of green chile liquishit down the hole that the Asians call "toilet" when I noticed an odd sensation just inside the rim of my sphincter accompanied by a blasting spray of rich red blood. After living in Asia for six months I thought that I had experienced nearly every digestive tract malady known to man. Worms, burning and colonic liquidity on a huge scale. Butt (hehe) this was something completely different. It was a singularly unique feeling that I know now to have been the actual tearing of my rectum. It was Bob making himself known to me. At first Bob wasn't so bad. Occasional itch and discomfort. Nothing that I couldn't handle. A mint flavored suppository now and again seemed to do the trick. But then about a year ago my cruel master Bob began requiring more and more from me. Itching on a scale that can only be desribed as "hellish" was the order of the day. I had a permanent brown stain on my index finger from trying to scratch the inside of my colon through my troubled anus.

22. Anal Fissures An anal fissure is a small tear in the lining of the anus which can be both painful and embarassing. You Disease, anal fissures Guide picks. http://ibscrohns.about.com/cs/fissures/

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About Irritable Bowel / Crohn's Disease Related Conditions Fissures Home Essentials Irritable Bowel Syndrome FAQ Ulcerative Colitis FAQ ... Flagyl Frequently Asked Questions zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); Irritable Bowel Syndrome Crohn's Disease Ulcerative Colitis Books and Reviews ... Help zau(256,138,125,'el','http://z.about.com/0/ip/417/0.htm','');w(xb+xb); Stay Current Subscribe to the About Irritable Bowel / Crohn's Disease newsletter. zau(256,152,100,'hs','http://z.about.com/5/ad/hs.htm?zIhsid=00',''); Search Irritable Bowel / Crohn's Disease Anal Fissures Fissures are often painful, but they can be treated successfully. Alphabetical Recent Up a category A Comparison of Botulinum Toxin and Saline Treatments From the New England Journal of Medicine, an abstract comparing these two methods of treatment. Technical, but the ultimate conclusions are in plain English. Advice for Patients who Suffer from Anal Fissure A few tips on things that may help a fissure heal up faster. Anal Fissure - MedicineNet.com

23. Anal Fissures Frequently Asked Questions If you have an anal fissure, you will need treatment. Fortunately they are curable without surgery in most cases. anal fissures Frequently Asked Questions. http://ibscrohns.about.com/library/weekly/aa013102a.htm

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About Irritable Bowel / Crohn's Disease Home Essentials ... Flagyl Frequently Asked Questions zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); Irritable Bowel Syndrome Crohn's Disease Ulcerative Colitis Books and Reviews ... Help zau(256,138,125,'el','http://z.about.com/0/ip/417/0.htm','');w(xb+xb); Stay Current Subscribe to the About Irritable Bowel / Crohn's Disease newsletter. zau(256,152,100,'hs','http://z.about.com/5/ad/hs.htm?zIhsid=00',''); Search Irritable Bowel / Crohn's Disease Email to a friend Print this page Stay Current Subscribe to the About Irritable Bowel / Crohn's Disease newsletter. Suggested Reading Anoscopy Anal Fissure Links Sigmoidoscopy More Links Practice Parameters for the Management of Anal Fissure American Society of Colon and Rectal Surgeons Botox Injections - Headaches/Migraine Recent Discussions IBS getting worse scared to death Lots of pain Most Popular Flagyl Frequently Asked Questions Unusual Colors of Stool - Green Stool Side Effects - Prednisone Irritable Bowel Syndrome FAQ ... Crohn's Disease Frequently Asked Questions What's Hot After-Surgery Workouts 2004 UOA Youth Rally Top 5 Portable Toilets Effects of Drinking Alcohol on IBS and IBD ... 10 Tips for Recovering From Abdominal Surgery Anal Fissures Frequently Asked Questions From Amber J. Tresca

24. Anal Fissures -- ECureMe.com anal fissures, more about anal fissures, Normal, Abnormal, more about anal fissures, If you want your friend to read or know about this article, Click here. http://www.ecureme.com/emyhealth/data/Anal_Fissures.asp

