61. FamilyFun: Health Encyclopedia: Anal Fissures anal fissures. anal fissures can be treated successfully and seldom become chronic. WHEN SHOULD I SUSPECT THAT MY CHILD HAS anal fissures? http://familyfun.go.com/parenting/child/health/childhealth/dony79enc_anfiss/

Search FamilyFun Tools Parent Problem Solver Field Guide to Parenting Pregnancy Calendar ... Solutions A to Z Anal Fissures A small tear or cracklike sore in the mucous lining of the anus, the outlet through which fecal waste passes, is known as an anal fissure. Fissures are the most common cause of rectal bleeding in infants and older children. While parents may be alarmed to see a blood stain in their child's stool or diaper, there is usually no need for concern. Anal fissures can be treated successfully and seldom become chronic. WHEN SHOULD I SUSPECT THAT MY CHILD HAS ANAL FISSURES? If you see blood in your child's stools or diaper, anal fissures are a possible cause. Your child also may be constipated, refuse to defecate or complain of pain when moving the bowels. WHAT CAUSES ANAL FISSURES? Anal fissures ususally are caused by constipation. They develop when stools are dry and hardened and moving the bowels requires exertion. As the child strains, the anus stretches and the mucous lining cracks like a split lip. The passing stools irritate the wound and cause the surrounding muscles (the sphincter muscles ) to go into spasms. Spasms are painful and can delay healing by leading to increased constipation.

62. Anal Fissure What is the cause? Most anal fissures arise following trauma (injury) to the anus. About 50 percent of anal fissures heal without the need for surgery. http://www.medic8.com/healthguide/articles/analfissure.html

"Your trusted source for health information online" Health Guide A to Z Medical Dictionary Medical Insurance ... Help HEALTH GUIDE Index Health Insurance Women's Health Men's Health ... Medical Dictionary TELL A FRIEND Tell A Friend About This Page TOPICS/THEMES Allergies Alternative Health Arthritis Asthma ... Women's Health MISCELLANEOUS Interactive Tutorials Herbal Health Products Medical News Medic8 Search ... About Medic8 ANAL FISSURE - a patient's guide The Oxford Clinic What is an anal fissure? An anal fissure is a common disorder which affects any age group. An anal fissure is a benign superficial ulcer in the anal canal. It is usually about 1cm long and at its lower end there may be a tag of swollen skin. This tag is called a sentinal pile. Sentinal, because it guards the fissure. Primary fissures may be acute (sudden onset) or chronic (persistent symptoms of more than a few weeks).

63. Anal Fissure anal fissures are tears in the skin overlying the anal sphincter, usually due to increased tone of the anal sphincter muscles, and a failure of these muscle to http://www.shands.org/health/surgeries/100154.html

Anal fissure Normal anatomy The anus is a sphincter at the end of the rectum through which passes stool during defecation. The anal sphincter is a critical mechanism for control of fecal continence. Review Date: 07/20/01 Reviewed By: A.D.A.M. Medical Illustration Team Indication Anal fissures are tears in the skin overlying the anal sphincter, usually due to increased tone of the anal sphincter muscles, and a failure of these muscle to relax. Anal fissures cause pain during defecation and bleeding from the anus. Review Date: 07/20/01 Reviewed By: A.D.A.M. Medical Illustration Team Incision Most anal fissures can be treated successfully with conservative measures, which include stool softeners and warm soaks. The goal is to relax the anal sphincter, which allows the fissure to heal. If these methods are ineffective, surgery is necessary. This is called an internal sphincterotomy, a procedure in which the anal sphincter is partially cut, thus allowing it to relax and permitting the fissure to heal. Review Date: 07/20/01 Reviewed By: A.D.A.M. Medical Illustration Team

64. MotherNature.com - The Doctors Book Of Home Remedies II: Anal Fissures age spots. Ch.1, age spots. Ch.2, aging eyes. Ch.3, anal fissures. Ch.4, angina. Ch.5, animal bites. FREE With Your Next Purchase! Click Here To Learn More! anal fissures. http://www.mothernature.com/Library/Bookshelf/Books/48/3.cfm

