41. Practice Parameters For The Management Of Anal Fissures (revised). To provide information about the management of chronic anal fissures to all Level of evidence Class II; Grade of recommendation B. anal fissures may http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=6506&nbr=4075

42. ANAL FISSURE Causes You may get an anal fissure from having a large, hard BM. Anal sex and putting things in your anus may also cause anal fissures. http://www.healthtouch.com/bin/EContent_HT/cnoteShowLfts.asp?fname=00540&title=A

43. BBC - Health - Ask The Doctor - Anal Fissures Dr Trisha Macnair looks at how to treat anal fissures. http://www.bbc.co.uk/health/ask_the_doctor/analfissures.shtml

@import url('/includes/tbenh.css') ; Home TV Radio Talk ... A-Z Index THURSDAY 8th September 2005 Text only BBC Homepage Lifestyle Health ... Help Like this page? Send it to a friend! 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, or hip, 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, 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. While you're at the pharmacist, you may wish to get a gentle stool-softening liquid.

44. Cellegy: Science & Innovation While the exact cause of anal fissures is unknown, there is accumulating evidence In the US, approximately 235000 anal fissures are diagnosed each year. http://www.cellegy.com/science/anal-fissures.html

Quick Facts Corporate Strategies and Alliances Leadership ... Forward Looking Statements 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. In the US, approximately 235,000 anal fissures are 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.

45. Anal Fissures - New Treatments, January 22, 2005 New Treatments for anal fissures, January 22, 2005. 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.

46. Anal Hemorrhoids, Anal Fissures, Hemorrhoid Treatment That Works! The common cause of anal itching include tissue trauma secondary to excessive use of harsh toilet paper, is Candida albicans, parasitic infection 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.

47. Anal Fissures Tears that occur along the anal canal are called anal fissures. The pain and discomfort of an anal fissure usually gets worse when a person has a bowel http://www.csmc.edu/6232.html

Home Medical Dictionary Contact Us About Us ... Anal Fissures Anal Fissures Several muscles encircle 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 covered by skin. When a bowel movement occurs, the muscle relaxes to allow the stool to pass. Tears that occur along the anal canal are called anal fissures. When a tear occurs, pain makes the muscle fibers contract, stopping 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 from: Passing a hard stool or prolonged episode of diarrhea Lack of fiber in the diet and/or water with that fiber Food that creates a rough passage through the digestive system, such as popcorn, nuts or tortilla chips

48. Anal Fissures -- ECureMe.com UPDATED SARS INFORMATION,Check health symptoms, make a self diagnosis, ask a doctor or veterinarian online, view an encyclopedia of diseases treatments, http://www.ecureme.com/emyhealth/data/Anal_Fissures.asp

DisplayAd("468","60"); eCureMe Life : Your Healthy Living. Click Here! Welcome, eCureMe.com 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 September 8, 2005 eCureMe Life Medical Supplies Calorie Count Physician Search ... 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

49. Journal Of Family Practice: Is Topical Nifedipine Effective For Chronic Anal Fis Acute anal fissures generally heal spontaneously with minimal or no intervention. Conversely, chronic anal fissures are traditionally treated with surgery. http://www.findarticles.com/p/articles/mi_m0689/is_3_52/ai_99254303

@import url(/css/us/style1.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); @import url(/css/us/artHome1.css); Advanced Search Home Help IN free articles only all articles this publication Automotive Sports 10,000,000 articles - not found on any other search engine. FindArticles Journal of Family Practice March 2003 Content provided in partnership with 10,000,000 articles Not found on any other search engine. Related Searches Nifedipine / Evaluation Anal fissure / Care and treatment Featured Titles for AAACN Viewpoint ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Is topical nifedipine effective for chronic anal fissures? - Patient Oriented Evidence that Matters Journal of Family Practice March, 2003 by Dan Merenstein Dan Rosenbaum Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. Perrotti P, Bove A, Antropoli C, et al. Topical nifedipine with lidocaine ointment vs. active control for treatment of chronic anal fissure: results of a prospective, randomized, double-blind study. Dis Colon Rectum 2002; 45:1468-1475. * PRACTICE RECOMMENDATIONS Patients in this study showed remarkable improvement when 1.5% lidocaine and 0.3% nifedipine were applied twice daily for 6 weeks. This extremely safe, well tolerated, and effective treatment should provide family physicians with a reliable nonsurgical method for treating chronic anal fissures.