DisplayAd("468","60"); Select a Health Topic ADD/ADHD Allergy Alternative Medicine Arthritis Asthma Beyond Dieting Body Aches and Pains Breast Cancer Cancer Awareness Cardio Health Children's Health Colon Cancer Contraception COPD/Emphysema Dental Health Diabetes Elder Care Emergency Room Epilepsy Erectile Dysfunction Eye Care Fertility Fitness Gastrointestinal Health Glands and Hormones Gynecologic Health Hair Loss Headache Healthcare Today Healthy Aging HIV and AIDS Infectious Diseases Kidney Health Leukemia Liver Health Lung Cancer Lymphoma Multiple Sclerosis Men's Health Mental Health Nutrition Osteoporosis Parkinson's Disease Sexual Health Skin Health Sleep Disorders Special Events Stroke Surgeries and Procedures Teen Health Thyroid Health Urologic Health Vascular Disease Women's Health Workplace Health June 2, 2004 Resource Links Physician Search Your Questions, E-mail Doctor ... Hospital Directory Anal Fissures more about Anal Fissures Normal Abnormal This is a cut (ulcer or Laceration ) inside the anus. The usual cause is trauma to the anus because of a strained bowel movement, hard bowel movement, or high internal sphincter tone (the area that allows stool to pass stays tense, obstructing proper passage). Severe tearing pain during a bowel movement Throbbing pain in anus following a bowel movement Blood on toilet paper or around the bowel movement Constipation Constant irritation from stool in diapers of babies or constant wiping in all others

25. Anal Fissure Other trauma occurring from injuries or during sexual activities (like anal sex) are also a common cause of anal fissures. Inflammatory http://www.afraidtoask.com/bowel/fissure.html

ANAL FISSURE The anus is a very sensitive area with many nerve fibers. A fissure, or rip in the skin, is a painful tear of the anal canal which can have several causes. The first cause is trauma, such as that caused by the passing of a large stool (e.g., in somebody with constipation). Passing of large hard stools can cut the anal canal. Other trauma occurring from injuries or during sexual activities (like anal sex) are also a common cause of anal fissures. Inflammatory bowel disease like ulcerative colitis and Crohn's disease can cause anal fissures, as can sexually transmitted diseases (STD) involving the anus and rectum. Symptoms usually include a sharp stabbing sudden anal pain as the trauma occurs (such as while passing a hard large stool), followed by discomfort, pain, bleeding, mucous production, and anal itching. Treatment is the same as for hemorrhoids unless an STD is the cause (in the latter case the STD must be treated as well). If, after a few weeks of treatment, the fissure has not healed, surgical repair of the tear may be necessary. Again, it is always best to discuss your concerns with your physician if you believe you have this or another disease involving your gut.

26. Anal Fissure anal fissures are common, especially in middle age, but they can also appear in children. Trauma during childbirth is another common cause of anal fissures. http://www.herbalremedies.com/analfissure.html

Type In What You Want! Advanced Search? COSMETICS LOTIONS HERBS ... Email Us Free $5.49 Shipping Credit Deducted On Orders Over $75.00! USER'S LOGIN or REGISTER Shop By Brand Here 100% Satisfaction Guarantee Customer Service Email us or Call Toll-Free Mon-Fri 10am to 6pm MST Shipping Rates At or Under 1lb US USPS Priority, $5.49 US FedEx Ground $5.99 US FedEx 3 Bus days $7.99 US FedEx 2 Bus days $9.99 US FedEx Overnight $18.99 Worldwide FedEx $20.99 - up Free Shipping Credit On Orders Over $75.00! UP TO $5.49 credit deducted at checkout! Home - Free Online Medical Dictionary - Anal Fissure General Anal Fissure Information Possible Causes of Anal Fissure Possible Symptoms of Anal Fissure Possible Lifestyle Changes for Anal Fissure ... Back to Top General Anal Fissure Information An anal fissure is an elongated split in the rectum close to the anal sphincter causing pain during bowel movements. Anal fissures are common, especially in middle age, but they can also appear in children. Anal fissures usually respond well to home treatment and heal in a few days, but they can occasionally become chronic and take weeks or months to heal. Back to Top Possible Causes of Anal Fissure An anal fissure can appear when a person is constipated and tries to pass a large or hard stool. When a stool is passed, split is irritated, causing sphincter muscles to go into painful spasm. The tissue at the site of the split may also bleed. Repeated diarrhea can also cause an anal fissure. Trauma during childbirth is another common cause of anal fissures.