Items in cart: Product Total: Add $35.00 for FREE Shipping! Welcome Shopper! Sign in or Sign up. Search Products Library 4 Ways To Shop Brands Health Concern Departments CHAPTER LIST FOR BOOK TITLE: age spots Ch.1 age spots Ch.2 aging eyes Ch.3 anal fissures Ch.4 angina Ch.5 animal bites Ch.6 arthritis Ch.7 asthma Ch.8 athletes foot Ch.9 backache Ch.10 bad breath Ch.11 bedsores Ch.12 bed wetting Ch.13 bee stings Ch.14 belching Ch.15 binge eating Ch.16 black eye Ch.17 blemishes Ch.18 Blisters Ch.19 Bloodshot Eyes Ch.20 Body Odor Ch.21 Boils Ch.22 Breastfeeding Ch.23 Breast Lumpiness Ch.24 Breast Tenderness Ch.25 Brittle nails Ch.26 Broken Bones Ch.27 Bronchitis Ch.28 Bruises Ch.29 Bunions Ch.30 Burns Ch.31 Bursitis Ch.32 Caffeine Dependency Ch.33 Canker Sores Ch.34 Carpal Tunnel Syndrome Ch.35 Cataracts Ch.36 Cavities Ch.37 Chafing Ch.38 Chapped Lips Ch.39 Charley Horse Ch.40 Cheek Bites Ch.41 Chickenpox Ch.42 Chipped Tooth Ch.43 Cholesterol Control Ch.44 Chronic Fatigue Syndrome Ch.45 Cold Hands and Feet Ch.46 Colds Ch.47 Cold Sores Ch.48 Colic Ch.49 Colitis Ch.50 Conception Problems Ch.51 Constipation Ch.52 Contact Lens Problems Ch.53

65. Anal Fissures anal fissures. An anal fissure is a shallow crack or tear in the lining of the anus (opening where poop comes out). When your baby http://www.ahsc.health.nb.ca/Emerg/anal_fissures.shtml

Search Conditions A- Z Search Categories Medication Administration français Anal Fissures An anal fissure is a shallow crack or tear in the lining of the anus (opening where poop comes out). When your baby or child has a poop, this bothers the tissue around the tear and may cause really bad pain. Fissures are most common in infants and young children. Causes: Often they are caused by trying to pass large, hard stool (poop). This causes the anus to stretch leading to a small crack or tear. Most infants and young children get better once their poop is softer. Symptoms: Babies will probably cry loudly when having a poop. Young children will probably cry and tell you that their bum hurts when they have to go poop. You may see streaks of blood on the diaper, toilet paper or underwear. You may notice them scratching their anal area or complaining it is itchy. Prevention: For children you should: Encourage them to drink lots of water every day to help avoid constipation.

66. EHow.com: How To Care For Anal Fissures Postpartum How to Care for anal fissures Postpartum. Due to the incredible pushing How to Care for anal fissures Postpartum. Due to the incredible pushing http://www.ehow.com/how_9824_care-anal-fissures.html

More Than 15,000 How-to Solutions How to: Home > Building a Family How to Care for Anal Fissures Postpartum Due to the incredible pushing involved in bringing forth a new life, many women suffer from anal fissures and hemorrhoids postpartum. A consistent daily regimen of nutrition, good hygiene and exercise can help reduce the discomfort associated with an anal fissure. Steps: Avoid constipation. Eat a diet high in fiber and whole grains, with plenty of fresh fruit and vegetables. Drink 8 to 10 glasses of water a day. Exercise, even if it is just a brisk 10-minute walk. Exercise helps to increase blood flow. Place hemorrhoid pads on your sanitary napkin. Witch hazel is the main ingredient in most hemorrhoid pads and helps decrease swelling in skin tissue. Put 3 to 5 pads onto your sanitary napkin, so they are right against your rectum, and change them as often as you change the napkin. Use hemorrhoid pads in place of toilet paper, if toilet paper is too painful. Cleanse your rectal area thoroughly after each bowel movement. Use a peri-bottle after you have a bowel movement. Your birthing facility should provide you with one, but if they don't you can buy one at a pharmacy. It is simply a squirt bottle you fill with lukewarm water. Squirt the water on your anus after you have a bowel movement. Pat the area dry, or air-dry if it is too sensitive to use toilet paper or use hemorrhoid pads to cleanse the rectum.