50. UpToDate Anal Fissures The diagnosis and treatment of anal fissures will be reviewed here. The majority of anal fissures are caused by local trauma to the anal canal, http://patients.uptodate.com/topic.asp?file=gi_dis/13714&title=Fecal Incontinen

51. Nature Clinical Practice Gastroenterology & Hepatology | New Toxin Treatment For Current treatments for anal fissures focus on reducing the tone of the internal Bleeding of the anal fissure stopped within 48 hours of injection in all http://www.nature.com/ncpgasthep/journal/v2/n3/full/ncpgasthep0134.html

@import "/common/style/layout.css";/* do not edit this stylesheet */ @import "/common/style/main.css";/* do not edit this stylesheet */ @import "/clinicalpractice/style/layout_group.css";/* do not edit this stylesheet */ @import "/clinicalpractice/style/group.css";/* do not edit this stylesheet */ @import "/ncpgasthep/style/site.css";/* edit this stylesheet only */ Accessibility statement Jump to main content Jump to main navigation Jump to search ... ABOUT NPG E-MAIL: PASSWORD Save password Forgotten password? MY ACCOUNT E-ALERTS SUBSCRIBE ... REGISTER Text to search for Advanced search Home Archive Vol 2 No 3 ... Research Highlights Extract Research Highlights doi New toxin treatment for anal fissures This article has no abstract so we have provided the first paragraph of the full text. Current treatments for anal fissures focus on reducing the tone of the internal anal sphincter, whether by sphincterotomy, injection of botulinum toxin or the topical application of nitroglycerin or nifedipine. The surgical procedure carries a risk of causing fecal incontinence or other side effects, and reports vary as to the efficacy of the alternative treatments. In their recent paper, Garrido and colleagues from Chile describe the successful use of a new agent, gonyautoxin, in patients with acute and chronic anal fissures. Full text of this article is available with one of the following: Personal subscription Purchase your own personal subscription to this journal. Already a subscriber? Please login for immediate access.

52. Tagged Red Blood Cell Scan Gastroenterology Rectum anal fissures. See Anorectal Pain; Conditions resulting in lateral anal fissure. Inflammatory Bowel Disease (eg Crohn s http://www.fpnotebook.com/GI232.htm

Home About Links Index ... Editor's Choice document.write(code); Advertisement Gastroenterology Radiology Assorted Pages Barium Enema Angiography in GI Bleeding Tagged Red Blood Cell Scan Tagged Red Blood Cell Scan Tagged Red Cell Scan Radionuclide Red Cell Scan Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Practice Management Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Gastroenterology Index Bowel Cirrhosis Constipation Cardiovascular Medicine Dermatology Diarrhea Esophagus Examination Gynecology Hematology and Oncology Hepatitis Inflammatory Bowel Disease Infectious Disease Laboratory General Malabsorption Neurology Neonatology Obstetrics Pancreas Pediatrics Pharmacology Prevention Procedure Psychiatry Peptic Ulcer Disease Radiology Rectum Rheumatology Spleen Stomach Surgery Symptom Evaluation Page Radiology Index Barium Enema Bleed Angiography Bleed Radionuclide Scan Indications Acute Gastrointestinal Bleeding without source Often used to preselect patients for angiography Description Radionuclide scan with Technetium 99m-labeled red cells Labeled Red Blood Cell s circulate for 48 hours Identifies sites of GI Bleed ing via gamma camera scan Detects bleeding down to rates as low as 0.1 ml/min

53. Hemorrhoids (Hemroids) - Proven Natural Treatment. (hemorroids, Hemmoroids) There are other conditions such as anal fissures which are often incorrectly associated with hemorrhoids. Bleeding could be as a result of these conditions http://www.amoils.com/hemorrhoids.html

FAQ Shipping About Us Testimonials ... Contact Us Healing Natural Oils 5195 Del Mar Mesa Rd San Diego, CA 92130 Toll Free 866 445 5433 Contact us by email Genital Warts Herpes Cold Sores ... return to the top Natural Treatment for Hemorrhoids and Bleeding Hemorrhoids Your Guarantee If you are not satisfied, simply return the bottles within 60 days for a full product refund. Our Heal Hemorrhoids and Heal Bleeding Hemorrhoids products, as well as our specially formulated products for pregnancy, will eliminate your hemorrhoids, bleeding or anal fissures quickly and effectively. These products provide instant relief from pain and reduce swelling rapidly with no skin irritation. (see testimonials below) Our specially formulated topical treatments for hemorrhoids (piles), and bleeding hemorrhoids / fissures, are 100% pure and all natural. (no drugs) The effectiveness of these products to eliminate hemorrhoids, bleeding or fissures, is proven and unsurpassed. What are hemorrhoids? - Hemorrhoids or varicose veins of the anus and rectum are enlarged bulging blood vessels located inside or outside the anus.

54. Healthopedia.com - Anal Fissure (Anal Ulcer) An anal fissure is a tear in the internal lining of the anus. anal fissures are usually related to abnormal bowel movements. http://www.healthopedia.com/anal-fissure/

Set Homepage Email Page Favorites Home Health Centers Medical Encyclopedia Medical Symptoms ... Special Topics Related Resources Health Centers Digestive System Crohn's Disease Syphilis Tuberculosis You are here : Healthopedia.com Medical Encyclopedia Diseases and Conditions Anal Fissure Category : Health Centers Digestive System Anal Fissure Alternate Names : Anal Ulcer Pictures and Images Attribution 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.

