41. Anal Fissure, UPMC | University Of Pittsburgh Medical Center, Pittsburgh, PA, US A comprehensive resource describing the causes, symptoms, diagnosis, and treatment of anal fissures from the health care experts at the University of http://analfissure.upmc.com/

Home Anal Fissure An anal fissure is a painful cut in the lining of the anus. The anus is the opening through which stool passes from the body. Tears generally occur just inside the opening. Read more Overview Diagnosis Treatment Options ... Contact UPMC Supplemental content provided by HealthGate Data Corp Terms and Conditions

42. Adult Health Advisor 2002.1: Anal Fissure anal fissures are a common disorder, particularly in persons with irregular or hard bowel movements. What can be done to help prevent anal fissures? http://www.med.umich.edu/1libr/aha/aha_analfiss_crs.htm

Adult Health Topics All Health Topics Find a UMHS Doctor T his information is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Search Adult Topics Search All Topics T his information is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Anal Fissure What is an anal fissure? An anal fissure is a small tear or break in the skin at the outer tip of the anal canal. The anus is the opening through which bowel movements pass. Anal fissures are a common disorder, particularly in persons with irregular or hard bowel movements. How does it occur? Tears in the anal skin occur during bowel movements when hard, dry stools are passed. They may also be associated with: straining at bowel movements when you are constipated stress or tension waiting too long to have a bowel movement (BM) constipation after surgery What are the symptoms?

43. Pediatric Advisor 2003.2: Anal Fissure Anal Fissure. What is an anal fissure? Injury to the anal canal during passage of a hard or large BM is the usual cause of anal fissures. How long does it last? http://www.med.umich.edu/1libr/pa/pa_analfis_hhg.htm

Pediatric Health Topics All Health Topics Mott Children's Hospital Pediatric Services ... Find a UMHS Doctor Search Pediatric Topics Search All Topics This information is approved and/or reviewed by U-M Health System providers but it is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Index Anal Fissure What is an anal fissure? An anal fissure is a shallow tear or crack in the skin at the opening of the anus. More than 90% of children with blood in their stools have an anal fissure. You may notice the following symptoms: The blood in the stool is bright red. The blood is only a few streaks or flecks. The blood is on the surface of the bowel movement (BM) or on the toilet tissue after wiping. Your child usually passes a large or hard bowel movement just before you notice the blood. You may see a shallow tear at the opening of the anus when the buttocks are spread apart, usually in a clock position of 6 or 12 o'clock. However, a tear cannot always be seen.

44. Anal Fissures I m having a very hard time healing anal fissures. I d Healing anal fissures I m having a very hard time healing anal fissures. I would http://www.ivillagehealth.com/experts/digestive/qas/0,,232657_173868,00.html

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45. Anal Fissure anal fissures. Most acute fissure heal spontaneously. Local nitroglycerin for treatment of anal fissures an alternative to lateral sphincterotomy? http://www.surgical-tutor.org.uk/system/abdomen/anal_fissure.htm

Up Abdominal incisions Groin hernias Other hernias ... Inflammatory bowel disease [ Anal fissure ] Haemorrhoids Perianal sepsis Pilonidal sinus Rectal prolapse ... Abdominal masses Anal fissures Most acute fissure heal spontaneously Chronic fissures (more than 6 weeks) duration associated with increased intra-anal pressure Treatment aimed at reducing anal sphincter pressure Aetiology Probably due to mucosal ischaemia secondary to muscle spasm Probably not a 'tear' due to the passage of a hard stool (Pecten band theory) 5% associated with chronic intersphinteric abscess Usually seen between 30 and 50 years 90% posterior midline 10% anterior midline Anterior fissure more common in women – specially post partum If multiple fissure or at unusual site consider Crohn's Disease Syphilis Tuberculosis Clinical features Present with pain on defecation, bright red bleeding and pruritus ani Fissure often visible on parting of buttocks +/- 'sentinel pile' Features of chronicity - papilla, undermined edges, visible internal sphincter Treatment Bulking agent and topical local anaesthesia produces symptomatic improvement 50% of acute fissures heal with this treatment Recent interest in the use of 0.2% GTN ointment for treatment of chronic fissures

46. Anal Fissure And Anal Fistula Minor anal fissures can often be helped to heal by drinking more fluids, eating a highfiber diet, allowing enough time for a bowel movement, and using stool http://www.meritcare.com/hwdb/_followLink.asp?sgml_id=sta123266-sec