67. Colorectal Cancer - Differential Diagnosis Anal Fissure Fistulae. anal fissures commonly affect patients aged between 30 and 50 years, being equally common in men and women. http://www.cancerlineuk.net/colorectal-cancer/differential-diagnosis/anal-fissur

CONTACT US SEARCH LEGAL INFORMATION PRIVACY STATEMENT ... SITE MAP Colorectal Cancer - Differential diagnosis Anal Fissure - Fistulae A fissure is an epithelial split in the lower half of the anal canal extending from the anal verge towards the dentate line. Anal fissures commonly affect patients aged between 30 and 50 years, being equally common in men and women. Fissures may occur in women following childbirth causing distressing painful symptoms. In babies, fissures may give rise to pain, constipation and feeding problems. Most fissures are posterior, but anterior ones are often seen in women. The aetiology is unclear but fissures may occur following an episode of diarrhoea or constipation. Pain is the most commonly occurring symptom, usually most intense immediately following defecation. Diagnosis is made following inspection of the anus and digital rectal examination, which is often limited by pain, and proctoscopy. Often a sentinel pile is present if the fissure has been chronic. Treatment is correction of constipation using a bulking agent and occasionally a topical anaesthetic. If the pain is severe or the fissure has recurred, anal dilatation or lateral subcutaneous sphincterotomy are performed as a day case. A high fibre diet is recommended long term. Recently, a means of reversible chemical sphincterotomy has been shown to be successful in 80% of patients, using twice daily local application of 0-2% percutol (GTN) diluted in soft white paraffin. Anal fistulae may occur insidiously or as abscesses. Some may be related to Crohn's disease. Rarely, fistulae are caused by trauma, tuberculosis or a neglected carcinoma. The symptoms are persistent or recurrent discharge or abscess in the perianal region.

68. Colorectal Surgical Society Of Australasia - Anal Fissure Cause. Most anal fissures arise following trauma (injury) to the anus. However, anal fissures can occur during bouts of diarrhoea, childbirth etc. http://www.cssa.org.au/patientarticle.asp?ArticleNo=17

69. Berkeley Parents Network: Anal Fissure As someone who has struggled with anal fissures since the tender age of six months (I m now 41), I feel qualified to give you some advice! http://parents.berkeley.edu/recommend/medical/analfissure.html

Berkeley Parents Network Home Subscribe Post Reviews ... Search Anal Fissure Berkeley Parents Network Reviews > Anal Fissure December 2003 A week or so after I delivered my baby (vaginal delivery, minor tearing healed quickly), I developed an anal fissure. I saw my primary care doctor, who said there was not really any treatment for it and it would go away on its own. And, she was right, it did go away, but then it came back. Then it went away. Then it came back. Then it went away. Then it came back. My baby is now 7 months old, and this is still happening every few weeks. Has anyone else experienced this? Will it eventually go away for good? Is there really no treatment, even for what seems to be a chronic condition? Recommendations received for physicians: Dr. Bitar Michael Verhille This happened to me when I was 17. I actually saw a proctologist who performed an outpatient procedure on me to heal the fissure, and release some pressure in the area, and the fissure never returned. I suggest seeing a specialist for another opinion. As someone who has struggled with anal fissures since the tender age of six months (I'm now 41), I feel qualified to give you some advice! Here's what you have to do: take hot sitz baths twice a day when you have a fissure, 5-10 minutes each time. Dose yourself with Metamucil, prunes, bran cereal, lots of water, etc. Avoid sharp foods like popcorn and seeds (i.e. rye bread). Once the fissure is no longer hurting or bleeding, you can stop the sitz baths but continue all the! other remedies for...well, about a year. The key is to completely, absolutely 100% avoid the possibility of a hard stool opening the fissure again. You have to be very dilligent. But if you can keep up the routine for a year, you probably won't have to deal with the problem again. Good luck!