55. Anal Fissure 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 http://www.herbalremedies.com/analfissure.html

Type In What You Want! Advanced Search? HERBAL WEIGHT LOSS COSMETICS LOTIONS ... Shop By Brand Here 100% Satisfaction Guarantee HerbalRemedies.com Your Complete Herbal Remedy Super Store! Customer Service Email us or Call Toll-Free Mon-Fri 10am to 6pm MST Shipping Rates At or Under 1lb US USPS, $5.49 US Ground $5.99 US 3 Bus days $7.99 US 2 Bus days $9.99 US Overnight $18.99 Worldwide $20.99 - up 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.

56. Go Ask Alice!: Pain From Anal Sex, And How To Prevent It Alice, After having anal sex with my partner, I noticed blood on him, With anal fissures, you may also see blood on toilet paper or on the stool itself. http://www.goaskalice.columbia.edu/2130.html

Mac users: please note that our site is optimized for the Safari browser About anal sex Pain from anal sex, and how to prevent it Originally Published: April 26, 2002 / Updated on: January 14, 2005 Alice, After having anal sex with my partner, I noticed blood on him, although there was no sign of external damage. The next day I am feeling pain internally, but I can't pinpoint its location. What are the possible dangers and should I see a doctor? Dear Reader, Serious injuries from anal sex are relatively rare; however, if you have internal pain or see blood, you need to see your health care provider. Here are some of the potential complications of anal sex: The blood you mentioned could have been from a hemorrhoid, which is a swollen vein in the anal area. Hemorrhoids can be fragile and prone to bleeding, although they don't usually cause the kind of pain you've described. You can frequently feel a hemorrhoid as a swollen, tender lump in the anal area. You'll often notice blood from a bleeding hemorrhoid on toilet paper after a bowel movement, or on the stool itself. Pain and bleeding can also occur when there's a small tear in the lining of the anus called an anal fissure. Even small fissures can be pretty painful because they often cause spasms of the opening of the anus. They heal slowly because they're irritated repeatedly during bowel movements. With anal fissures, you may also see blood on toilet paper or on the stool itself.

57. Gihealth.com - Built For Patient Satisfaction An anal fissure is a small tear in the rim of the anus just like a tiny papercut. This makes some anal fissures chronic and difficult to heal. http://www.gihealth.com/html/education/analFissure.html

Patient Education Patient Pamphlets Anal Fissures Printer Friendly Format Email this Article Just like a papercut If you have ever had a painful papercut on your finger, you understand all about anal fissures. The anus is the ring-like sphincter or valve at the end of your rectum. It opens and closes on your command to allow a bowel movement when convenient. An anal fissure is a small tear in the rim of the anus - just like a tiny papercut. One problem with a papercut is that every time you use your hands, you tend to break open the small wound which delays healing causes more pain. The same holds true with an anal fissure. Every time you have a bowel movement, the anus is stretched and the fissure can possibly be reopened causing more symptoms. This makes some anal fissures chronic and difficult to heal. This problem is quite common and may cause considerable misery. What causes an anal fissure? The anal opening is only so big. To have a bowel movement the anal sphincter relaxes and open up as much as it can, but the stool must be still be soft enough to squeeze through the opening. If the stool is dry and hard, the anal sphincter is forced to open even wider than normal. This difficult passage can cause a tear in the rim of the anal opening, resulting in a fissure. Other causes of a fissure include severe diarrhea, inflammatory bowel disease, and sexually related trauma. Classification of fissures Fissures are graded as superficial or deep. A superficial fissure does not extend full thickness through the skin; a deep fissure results in exposing underlying muscle fiber. Fissures are also graded as acute or chronic. An acute fissure is less than thirty days duration; a chronic fissure is present for greater than thirty days.

58. ANAL FISSURE AND FISTULAS An anal fissure is a tear or crack in the lining of the anus. anal fissures usually resolve if bowel movements are kept regular and soft. http://www.metrohealth.org/HI/indexes/DIGE3495.htm

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. Most ANAL FISTULAS start from small pouches called crypts. An abscess may occur before or after a fistula develops. Symptoms around the anus are:

59. Anal Fissure Treatment - Anus & Sphincter Pain, Symptoms & Surgery BUPA anal fissure treatment factsheet fissures of the anus, sphincter pain, symptoms, diagnosis and surgery information. 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 health information health factsheets Print-friendly version ... Need help with PDF files? Anal fissure 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). Symptoms Sudden and severe pain in or around the anus is the main symptom of an anal fissure. The pain often occurs during or shortly after a bowel movement, but may also occur at other times. This pain can be severe - and is often described as like passing razor blades. As a result, a fissure sufferer is likely to dread opening their bowels. An anal fissure may cause a "sentinel pile". This is a little tag of skin that develops on the edge of the anus where the fissure is. It may leave a streak of bright red blood on the toilet paper or drops of blood in the toilet bowl. A sentinel pile is not a haemorrhoid.

60. 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. http://www.emedicine.com/emerg/topic495.htm

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