61. Clinical Evidence Digestive System Disorders Anal Fissure anal fissure (chronic). Search date January 2004 significant difference between internal anal sphincterotomy and anal stretch in persistence of fissures http://www.clinicalevidence.com/ceweb/conditions/dsd/0407/0407_I2.jsp

62. Anal Fissure (torn Rectum) - Causes And Treatment Options At MedicineNet.com An anal fissure is a fairly common, painful condition in which the lining of the anal canal is torn. http://www.medicinenet.com/anal_fissure/article.htm

document.writeln(''); MedicineNet Home Digestion Home Page > Anal Fissure Search Tips Printer-Friendly Format FREE Newsletters Email to a Friend ... Next Anal Fissure Medical Author: Thomas Sokol, MD, FACS, FASCRS Medical Editor: Jay W. Marks, MD What are anal fissures? What causes anal fissures? What are the symptoms of anal fissures? ... Anal Fissures At A Glance What are anal fissures? An anal fissure is a cut or tear that occurs in the anus (the opening through which stool passes out of the body) and extends upwards into the anal canal. Fissures are a common condition of the anus and anal canal and are responsible for 6-15% of the visits to a colonic and rectal (colorectal) surgeon. They affect men and women equally and both the young and the old. Anal fissure is the most common cause of rectal bleeding in infancy. Fissures usually cause pain during bowel movements that often is severe. Anal fissures occur in the specialized tissue that lines the anus and anal canal, called anoderm. At a line just inside the anusreferred to as the anal verge or intersphincteric groovethe skin (dermis) of the inner buttocks changes to anoderm. Unlike skin, anoderm has no hairs, sweat glands, or sebaceous (oil) glands and contains a larger number of somatic sensory nerves that sense light touch and pain. (The abundance of nerves explains why anal fissures are so painful.) The hairless, gland-less, extremely sensitive anoderm continues for the entire length of the anal canal until it meets the demarcating line for the rectum, called the dentate line. (The rectum is the distal 15 cm of the colon that lies just above the anus and rectum and just below the

63. ASCRS An explanation of what this is, the causes, treatment and surgery. http://www.fascrs.org/displaycommon.cfm?an=1&subarticlenbr=3

64. Anal Fissure, Abscess And Fistula Jackson Gastroenterology s Web Site includes office information and paient education material on digestive and liver disorders, and nutrition. http://www.gicare.com/pated/ecdgs38.htm

Home Jackson Gastro Patient Education Anal Fissure, Abscess and Fistula The intestinal tract (or bowel) ends with the rectum. The last part of the rectum is a section about 1 1/2 inches long, known as the anal canal. It ends with the anus the opening to the outside of the body. There are several common problems, including hemorrhoids, that can occur in the area from the rectum to the anus. While almost everyone has heard of hemorrhoids, the other conditions are not so well known. Anal Fissure Most people have experienced a tear or fissure at the corner of the mouth that can occur in cold weather or when yawning. Similarly, an anal fissure is a small tear in the lining of the anus, frequently caused by constipation. A hard, dry bowel movement results in a break in the tissue. However, fissures can also occur with severe bouts of diarrhea or inflammation. This results in the anus becoming dry and irritated, causing it to tear. Injury to the anal area during childbirth and abuse of laxatives may be other causes. A fissure can be quite painful during and immediately following bowel movements. This is because the anus and anal canal are ringed with muscles to control the passage of stool and to keep the anus tightly closed at other times. When those muscles expand, it stretches the fissure open. There may also be bleeding or itching with an anal fissure.

65. Anal Fissure - Health Information Health information discussing anal fissure, which is a tear(s) in the anal canal lining. Additional information includes the symptoms, diagnosis and http://www.mckinley.uiuc.edu/health-info/dis-cond/misc/analfissure.html

Go to PDF Version Anal Fissure WHAT IS AN ANAL FISSURE? An anal fissure is a tear in the lining of the anal opening. Almost always the tear results from a combination of two factors: irregular bowel patterns (either hard or liquid stools) and increased anal sphincter tone (usually associated with stress). When hard stools pass through a tight anal opening, a laceration may occur and that is referred to as a fissure. Fissures can also be caused by anal trauma, laxative abuse, childbirth trauma, or laceration by a foreign object. Fissures are not cancerous. WHAT ARE THE SYMPTOMS OF AN ANAL FISSURE? Common symptoms include rectal pain that may be worse with bowel movements, rectal burning, bleeding (especially blood on the tissue paper), itching and/or a tearing sensation. HOW IS AN ANAL FISSURE DIAGNOSED? Fissures can often be identified through anal inspection and digital rectal examination. The anal examination includes the use of an anoscope to directly visualize the fissure. HOW IS A FISSURE USUALLY MANAGED OR TREATED?

66. Anal Fissure Medic8 Family Health Guide your trusted source for health information online. More than 500 health-related articles written by qualified health http://www.medic8.com/healthguide/articles/analfissure.html

"Medic8.com - Your trusted source for health information online" Family Health Cosmetic Surgery Medical Dictionary Medical Insurance ... Help HEALTH GUIDE Family Health Cosmetic Surgery Health Insurance Women'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 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).