47. Anal Fissure: Topic Overview Anal Fissure. Topic Overview. anal fissures do not lead to more serious conditions such as colon cancer. Most anal fissures Click here to see an illustration. http://www.meritcare.com/hwdb/showTopic.asp?pd_hwid=uf4765

48. THE MERCK MANUALSECOND HOME EDITION, Anal Fissure In Ch. 130 Anal Fissure. An anal fissure is a tear or ulcer in the lining of the anus. anal fissures may be caused by an injury from a hard or large bowel movement. http://www.merck.com/mrkshared/mmanual_home2/sec09/ch130/ch130c.jsp

49. THE MERCK MANUAL, Sec. 3, Ch. 35, Anorectal Disorders Although the precise etiology is unknown, anal fissures are believed to be caused by a traumatic laceration from a hard or large stool, with secondary infection http://www.merck.com/mrkshared/mmanual/section3/chapter35/35c.jsp

50. Anal Fissure Anal Fissure, www.Studenthealth.co.uk. This reason. Rarely anal fissures can be associated with more serious inflammatory bowel conditions. http://www.studenthealth.co.uk/leaflets/AnalFissure.htm

Anal Fissure www.Studenthealth.co.uk This is a very common condition, and is a small tear in the lining of the anal canal, which can cause pain, bleeding and itching. It is commonly caused by constipation, but often occurs after a bout of diarrhoea or for no obvious reason. Rarely anal fissures can be associated with more serious inflammatory bowel conditions. Probably about half of fissures will heal with little difficulty. Taking Ispaghula husk, which is a bulk forming laxative may aid the healing process, particularly if your diet is low in fibre. An anaesthetic cream is sometimes prescribed if there is a lot of pain, but sensitivity to these preparations may occur. Chronic fissures (a fissure that has not healed in about 6 weeks) may require a more active intervention. Traditionally this involves surgery usually with some form of stretching of the anal sphincter. More recently, Glyceryl trinitrate ointment (GTN) has been used with reasonable success. This is an unlicensed treatment in the UK, and you will need to discuss it's use with a medical practitioner.

51. AYC: Anal Fissure Or Anal Ulcer Analrectal disorders include anal itch, hemorrhoids (both internal and external), anal fissures (both acute and chronic), anal abscesses, and fistula-in-ano. http://alwaysyourchoice.com/ayc/adult/general/anal_fissure.php

Adult Medicine General Health Acne Acute Lymphocytic Leukemia ... Information Anal Fissure or Anal Ulcer Basic Information Ano-rectal disorders are common occurrences for at least 50% of the U.S. population. They affect children and adults, males and females, gay and straights alike. There seem to be several causes for these fissures. Besides a traumatic bowel movement trauma from anal penetration is often common in gay men. The trauma does not necessarily have to be caused by a penis but by any blunt invasion of the anal cavity opening which can include sex toys. If caused by sexual penetration the fissures may occur almost anywhere unlike the fissures caused by traumatic bowel movement which are most often found in the posterior midline section. Infants or young children seem also to be at risk for anal fissures, sometimes in an acute form.

52. Anal Fissure Keywords Find it Here. Anal Fissure. 2. AboutDigestion.com Diseases Conditions - Anal Fissure - Explains how anal fissures are caused and treated. http://www.health-nexus.com/anal_fissure.htm

Health-Nexus.Net Health-Nexus.Org The #1 Health information site Home ... Anal Fissure 11-20 Search Health-Nexus for: Match ALL words Match ANY word Email this page to a friend ! Post a question or comment on our Message Board Home Page Health Specialties Health News ... Alternative Health Options Substance Abuse Animal Health Search: Books Magazines Video Keywords: Find it Here Anal Fissure ASCRS:Patient Brochure - Anal Fissure - Explains how anal fissures are caused and treated. Also provides a synopsis of the usual recovery times and cure rates. Advice For Patients who Suffer from Anal Fissure 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... OnHealth: Anal Fissure - Anal Fissure Article. Anal Fissure Self Help Page - with first-hand accounts, links, and advice. Anal Fissure Information Page. Advice For Patients who Suffer from Anal Fissure ANAL FISSURE / The Rudd Clinic Can Help Anal Fissure Home Up Adenomatus Polyposis Coli [ Anal Fissure ] Appendicitis Botulism Campylobacter Digestive Disorders - Cancers ... Wrist Conditions-Disorders

53. Anal Fissure An anal fissure is an ulcer in the anal canal. Symptoms anal fissures can occur at any age, but are more common in the young and in women. http://www.oxmed.com/docs/datafiles/anal fissure.html

