81. Hemorrhoid.net - Anal Fissure California s Largest Hemorrhoid Specialty Proctology Clinic. Dr. Rick Shacket discusses diagnosis and treatment of anorectal colorectal health http://www.hemorrhoid.net/fissure.php

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

82. Anal Fissure: Definition And Much More From Answers.com anal Fissure What is an anal fissure? An anal fissure is a fairly common, painful condition in which the lining of the anal canal is torn. http://www.answers.com/topic/anal-fissure

showHide_TellMeAbout2('false'); Business Entertainment Games Health ... More... On this page: Diagnosis Medical Wikipedia Mentioned In Or search: - The Web - Images - News - Blogs - Shopping anal fissure Diagnosis Anal Fissure What is an anal fissure? An anal fissure is a fairly common, painful condition in which the lining of the anal canal is torn. The anal canal is the last part of the rectum which ends at the anus. Stool passes through the anal canal and anus during a bowel movement. An anal fissure is caused by constipation or a forceful bowel movement, though a tight anus also may be a contributing factor. Once the skin is torn, each subsequent bowel movement can be painful, and the pain often is severe. There often is bleeding associated with the painful bowel movement. The amount of bleeding is small and may be noticed in the toilet bowl or on the toilet paper as bright red in color. The symptoms of an anal fissure are commonly mistaken for hemorrhoids , but hemorrhoids generally do not cause pain with bowel movements.

83. Colorectal Surgical Society Of Australasia - Anal Fissure A fissure is initiated by a small split in the lower third of the anal canal. This split fails to heal and becomes established as a painful longitudinal http://www.cssa.org.au/patientarticle.asp?ArticleNo=17

84. Anal Fissure, Abscess And Fistula anal Fissure, Abscess and Fistula Updated June 15, 2005 anal Fissure American Society of Colon and Rectal Surgery; anal Fissure MedicineNet http://www.noah-health.org/en/stomach/conditions/anal.html

Skip navigation About NOAH Help English Spanish Both Advanced NOAH Stomach and Intestinal (Gastrointestinal) Disorders Change text size: Anal Fissure, Abscess and Fistula Updated: June 15, 2005 Anal Abscess/Fistula American Society of Colon and Rectal Surgery Anal Fissure American Society of Colon and Rectal Surgery Anal Fissure MedicineNet Anal Fissure Merck Manual, 2nd Home Edition Anal Fissure, Abscess and Fistula Jackson Gastroenterology Anal Fissures Mayo Clinic Anorectal Abscess Merck Manual, 2nd Home Edition Anorectal Fistula Merck Manual, 2nd Home Edition Researched by NOAH Contributing Editor: NOAH Team NOAH Stomach and Intestinal (Gastrointestinal) Disorders Specific Conditions Health Topics ... Feedback

85. Search Result For "Anal Fissure" anal Abscess/Fistula; anal Fissure; anal Fissure; anal Fissure; anal Fissure, Patient Information Achalasia; anal Fissure, Abscess and Fistula; http://www.noah-health.org/search/results.php?lang=1&keyword=Anal Fissure&dtype=

86. ► Anal Fissure A medical encycopedia article on the topic anal fissure. http://www.umm.edu/ency/article/001130.htm

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Disease Nutrition Surgery Symptoms Injury ... Z Maryland Medical Center Programs UM General Surgery Home Medical Reference Encyclopedia (English) Toggle English Spanish Anal fissure Overview Symptoms Treatment Prevention 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 Rectum Review Date: 10/28/2002 Reviewed By: David R. Knowles M.D., Department of Urology, New York-Presbyterian Hospital Columbia Campus, New York, NY. Review provided by VeriMed Healthcare Network.

87. Anal Fissure - Quest Diagnostics Patient Health Library 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. http://www.questdiagnostics.com/kbase/topic/mini/uf4764/overview.htm

var hwPrint=1;var hwDocHWID="uf4764";var hwDocTitle="Anal Fissure";var hwRank="1";var hwSectionHWID="uf4765";var hwSectionTitle="Topic Overview";var hwSource="en-usQ2_05";var hwDocType="Mini"; 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. What causes an anal fissure? Anal fissures are caused by vigorous stretching of the anal canal. A fissure may develop if you are constipated and try to pass a large, hard stool; if you don't relax your anal muscles (sphincter muscles) during a bowel movement; or sometimes after repeated diarrhea.

88. Healing An Anal Fissure? have a question that you would like to ask a doctor about, dr weil is always happy to hear from you, so please send us your question. http://www.drweil.com/u/QA/QA326570/

Warning /data/apache/htdocs/drw-2.05.94/functions.inc on line Login / Profile Home Ask Dr. Weil Ask Your Question ... Weil Foundation Find a Therapist Powered By Psychology Today Within miles 1 mile 2 miles 5 miles 10 miles 20 miles 50 miles Are You Ready for a Healthier Life? PRINT THIS PAGE SEND THIS TO A FRIEND Healing an Anal Fissure? Do you have any tips on how to deal with an anal fissure? Lena Aitken Answer (Published 03/05/2004) Click Here Looking for an old question? Curious about other topics? Click here for Dr. Weil's complete library of questions and answers. 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.

