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. 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?

3. BBC - Health - Ask The Doctor - Anal Fissures Dr Trisha Macnair looks at how to treat anal fissures. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

4. Treatment Of Anal Fissures Research. Definitions. Links. Print this page. anal fissures originally are a superficial tear in the tissue which lines the anal canal. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

5. Practice Parameters For The Management Of Anal Fissures (revised). GUIDELINE TITLE. Practice parameters for the management of anal fissures (revised). http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

6. Anal Fissures Frequently Asked Questions anal fissures Frequently Asked Questions. From Amber J. Tresca, Your Guide to Irritable Bowel / Crohn's Disease. FREE Newsletter. Sign Up Now! http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

7. 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. 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 health factsheets 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.

8. Anal Fissures ECureMe.com Hospital Directory anal fissures more about anal fissures Normal Abnormal This is a cut (ulcer or Laceration) inside the anus. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

9. Neuromyogenic Properties Of The Internal Anal Sphincter Therapeutic Neuromyogenic properties of the internal anal sphincter therapeutic rationale for anal fissures. Summary. Top Summary Autonomic transmitters http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

10. Neuromyogenic Properties Of The Internal Anal Sphincter Your browser does not support frames. Click here to view the unframed reprint. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

11. Treatment Of Anal Fissures anal fissures originally are a superficial tear in the tissue which lines the Treatment of anal fissures is divided into medical and surgical groups. 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.

12. 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 http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

13. 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(/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 the end of the first year. Most fissures heal on their own and do not require treatment, aside from good diaper hygiene. 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 , the passing of large, hard stools, or by prolonged diarrhea. In older adults, anal fissures may be caused by decreased blood flow to the area.

14. Hemorrhoids - Proven Natural Treatment. (hemorroids, Hemmoroids Toll Free 866 445 5433 Contact us by email Genital Warts Herpes Cold Sores Hemorrhoids anal fissures Warts Shingles Genital Warts information http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

15. Anal Fissure anal fissures are tears in the skin overlying the anal sphincter, usually due to anal fissures cause pain during defecation and bleeding from the anus. 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

16. Anal Fissure, Abscess And Fistula This prevents constipation, which is the cause of most fissures. Anal Abscess and Fistula An abscess is a localized pocket of pus caused by http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

17. Anal Fissure 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. http://www.shands.org/health/information/article/001130.htm

Disease Injury Nutrition Poison ... Rectum Anal fissure Definition: 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: 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. Anal fissures are also common in women after childbirth and people with Crohn's disease Symptoms: Pain while having a bowel movement Blood on the surface of stool (not mixed in with stool) Blood on toilet tissue or wipes A crack in the skin that is visible when the anus is stretched slightly (the fissure is almost always in the midline) Constipation , often with painful bowel movements Signs and tests: Inspection of the rectum Physical exam of the rectal mucosa Treatment: Stool softeners Dietary adjustment (addition of bulk substances that absorb water while in the intestinal tract)

18. Anal Fissures Frequently Asked Questions If you have an anal fissure, you will need treatment. Fortunately they are curable without surgery in most cases. http://ibscrohns.about.com/cs/relatedconditions/a/fissurefaq.htm

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19. Anal Fissures An anal fissure is a small tear in the lining of the anus which can be both painful and embarassing. http://ibscrohns.about.com/od/fissures/

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zfs=0;zCMt='a61' About Irritable Bowel / Crohn's Disease Related Conditions Fissures Crohn's Disease Essentials Crohn's Disease FAQ Irritable Bowel Syndrome FAQ ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Irritable Bowel / Crohn's Disease newsletter! See Online Courses Search Irritable Bowel / Crohn's Disease Anal Fissures Fissures are often painful, but they can be treated successfully. Alphabetical Recent Up a category Anal Fissures Frequently Asked Questions If you have an anal fissure, you will need treatment. Fortunately, in most cases they are curable through conservative treatment and surgery is not needed. 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.

20. Addenbrooke's Hospital: FAQs About Anal Fissures anal fissures are different from haemorrhoids and have no relationship with cancer. What are the symptoms of an anal fissure? Pain on passing faeces, http://www.addenbrookes.org.uk/serv/clin/surg/colorectal/fissure1.html

Home A-Z About us News ... Cambridge Colorectal Unit 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.

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