27. Anal Fissure - Patient UK Anal Fissure Patient UK. A directory of UK health, disease, illness and related medical websites that provide patient information. anal fissures are common. http://www.patient.co.uk/showdoc.asp?doc=23068676

28. Chronic Anal Fissure - Patient UK Why do some anal fissures not heal and become chronic ? Will it happen again? Some people seem prone to recurring anal fissures. http://www.patient.co.uk/showdoc.asp?doc=23069071

29. Addenbrooke's NHS Trust: FAQs About Anal Fissures Frequently asked questions (FAQs) about anal fissures. anal fissures are different from haemorrhoids and have no relationship with cancer. http://www.addenbrookes.org.uk/serv/clin/surg/colorectal/fissure1.html

Frequently asked questions (FAQs) about anal fissures What is an anal fissure? An anal fissure is a split in the skin at the opening of the anus, which leaves exposed some of the muscle fibres of the anal canal. Pain results from the recurrent opening of the wound when the bowels are opened, and it is often accompanied by bleeding. In addition, the inner circle of muscle in the anal canal (called the internal sphincter) goes into spasm: this makes the pain worse and can prevent healing. Anal fissures are different from haemorrhoids and have no relationship with cancer. What are the symptoms of an anal fissure? Pain on passing faeces, which might persist for minutes or hours afterwards. The pain is typically sharp and knife-like rather than an ache; If the fissure is long-standing, a skin tag at the site of the fissure can develop. What are the treatments for an anal fissure? General measures: A high-fibre diet : By eating a high-fibre diet Sitz baths : An 'ordinary' 15-minute bath but in water as warm as you can tolerate several times daily (or as often as you require) can be very soothing and provide several hours of pain relief.

30. Addenbrooke's NHS Trust: FAQs About Surgery For Anal Fissures (internal Sphincte Frequently asked questions (FAQs) about surgery for anal fissures (internal sphincterotomy). Why is surgery necessary for anal fissures? http://www.addenbrookes.org.uk/serv/clin/surg/colorectal/internsphinct1.html

Frequently asked questions (FAQs) about surgery for anal fissures (internal sphincterotomy) What is an anal fissure? A fissure is a split in the skin at the opening of the anus, which leaves exposed some of the muscle fibres of the anal canal. Pain results from the recurrent opening of the wound when the bowels are opened and it is often accompanied by bleeding. In addition, the inner circle of muscle in the anal canal (called the internal sphincter) goes into spasm: this makes the pain worse and can prevent healing. FAQs about anal fissures Why is surgery necessary for anal fissures? Surgery is required for some types of fissures that do not respond to simpler forms of treatment. What does the operation entail? The operation to treat anal fissures is called an internal sphincterotomy . It involves that a part of the internal sphincter muscle being cut. The cut relieves the tension of the muscle and allows the fissure to heal. Occasionally, a polyp can develop at the edge of a long-standing fissure, and this might be removed at the same time. It is not usually necessary to remove or suture the fissure itself. What can go wrong?

31. EMedicine - Anal Fissure : Article By Lisa S Poritz, MD Anal Fissure. Frequency anal fissures occur with equal frequency in both sexes. Additionally, anal fissures tend to occur in younger and middleaged persons. http://www.emedicine.com/med/topic3532.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery General Surgery Anal Fissure Last Updated: June 25, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: anal canal, anus, low-fiber diet, high-fiber diet, hard stool, anal canal stenosis, bowel movement, anal skin tag, hypertrophied anal papillae, anal canal tear, anal canal crack, tear in anal canal, crack in anal canal, constipation, hard stool, anal canal tethering, hypertonic anal sphincter, hypertrophic anal sphincter, anal sphincter hypertonicity, anal sphincter hypertrophy, sphincterotomy, sphincter stretch AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Indications Relevant Anatomy And Contraindications ... Bibliography Author: Lisa S Poritz, MD , Assistant Professor, Department of Surgery, Section of Colon and Rectal Surgery, Milton S Hershey Medical Center, Pennsylvania State University Lisa S Poritz, MD, is a member of the following medical societies:

32. Anal Fissure. A person s susceptibility to anal fissures tends to decline with age. Surgical correction Severe anal fissures need to be surgically corrected. http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Anal_fissure?open

33. Anal Fissures - Information / Diagnosis / Treatment / Prevention home digestive disorders anorectal anal fissures anal fissures. anal fissures Self Help page for those with anal fissures. http://www.healthcyclopedia.com/digestive-disorders/anorectal/anal-fissures.html