70. Health Library - Anal Fissure. 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. http://yalenewhavenhealth.org/library/healthguide/IllnessConditions/topic.asp?hw

71. DrWeil.com Question: Healing An Anal Fissure? Today s Question. Healing an Anal Fissure? Do anal fissures often heal themselves without treatment, usually within several weeks. You http://www.drweil.com/app/cda/drw_cda.html-command=TodayQA-questionId=326570

Home About Us Contact Us Member Login/Profile Mon May 31, 2004 Ask Your Questions Like-Minded Practitioners Commercial Friends Find a Therapist Powered By Psychology Today Within miles 1 mile 2 miles 5 miles 10 miles 20 miles 50 miles Ask Dr. Weil Today's Question PRINT THIS PAGE SEND THIS TO A FRIEND Today's Question Healing an Anal Fissure? Do you have any tips on how to deal with an anal fissure? Lena Aitken Today's Answer (Published 03/05/2004) An anal fissure is a tear in the lining of the anal canal usually in the posterior portion, often the result of constipation and straining to have bowel movements. Fissures also can be caused by anal trauma (including anal sex) and laxative abuse, and can occur during childbirth. Less commonly they can result from inflammatory bowel disease, sexually-transmitted diseases, or scarring, especially after prior surgical procedures. Symptoms are sharp rectal pain and bleeding, usually during or following a bowel movement. The pain may be brief or can be a dull aching discomfort that lasts several hours. You may see blood on toilet paper or on the stool. Occasionally, anal itching is the major symptom, in which case a mucous discharge from the rectum usually is present. Anal fissures often heal themselves without treatment, usually within several weeks. You can speed the process along by avoiding constipation and softening the stool by increasing the amount of fiber in your diet. Eat lots of vegetables, wheat bran, whole-grain breads and cereals and fruit. Make sure you’re getting enough water – six to eight glasses per day. Insufficient fluids can contribute to constipation.

72. Anal Fissures - New Treatments, March 2, 2004 anal fissures. An anal fissure is a longitudinal tear in the distal anal canal, usually in the posterior or anterior midline. Anal http://www.medical-library.org/journals2a/anal_fissure.htm

Click here to view next page of this article Anal Fissures An anal fissure is a longitudinal tear in the distal anal canal, usually in the posterior or anterior midline. Anal fissures may be associated with secondary changes such as a sentinel tag, hypertrophied anal papilla, induration of the edge of the fissure, and anal stenosis. A patient with multiple fissures, or whose fissure is not in the midline, is more likely to have Crohn's disease. Treatment High fiber foods, warm sitz baths, stool softeners (if necessary), and daily application of 1% hydrocortisone cream to the fissure Lateral partial internal sphincterotomy is indicated when 4 weeks of medical therapy fails. It consists of surgical division.

73. Anal Fissures Clinical Guidelines for anal fissures. Nothing is Optimal In Isolation . Anal What Does Kristina Recommend for anal fissures? To http://www.optimalhealthnetwork.com/tek9.asp?pg=Anal_Fissures

74. Anal Fissure anal fissures are usually related to abnormal bowel movements. There are also several medical conditions that can cause anal fissures, including http://www.northmemorial.com/healthencyclopedia/content/182.asp

anal fissure Images (Click to view larger image) Alternative Names anal ulcer Definition An anal fissure is a tear in the internal lining of the anus. This area is called the anal mucosa. This break in the anal lining often reopens during bowel movements. The result is bright red blood and intense pain. What is going on in the body? An anal fissure is a tear in the bowel lining. It causes painful, bloody bowel movements. It is often confused with hemorrhoids, which are painful swellings at the anus caused by enlarged veins. A fissure can be acute or chronic. The chronic condition is often associated with a buildup of tissue at the external end of the tear. This is called a sentinel pile and may be noticed by an affected person. The internal end may also have a buildup of tissue that an affected person can rarely see. When a fissure is present, the mucosa of the anus opens each time it is stretched to allow for a bowel movement. This continual opening prevents healing. It can also leave scar tissue. Most chronic fissures are in the center of the back of the anus. The anal sphincter muscles need to relax for a person to have a bowel movement. A person with a fissure may have muscles that are too tight. This makes bowel movements painful.