67. Anal Fissure Lindsey I, Jones OM, Cunningham C et al. Chronic anal fissure. Br J Surg 2004; 91 270279. Lund JN, Scholefield J H. A randomised prospective, double-blind http://www.surgical-tutor.org.uk/system/abdomen/anal_fissure.htm

Up Abdominal incisions Groin hernias Other hernias ... 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 and or a 'sentinel pile' Features of chronicity: Symptoms for more than 6 weeks 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

68. EMedicine - Anal Fissure Article By Lisa S Poritz, MD Problem An anal fissure is a painful linear tear or crack in the distal anal canal, Clinical Typically, the symptoms of an anal fissure are relatively http://www.emedicine.com/med/topic3532.htm

69. Anal Fissure - Patient UK An anal fissure causes pain in the anus. It is worst when you pass faeces (stools or motions). The fissure heals within 12 weeks in most cases, http://www.patient.co.uk/showdoc/23068676/

Anal Fissure An anal fissure causes pain in the anus. It is worst when you pass faeces (stools or motions). The fissure heals within 1-2 weeks in most cases, but lasts longer in some cases. Treatment aims to ease the pain until it heals, and to keep the faeces 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 small, it can be very painful because the anus is very sensitive. The pain tends to be worse when you pass faeces (sometimes called stools or motions) and for an hour or so after passing faeces. Often an anal fissure will bleed a little. You may notice blood after you pass faeces. The blood is usually bright red, stains the toilet tissue, but soon stops. Anal fissures are common in both adults and children. They are not usually serious, but they are sore and can be distressing, particularly for children. What causes an anal fissure? Common causes Most anal fissures 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 in causing the tear, or in slowing down the healing process. (If the muscle around the anus is tight, the blood supply to the anus is reduced. This may affect how well the tear heals.) In about 1 in 10 cases, the fissure occurs during childbirth. Sometimes an anal fissure occurs if you have bad diarrhoea.

70. Chronic (Persistent) Anal Fissure - Patient UK An anal fissure that lasts more than six weeks is called a chronic (persistent) anal fissure. Treatment options include an ointment to relax the anal muscle http://www.patient.co.uk/showdoc/23069071/

Chronic (Persistent) Anal Fissure An anal fissure that lasts more than six weeks is called a chronic (persistent) anal fissure. Treatment options include an ointment to relax the anal muscle, and surgery. These treatments reduce the tone (pressure) around the anus, which allows better healing of the fissure. What is an anal fissure and a chronic anal fissure? An anal fissure is a small tear of the skin of the anus. Although the tear is small, it can be very painful because the anus is very sensitive. The pain tends to be worse when you pass faeces (sometimes called stools or motions) and for an hour or so after passing faeces. Often an anal fissure will bleed a little. You may notice blood after you pass faeces. The blood is usually bright red, stains the toilet tissue, but soon stops. Anal fissures are common in both adults and children. They are not usually serious, but they are sore and can be distressing, particularly in children. In most cases the fissure heals within 1-2 weeks or so, just like any other small cut of the skin. Treatment at first aims to ease the pain and keep the faeces soft until it heals. See separate leaflet called 'Anal Fissure' for details of the initial treatment for an anal fissure. A fissure that lasts more than six weeks is called a chronic anal fissure. (Chronic means persistent.) What causes an anal fissure?

71. Anal Fissure An anal fissure is a tear or split in the lining of the anus (anal mucosa). Symptoms include pain when passing a bowel motion and bleeding from the anus. http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Anal_fissure?open

72. 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 http://my.webmd.com/hw/digestive_problems/uf4765.asp

var guid_source = ""; var guid_source_id = ""; //unused var encodedurl = ""; WebMD Today Home WebMD News Center XML News via RSS Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Health Tools Clinical Trials ... Women, Men, Lifestyle Who We Are About WebMD Site Map Health Topics Symptoms ... 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 (acute anal fissures). Occasionally a fissure takes more than 6 weeks to heal (chronic anal fissure), in which case it usually requires medication to heal. Surgery may be necessary for fissures that don't heal with 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.

73. Anal Fissure An anal fissure is a narrow tear that extends from the muscles that control the anus (anal sphincters) http://my.webmd.com/hw/health_guide_atoz/sta123266.asp

var guid_source = ""; var guid_source_id = ""; //unused var encodedurl = ""; WebMD Today Home WebMD News Center XML News via RSS Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Health Tools 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 ... Support Organizations Anal fissure An anal fissure is a narrow tear that extends from the muscles that control the anus (anal sphincters) up into the anal canal. These tears usually develop when anal tissue is damaged during a hard bowel movement or when higher-than-normal tension develops in the anal sphincters. Symptoms of an anal fissure include a sharp, stinging, or burning pain during a bowel movement. The pain, which can be severe, may last a few hours. You may also notice spots of bright red blood on toilet tissue. This blood is separate from the stool. Minor anal fissures can often be helped to heal by drinking more fluids, eating a high-fiber diet, allowing enough time for a bowel movement, and using stool softeners.