Home Health cyclopedia All Topics by Category The Good Health Search Engine Health Conditions A-Z Gurus ... anorectal > anal fissures Anal Fissures Information / Diagnosis / Treatment / Prevention External links (marked with an arrow ) open in a new window. This site is a web directory and does not offer medical advice. We cannot take responsibility for information found on listed sites. This Page Related Topics Medical Definition Health News Web Directory: Related Topics: Digestive Disorders/Intestinal/Inflammatory Bowel Disease Medical Definition: University of Newcastle-upon-Tyne Medical Dictionary: "anal fissure" Health News: Search millions of published articles for news on Anal Fissures Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: Anal Fissure An explanation of what this is, the causes, treatment and surgery. Anal Fissures Self Help page for those with anal fissures. Notes: Healthcyclopedia presents health information in the form of websites and articles that encompass conventional medicine and alternative treatments Under no circumstances can it recommend or endorse a specific drug or therapy or treatment.

34. Anal Fissure And Fistulas: Health Topics: UI Health Care anal fissures are extremely painful. Pain constipation. anal fissures usually resolve if bowel movements are kept regular and soft. http://www.uihealthcare.com/topics/digestivesystem/dige3495.html

Health Topics Category Index Health Topics for Digestive System James A. Clifton Center for Digestive Diseases Cancers of the Digestive System ... Liver Service - UI Health Care's digital library Read this month's health-e-newsletter Send comments and questions to staff@uihealthcare.com University of Iowa Anal Fissure And Fistulas The anus is the opening of the digestive tract where bowel movements leave the body. An anal fissure is a tear or crack in the lining of the anus. An anal fistula is an abnormal opening in the skin near the anus. An anal fissure may be caused by: passing large bowel movements straining at childbirth diarrhea or inserting an object in the anus Anal fissures are extremely painful. Pain is often most severe during bowel movements. They can cause painful spasms of the muscles around the anus. Spots of bright red blood in the stool may be noticed. There is often a hemorrhoid-like thickening of the skin at the lower end of the fissure. The fear of pain during a bowel movement can cause constipation. Anal fissures usually resolve if bowel movements are kept regular and soft. Stool softeners such as bran or psyllium seed preparations can help. Suppositories can be used if these measures do not work. Anesthetic ointment or solutions often help relieve the discomfort, but repeated use of pain killing or numbing ointments can cause irritation or inflammation around the anus. Warm sitz baths for 15 minutes after each bowel movement will give some relief. In extreme cases, the fissure must be repaired surgically.

35. Cellegy Pharmaceuticals: Clinical: Anal Fissures Anal fissure patients wanted for clinical trial Non-surgical treatment for anal fissures. What are anal fissures? An anal fissure http://www.cellegy.com/clinical/anal_fissures.html

What are Anal Fissures? An anal fissure is a tear in the lining of the anus that is associated with pain (especially during bowel movements), bleeding, and/or itching. While the exact cause of anal fissures is unknown, there is accumulating evidence that increased muscle tone (hypertonicity) of the internal, but not the external, anal sphincter is a predisposing factor in the formation of anal fissures, and possibly hemorrhoids. Blood vessels normally provide an adequate blood supply to the site where fissures occur. When sphincter tone is increased, the blood supply to the affected area is decreased and even minimal trauma, such as a hard stool, may increase the susceptibility to a fissure. Based on Verispan data, there are now approximately 750,000 domestic cases of anal fissures diagnosed each year. About 60% of these fissures are acute and heal with conservative treatment. Stool softeners, topical anesthetics, sitz baths, and increased intake of dietary fiber are recommended to relieve pain, and prevent recurrence of the fissures. Anal fissures that do not heal within several weeks are considered chronic. Historically, chronic anal fissures have been treated surgically with a lateral internal anal sphincterotomy, in which the internal anal sphincter (IAS) is partially cut. While severing the IAS has been shown to promote the healing of a large percentage of chronic fissures, it has also been found to create some form of fecal incontinence in up to 35% of patients receiving this surgical treatment.

36. Cellegy Pharmaceuticals: Clinical: Anogesic Anal fissure patients wanted for clinical trial Non-surgical treatment for anal fissures. Anal Fissure Patients. Cellegesic (CP125 http://www.cellegy.com/clinical/trial.html