75. Anal Fissures anal fissures. An anal fissure (anal ulcer) is a tear or ulcer in the lining of the anus. Fissures Treatment of anal fissures. Now http://www.bradpharm.com/html/anal_fissures.htm

Anal Fissures An anal fissure (anal ulcer) is a tear or ulcer in the lining of the anus. Fissures are usually caused by an injury from a hard or large bowel movement. Fissures cause pain and bleeding during or shortly after a bowel movement. The pain lasts for several minutes to several hours and then subsides until the next bowel movement. Fissures cause the sphincter to go into spasm, which may prevent healing. A doctor diagnoses a fissure by inspecting the anus. Treatment of Anal fissures Now there is AnaMantle HC which is indicated for the anesthetic relief of itching, pain soreness and discomfort due to anal fissures. A stool softener or psyllium may reduce the injury caused by hard bowel movements, while lubricating and soothing the lower rectum. Lubricant suppositories also can be helpful. A warm sitz bath for 10 or 15 minutes after each bowel movement eases discomfort and helps increase blood flow, which promotes healing. When these simple measures fail, surgery generally is needed.

76. Anal Fissures anal fissures. When a tear occurs along the anal canal it is called an anal fissure. When a tear occurs, pain makes the muscle fibers contract. http://www.cedars-sinai.edu/6232.html

Home Medical Dictionary Contact Us About Us ... Anal Fissures Anal Fissures Several muscles ring the anal canal and work together to control bowel movements. The inner muscle, just beneath the lining of the anal canal is called the internal involuntary anal sphincter. This muscle is usually closed. When a bowel movement occurs, the muscle relaxes to allow the stool to pass. When a tear occurs along the anal canal it is called an anal fissure. When a tear occurs, pain makes the muscle fibers contract. This stops the stool from passing. The fissure pulls apart when the muscle contracts (anal spasm). In turn, this affects the small blood vessels that carry nutrients and oxygen to the torn tissues. As a result, healing is slowed. Symptoms The pain and discomfort of an anal fissure usually gets worse when a person has a bowel movement. The pain tends to linger a long time afterward. There may be bleeding from the tear as well. Constipation may also occur as the condition gets worse. Causes and Risk Factors A fissure can occur when a person passes a hard stool or has a prolonged episode of diarrhea. Lack of fiber in the diet and food that can create a rough passage through the digestive system (such as popcorn, nuts or tortilla chips) can contribute to the development of these tears.

77. Anal Hemorrhoids, Anal Fissures, Hemorrhoid Treatment That Works! of refined starch, especially white bread and other flour products; in addition to dietary adjustments, daily practice of the anal sphincter exercise and http://www.hps-online.com/hemorrhoid-definition.htm

HEMORRHOIDS definition, considerations, causes, classification, diagnosis, therapies HPS -ONLINE Associated info: Colon cleansing and the direct connection to 'true' hemorrhoid cures Hemorrhoids- definition, considerations, causes, classification, diagnosis, therapies. Definition of hemorrhoids: Abnormally large of painful conglomerates of blood vessels, supporting tissues and overlying mucus membrane or skin of the anorectal area. Bright red bleeding on the surface of the stool, on the toilet tissue and/or in the toilet bowl. General considerations: In the industrial countries, hemorrhoidal disease is extremely common. Although most individuals may begin to develop hemorrhoids in their 20's, hemorrhoidal symptoms usually do not become evident until the 30's. Estimates have indicated that 50% per cent of men over 50 years of age have symptomatic hemorrhoidal disease and up to 1/3 of the total US population have hemorrhoids to some degree. Causes: The causes of hemorrhoidal disease are similar to those which cause varicose veins, i.e., genetic weakness of the veins, excessive venous pressure, pregnancy, long periods of standing or sitting and heavy lifting are considered the minor factors.