Anal Fissure An anal fissure is an ulcer in the anal canal. It can vary from a small split in the lining of the anus to a deep ulcer down to the anal sphincters. There may be a small skin tag associated with it and this is called a 'sentinel pile'. It is nothing to do with haemorrhoids. Symptoms Anal fissures can occur at any age, but are more common in the young and in women. Its precise cause is not known, but it may be associated with constipation or the passage of a hard large stool, which tears the anal lining. This then causes pain, which is worse on opening the bowels. Therefore the affected person avoids defaecation as long as possible, becomes constipated and eventually passes a hard large stool that re-tears the anal lining. Hence a vicious circle is set up. It may occur as a complication of large piles, anal polyps, labour (causing problems after giving birth), and in those who practice anal intercourse. Some fissures are asymptomatic (ie cause no symptoms), but most patients experience severe pain on opening the bowels, which can last up to an hour afterwards. There may be associated bleeding, which is usually bright red and is on the stool or on the toilet paper.

54. InteliHealth: Fissure For anal fissure, symptoms may include Prevention. You may be able to prevent anal fissures by preventing episodes of constipation. http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/9997.html

chrome_imgPreload('gifChr_mid_but_home_mo_1','http://img.intelihealth.com/i/C/Chr_mid_but_home-o.gif'); chrome_imgPreload('gifChr_mid_but_comm_mo_2','http://img.intelihealth.com/i/C/Chr_mid_but_comm-o.gif'); chrome_imgPreload('gifChr_mid_but_dental_mo_3','http://img.intelihealth.com/i/C/Chr_mid_but_dental-o.gif'); chrome_imgPreload('gifChr_mid_but_drug_mo_4','http://img.intelihealth.com/i/C/Chr_mid_but_drug-o.gif'); chrome_imgPreload('gifChr_mid_but_askexpert_mo_5','http://img.intelihealth.com/i/C/Chr_mid_but_askexpert-o.gif'); chrome_imgPreload('gifChr_mid_but_medical_mo_6','http://img.intelihealth.com/i/C/Chr_mid_but_medical-o.gif'); chrome_imgPreload('gifChr_mid_but_chats_mo_7','http://img.intelihealth.com/i/C/Chr_mid_but_chats-o.gif'); chrome_imgPreload('gifchr_mid_but_news_mo_8','http://img.intelihealth.com/i/c/chr_mid_but_news-o.gif'); chrome_imgPreload('gifChr_mid_but_privacy_mo_9','http://img.intelihealth.com/i/C/Chr_mid_but_privacy-o.gif'); Advertisement Anal Disorders What Is It? Symptoms Diagnosis Expected Duration ... Additional Info What Is It? The anus is the muscular canal through which stool passes out of the body. In adults, the anus is about an inch and a half long, and it has a lining that contains blood vessels, sensitive nerve endings and six to eight small anal glands. This article describes four disorders that cause anal pain and irritation:

55. HEMORRHOID CARE MEDICAL CLINIC 888-734-2224, Laser Surgery, Non-surgical Treatme Anal Fissure as seen through an anoscope. top. anal fissures also may be secondary to anorectal surgery, proctitis, tuberculosis, or cancer of the anus. top. http://www.hemorrhoid.net/fissure.htm

Introduction Causes of Anal Fissure Symptoms Diagnosis ... Surgical Treatment Introduction An anal fissure (AY-nul FISH-er) is a tear in the anus causing a painful linear ulcer at the margin of the anus. An anal fissure, also known as fissure-in-ano, may cause itching, pain or bleeding. Fissures can extend upward into the lower rectal mucosa; or extend downward causing a swollen skin tab or tag to develop at the anal verge, also known as a sentinel pile. Fissures with sentinel pile. Anal Fissure as seen through an anoscope. top Causes of Anal Fissure Either extreme constipation or diarrhea , usually combined with nervous tension over a prolonged period of time, may produce anal abrasions, simple slit-like fissures, or acute ulcers at the anal verge. With constipation, this condition is usually caused by the passage of a hard dry stool that tears the anal lining upon deification. With diarrhea, this condition is usually caused by an over use and over-wiping of an inflamed anal canal. Because of an associated anal crypt infection, causing

56. Bbc.co.uk - Health - Ask The Doctor Anal Fissure Ask the Doctor. Q anal fissures. I have an embarrassing problem, an anal fissure. An anal fissure is a tear in the delicate lining of the anus. http://www.bbc.co.uk/health/ask_doctor/anal_fissure.shtml