Anal Fissure Patients Cellegesic (CP125 Nitroglycerin Ointment) Phase III Clinical Trial Cellegy Pharmaceuticals is conducting a research study to determine the effect of CP125 nitroglycerin ointment on the pain associated with a chronic anal fissure. A chronic anal fissure is a persistent tear in the tissue in the anal area. For this study, a chronic anal fissure is defined as anal pain, especially at the time of a bowel movement at least 3 days a week for at least 30 days. There may or may not be fresh blood associated with the bowel movement. This study is placebo-controlled. Participants will be randomly selected to receive either CP125 nitroglycerin ointment or placebo (inactive ingredients of the ointment). Random selection is like the toss of a coin. Participants will have a 50% chance of receiving CP125 nitroglycerin ointment and a 50% chance of receiving placebo. Participants will apply ointment approximately every 12 hours daily for 56 days and will be required to record each day in a diary the intensity of pain they are experiencing, times that the ointment is self-administered, and any other self-administered therapies. Following the 56-day study, all participants will be contacted by telephone every 3 months for 12 months to determine if they received any subsequent treatments for their anal fissure. Candidates for this study should meet the following criteria:

37. Anal Fissure -- Topic Overview What is an anal fissure? anal fissures do not lead to more serious conditions such as colon cancer. Most anal fissures Click here to see an illustration. http://my.webmd.com/hw/health_guide_atoz/uf4765.asp

var guid_source = ""; var guid_source_id = ""; //unused var encodedurl = ""; WebMD Today Home WebMD News Center Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Quizzes, Calculators Clinical Trials ... Women, Men, Lifestyle Who We Are About WebMD Site Map You are in Medical Library Choose a Topic Our Content Sources Ask A Question Clinical Trials Health Guide A-Z Health Topics Symptoms Medical Tests Medications ... Credits Anal Fissure Topic Overview What is an anal fissure? An anal fissure is a tear in the lining of the lower rectum ( anus ) that causes pain during bowel movements. It is a common condition. Anal fissures do not lead to more serious conditions such as colon cancer. Most anal fissures heal with home treatment after a few days or weeks. Occasionally a fissure becomes chronic, taking more than 6 weeks to heal, and usually requires medication to heal. Surgery may be necessary for fissures that don't respond to medication. Anal fissures affect people of all ages, particularly young and otherwise healthy people. They are equally common in men and women. Sometimes an anal fissure and a hemorrhoid develop at the same time.

38. Anal Pain anal fissures are most common in teenagers and young adults, and there has often been a period of constipation beforehand. Sometimes they follow childbirth. http://www.embarrassingproblems.com/pages2/anal_pain.htm

Contact us Tell a friend About the site Please let me know every time this page is updated. Your e-mail address: Anal pain What sort of pain is it? anal fissure . Some people describe it as like 'passing glass'. In addition to the pain, you may notice some bright red blood on the toilet paper. A similar knife-like pain can be caused by herpes simplex virus. A nagging, aching discomfort made worse by defecation could be due to piles A throbbing pain, worsening over a few days, and bad enough to disturb your sleep, is likely to be caused by an abscess An occasional, severe, cramp-like pain deep in the anal canal, lasting about half an hour is probably a condition called proctalgia fugax A continuous aching pain in the anus needs to be sorted out by your doctor. It is most often caused by a back problem (when a part of the spine presses on a nerve).

39. PILS Leaflet L4; Anal Fissure; (Version=14) Anal Fissure. An anal fissure causes pain which is worst when you pass a stool. anal fissures are common. They are not usually serious, but they are sore. http://www.prodigy.nhs.uk/clinicalguidance/releasedguidance/webBrowser/pils/PL4.

Anal Fissure An anal fissure causes pain which is worst when you pass a stool. It usually heals within 2-6 weeks, but lasts longer in some cases. Treatment aims to ease the pain until it heals, and to keep the stools soft and easy to pass. What is an anal fissure? An anal fissure is a small tear of the skin of the anus. Although the tear is usually small, it can be very painful because the anus is very sensitive. You may have severe pain when you pass stools (sometimes called faeces or motions). Often an anal fissure will bleed a little. You may notice blood after you pass a stool. The blood is usually bright red, stains the toilet tissue, but soon stops. Anal fissures are common. They are not usually serious, but they are sore. What causes an anal fissure? Most are thought to be due to passing a large or hard stool when you are constipated. The rim of the anus may stretch and tear slightly. Spasm (tightening) of the muscle around the anus (the sphincter) may play a part. Sometimes they are caused by diarrhoea or other gut problems. What is the treatment for an anal fissure?

40. Prodigy Guidance - Anal Fissure This guidance covers the medical treatment of acute and chronic anal fissures in adults. 22. Lubowski, DZ (2000) anal fissures. http://www.prodigy.nhs.uk/guidance.asp?gt=anal fissure

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