78. Pediatric Advisor 2001.2: Anal Fissure Touching the tear causes mild pain. CAUSE. Injury to the anal canal during passage of a hard or large BM is the usual cause of anal fissures. EXPECTED COURSE. http://www.childrenshospitaloakland.org/health_library/pa/hhg/analfis.htm

McKesson Clinical Reference Systems: Pediatric Advisor 2001.2 Spanish version Anal Fissure DESCRIPTION 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. The blood 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. Touching the tear causes mild pain. CAUSE Injury to the anal canal during passage of a hard or large BM is the usual cause of anal fissures. EXPECTED COURSE Bleeding from a fissure stops on its own in 5 or 10 minutes. HOME CARE Warm saline baths Give your child warm baths for 20 minutes, three times a day. Have him sit in a basin or tub of warm water with about 2 ounces of table salt or baking soda added. Don't use any soap on the irritated area. Then gently dry the anal area. Bowel movements After bowel movements gently cleanse the anus with warm water. Do not use dry toilet tissue until the fissures are healed.

79. BabyCenter | Community: BBS - Postpartum Aches And Pains | Rectal Bleeding-Anal Last week, I finally went to see a GI and he said that I most likely have an anal fissure. Does anyone else have experience with anal fissures? Any advice? http://bbs.babycenter.com/board/baby/physrecovery/1152353/thread/788922

var ACM, oPopup, oDefPopup, offsetTop=10, offsetLeft=10; You seem to have disabled JavaScript. To take full advantage of our site and functionality, we recommend you enable Javascript. How? Preconception Pregnancy Baby ... Postpartum aches and pains "Rectal Bleeding-Anal Fissure" Posts: Last Post: May 17, 2004, 7:41 AM (PDT) JOIN IN: See all Boards Create a new thread Add a message WATCHES: My watches Start watching this thread HOW TO: Getting started Community Guidelines Back to Postpartum aches and pains Messages First Last Author: Feb 17, 2004 , 8:42 AM (PST) I gave birth to my first child (DS) on 09/29/03 after 17 hours of labor and an episiotomy. About 4 weeks postpartum, I started having pain/bleeding with bowel movements. I thought it was just hemorrhoids from sitting for long hours while breastfeeding. Last week, I finally went to see a GI and he said that I most likely have an anal fissure. Since I am still breastfeeding, he suggested a more conservative approach: Benefiber and sitz baths. So far they haven't helped with softening up the stools. Does anyone else have experience with anal fissures? Any advice?

80. NEJM -- Pharmacologic Therapy For Anal Fissure anal fissures are easy to diagnose by taking a history and performing an appropriate physical examination — visualizing a sentinel skin tag and everting the http://content.nejm.org/cgi/content/short/338/4/257

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 338:257-259 January 22, 1998 Number 4 Next Pharmacologic Therapy for Anal Fissure Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings. Full Text Add to Personal Archive Add to Citation Manager E-mail When Cited ... PubMed Citation It has been said that all patients with anorectal symptoms come to the doctor reporting hemorrhoids or worrying about cancer. Among the myriad other diagnostic possibilities, one of the most common is anal fissure. This small tear in the anal skin just at or inside the anal verge typically causes symptoms of severe pain after defecation and bright red rectal bleeding. Anal fissures are easy to diagnose by taking a history and performing skin tag and everting the anal canal by opposing traction of Full Text of this Article References This article has been cited by other articles: Perez-Miranda, M., Jimenez, J. M., Maria, G., Gui, D., Brisinda, G., Madoff, R. D. (1998). Treatment of Chronic Anal Fissure. N Engl J Med [Full Text] Brisinda, G., Maria, G., Bentivoglio, A. R., Cassetta, E., Gui, D., Albanese, A. (1999). A Comparison of Injections of Botulinum Toxin and Topical Nitroglycerin Ointment for the Treatment of Chronic Anal Fissure.

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