74. Anal Fissure: Symptoms And Treatments: BCM Dept Of Surgery Provides information on educational programs for undergraduates, medical students, residents, and health professionals. Also provides patient information on http://www.debakeydepartmentofsurgery.org/home/content.cfm?proc_name=anal fissur

75. Dr. Koop - Anal Fissure An anal fissure is a small split or tear in the anal that may cause painful bowel movements and bleeding. There may be blood on the outside of the stool or http://www.drkoop.com/ency/93/001130.html

Home Health Reference Anal fissure Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Anal fissure Injury Disease Nutrition Poison ... Prevention 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 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. Anal fissures are also common in women after childbirth and people with Crohn's disease New Features Fewer Migraines Skin Cancer Atkins/Low Carb Diets Learn More About Migraines * All Health Centers * Acne Addictions AIDS/HIV Alcohol Abuse Allergies Alternative Medicine Alzheimer's Arthritis Asthma Attention Deficit Disorder (ADHD) Backache Bipolar Affective Disorder

76. The Bright, The Beautiful, The Anal Fissure Web Page i have an anal fissure. some traumas are more glamorous than others. begging off of getting an anal fissure is not a freudian thing, it doesn t mean you http://www.ambiguous.org/quinn/medical/fissure.html

so i have this problem with my butt. key quinn toys inside ... contact me things to never, ever type into a google image search no pictures, please. no, really. i have an anal fissure . some traumas are more glamorous than others. begging off of a saturday night with friends because you broke your ankle on the black diamond last week is one end of the spectrum. "sooorry guys, i gotta stay in, my aaaanal fisssure is acting up" would be the other end of that spectrum. and that's where i am- the other end. frankly this is an embarrassing illness, at least at first. you're sniggering at yourself, with your going on about ass-pain all the time. snigger, you say, about my butt! chortle. gee, you joke, someone really lit a fire under my.... after a while though, you stop making jokes. this is because you can't access the language centers of your brain anymore, which have been converted along with everything else into additional pain centers. i've become something of a connoisseur of pain in my time. it's been kidney stones, kidney infections, GERD , IBS, catheters of various stripes, a cone biopsy of the cervix without any anesthetic, childbirth without drugs, and two years of backfiled taxes- i feel as though i qualify as something of an amateur expert on the subject. if there was a job which only required sitting in a room and hurting i feel i would be eminently qualified to do so. it's not my kink or anything, i just know how to endure buttloads of senseless pain. let me assure you, anal fissures hurt like hell. you aren't a wimp, it's not in your head, other people aren't living with this all the time far more gracefully than you ever could. this shit hurts.

77. Anal Fissure An anal fissure is a painful cut in the lining of the anus. Symptoms of an anal fissure are similar to symptoms of other more serious conditions. http://healthgate.partners.org/browsing/browseContent.asp?fileName=12059.xml&tit

78. Adult Health Advisor 2002.1: Anal Fissure An anal fissure is a small tear or break in the skin at the outer tip of the Your doctor can usually diagnose an anal fissure by a simple physical exam http://www.med.umich.edu/1libr/aha/aha_analfiss_crs.htm

Adult Health Topics All Health Topics Find a UMHS Doctor Search Adult 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. 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?

79. Pediatric Advisor 2004.2: Anal Fissure For Teenagers An anal fissure is a shallow tear or crack in the skin at the opening of the What causes an anal fissure? Injury to the anal canal during passage of a http://www.med.umich.edu/1libr/pa/pa_tnanalfi_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 For Teenagers 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 teenagers with blood in their stools have an anal fissure. You may notice the following signs or symptoms: 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. You usually pass a large or hard bowel movement just before you notice the blood. Touching the tear causes mild pain.

80. Introduction: Anal Fissure - WrongDiagnosis.com Introduction to anal fissure as a medical condition including symptoms, diagnosis, misdiagnosis, treatment, prevention, and prognosis. http://www.wrongdiagnosis.com/a/anal_fissure/intro.htm

Home Symptoms Diseases Risks ... Diseases Search our medical database Subscribe to our free Newsletter sample Send this page to a friend Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Anal fissure Next sections Basic Summary for Anal fissure Prognosis of Anal fissure Causes of Anal fissure Symptoms of Anal fissure ... Complications of Anal fissure Next chapters: Anal itching Anorectal disorders Fecal incontinence Proctitis ... Feedback Introduction: Anal fissure Anal fissure: Tear in the anal region. Researching symptoms of Anal fissure: Further information about the symptoms of Anal fissure is available including a list of symptoms of Anal fissure , other diseases that might have similar symptoms in differential diagnosis of Anal fissure , or alternatively return to research other symptoms in the symptom center Misdiagnosis and Anal fissure: Research more detailed information about misdiagnosis of Anal fissure underlying causes of Anal fissure (possibly misdiagnosed), or research misdiagnosis of other diseases Treatments for Anal fissure: Various information is available about treatments available for Anal fissure prevention of Anal fissure , or research treatments for other diseases.

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