@import url('/includes/tbenh.css') ; Home TV Radio Talk ... A-Z Index WEDNESDAY 2nd June 2004 Text only BBC Homepage Health Home Lifestyle Home ... Help Like this page? Send it to a friend! Ask the Doctor Q: Anal fissures I have an embarrassing problem, an anal fissure. What can I do about it? Paul Dr Rob Hicks responds An anal fissure is a tear in the delicate lining of the anus. They're relatively common and are most often caused by a hard, dry stool as it's being passed. Diarrhoea and any inflammation in the same area can cause the lining to tear as well. With an anal fissure, passing bowel motions can be very uncomfortable. Bright red fresh blood will often appear in the toilet bowl or on the toilet tissue when you clean yourself, and gives people a real fright. The pain then eases off until the next time you open your bowels when back it comes again. For the pain, an anaesthetic cream or gel (available from the pharmacist) works well. Taking a Sitz bath is also recommended if you have the time. This involves sitting in a bath of warm water that covers the hips and buttocks a few times a day. To protect the fissure from the outside forces of clothes rubbing against it, use a barrier cream such as zinc and castor oil to protect it. Plenty of fibre from fruit, vegetables, wholemeal bread, and breakfast cereals; dried figs and prunes; and at least eight glasses of water a day will keep the bowel motions soft so that further damage doesn't occur. Whilst you're at the pharmacist, you may wish to get a gentle stool softening liquid.

57. Anal Fissure- Medcohealth.com Cause And Risk. 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.medcohealth.com/medco/consumer/ehealth/ehsarticle.jsp?topicID=HE:Dise

58. Anal Fissure - Medcohealth.com 9, **Digital rectal exam An examination of the lower rectum to check for hemorrhoids, anal fissures and stool abnormalities such as frank or occult blood. http://www.medcohealth.com/medco/consumer/ehealth/ehskeywordsearch.jsp?topicID=A

59. Anal Fissure I went to a doctor the same day and was told it was an anal fissure. Hydrocortisone is not normally effective for anal fissures. http://www.medhelp.org/forums/gastro/messages/35611a.html

Questions in The Gastroenterology Forum are currently being answered by Kevin Pho M.D., who is board certified in Internal Medicine and is also affiliated with an academic medical center. Special Notices: Subject: Anal Fissure Topic Area: Gastroenterology - General Forum: The Gastroenterology and Liver Diseases Forum Question Posted By: MarieJ on Sunday, April 13, 2003 Answer Posted By: Forum-M.D.-KYP on Monday, April 14, 2003 Hello - thanks for asking your question. Hydrocortisone is not normally effective for anal fissures. Topical nitroglycerin increases local blood flow and reduces pressure in the internal anal sphincter, which may further facilitate healing. In studies, the median time of healing was 6 weeks. Another form of therapy is botulinum toxin. Injection of botulinum toxin into the anal sphincter can improve healing in patients with chronic anal fissure. Time to healing in these studies were approximately 2 months. The ability of oral nifedipine to reduce resting internal anal sphincter pressure prompted its use for the treatment of patients with chronic anal fissures. Treatment was associated with an initial reduction in maximum anal resting pressure and pain scores. Time to healing in these studies were approximately 2 months. If these medical therapies do not help, then the next option would be surgical. In trials, surgery has proven to be more effective than medical therapy.

60. Anal Fissure Proper Diagnosis? Subject Anal Fissure Proper Diagnosis? Dear Thomas, anal fissures can present with burning rectal pain and a small amount of bleeding. http://www.medhelp.org/forums/gastro/archive/6325.html

Questions in The Gastroenterology Forum are currently being answered by Kevin Pho M.D., who is board certified in Internal Medicine and is also affiliated with an academic medical center. Subject: Anal Fissure Proper Diagnosis? Topic Area: Digestive Forum: The Gastroenterology and Liver Diseases Forum Question Posted By: Thomas on Friday, March 26, 1999 Dear Thomas, Anal fissures can present with burning rectal pain and a small amount of bleeding. Given your age, this diagnosis is very likely. However, to allay your concerns and to exclude other cponditions that can present this way, you should have a flexible sigmoidoscopy [examination with a short telescope]. This information is presented for educational purposes. Ask specific questions to your personal physician. HFHSM.D.-rf *keywords: anal fissure Gastroenterology Forum Gastroenterology Archives Med Help International Home Information contained within this forum is intended solely for general educational purposes and is not intended nor implied to be a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your physician or other health provider for any questions you may have regarding your medical condition. Only your physician can provide specific diagnoses and therapies. By using this site you agree to the following Terms and Conditions Med Help International

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