89. Anal Fissure, Cut In Anus Area, Anal Pain USC Center for Colorectal and Pelvic Floor Disorders. http://www.surgery.usc.edu/divisions/cr/analfissure.html

Anal Fissure An anal fissure is a small tear or cut in the skin around the anus which can cause pain and/or bleeding. Due to the location of fissures, they become aggravated during and after bowel movements. Symptoms of an anal fissure include pain during defecation and red blood in the stool. Constipation or diarrhea can cause a tear in the anal lining resulting in a fissure. A chronic fissure may be due to poor bowel habits, tight or spastic anal sphincter muscles, scarring or an underlying medical problem. Historically chronic fissures were treated with surgical disruption or division of the internal anal sphincter muscle. New medications include topically applied Nitroglycerin and Nifedipine, both of which may be used to decrease anal muscle spasm. Botox A, which needs to be injected, also decreases anal muscle spasm and may reduce the need to treat fissures surgically. Over 90% of anal fissures heal without surgical intervention. Your physician may suggest a high fiber diet and/or stool softeners to avoid constipation so that passage of soft stools may occur. Sitz baths may also be recommended. Home Page DIVISION INFORMATION What's New Contact Information Location Research Referring a Patient Educational Program Make a Donation Site Map AREAS OF EXPERTISE Pelvic Floor Disorders Bariatric Surgery Anorectal Physiology Lab Bowel Control Constipation Diverticulitis Crohn’s Disease Ulcerative Colitis Anal Fissure Anorectal Abscess Hemorrhoids Pilonidal Disease

90. Anal Fissure - Medco.com Research diseases and conditions or browse detailed drug information. Features include interactive tools and related news. http://www.medcohealth.com/medco/consumer/ehealth/ehskeywordsearch.jsp?topicID=A

91. Clinical Evidence Digestive System Disorders Anal Fissure Key Digestive system disorders anal fissure Key messages. Search this site anal fissure (chronic). Search date January 2004 http://www.clinicalevidence.com/ceweb/conditions/dsd/0407/0407_keymessages.jsp

92. Anal Fissure StudentHealth.co.uk is a resource aimed specifically at student health matters. Written by NHS GPs based at the University of Sussex it offers printable http://www.studenthealth.co.uk/leaflets/AnalFissure.htm

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

93. Digestive System: Anal Fissure And Fistulas An anal fissure is a tear or crack in the lining of the anus. An anal fistula is an abnormal passage like a tube. One opening is in the anal canal and the http://www.baptistonline.org/health/library/dige3495.asp

About Us Contact Us Site Map Go ... Digestive System Anal Fissure and Fistulas Digestive System Anal Fissure And Fistulas Cirrhosis Colitis Constipation In The Digestive System ... Ulcers - Overview An anal fissure is a tear or crack in the lining of the anus. An anal fistula is an abnormal passage like a tube. One opening is in the anal canal and the other usually in the skin near the anus. A fissure may be caused by: * passage of large stools, * strain of childbirth, * diarrhea, or * insertion of an object. A long-term form of fissure is a type of ulcer formed by scarring from a local infection. Fissures are extremely painful. Pain is often most severe during bowel movements. They can cause painful spasms of the muscles around the anus. One may notice spots of bright red blood in the stool. There is often a hemorrhoid-like thickening of the mucous membrane at the lower end of the fissure. The fear of pain during a bowel movement can cause constipation. Fissures usually clear if bowel movements are kept regular and soft. Stool softeners such as bran or psyllium seed preparations can help. Suppositories are used if these measures do not work. Anesthetic ointment or solutions that arrest bleeding often help. Warm sitz baths for 15 minutes after each bowel movement will give some relief. In extreme cases when these measures fail, the fissure is repaired surgically. Most fistulas start from small pouches called crypts. Symptoms of a fistula are:

94. Palo Alto Medical Foundation General Surgery Center: ANAL FISSURE -- BOTOX anal FISSURE BOTOX. Updated October 2001. Introduction. An anal fissure, or split in the skin of the distal anal canal, is a common problem that http://www.pamf.org/surgery/analfissuebotox.html

ANAL FISSURE BOTOX Updated October 2001 Introduction An anal fissure, or split in the skin of the distal anal canal, is a common problem that causes substantial morbidity in people who are otherwise healthy. The incidence of anal fissure is similar in men and women. The majority of fissures occur in the posterior midline of the anal canal and are usually the result of tearing of the skin from hard stool or other physical irritants. Multiple fissures or lateral fissures may have other causes, such as Crohn's disease, ulcerative colitis, tuberculosis,infection with human immunodeficiency virus (HIV) or syphilis. Spasm of the anal sphincter has been noted in association with anal fissure, and for many years treatment has focused on alleviating spasm of the sphincter. Since 1951, the most common treatment for chronic anal fissure in the United States and Europe has been lateral internal sphincterotomy. This involves cutting the internal sphincter on the right or left mid-lateral area to break the circular anatomy of the muscle permanently. Although the technique is simple and effective, the fundamental drawback of this surgery is its potential to cause minor but sometimes permanent alterations in the control of gas, mucus and, occasionally, stool. This can sometimes become a major problem, particularly in elderly patients or those with diarrhea, irritable bowel syndrome, diabetes or recurrent fissure after previous surgery.

95. American Family Physician: Diagnosis And Treatment Of Anal Fissure - Clinical Br Full text of the article, Diagnosis and treatment of anal fissure Clinical Briefs - Brief Article from American Family Physician, a publication in the http://www.findarticles.com/p/articles/mi_m3225/is_5_69/ai_114023737

@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 American Family Physician March 1, 2004 Content provided in partnership with 10,000,000 articles Not found on any other search engine. Related Searches Anal fissure / Diagnosis Anal fissure / Reports Colorectal diseases / Diagnosis Colorectal diseases / Reports ... American Gastroenterological Association / Reports 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 Diagnosis and treatment of anal fissure - Clinical Briefs - Brief Article American Family Physician March 1, 2004 by Carrie Morantz Brian Torrey Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it.

96. Non Surgical Therapy For Anal Fissure (Cochrane Review) Abstract of a systematic review of the effects of health care prepared by the Cochrane Collaboration. http://www.cochrane.org/cochrane/revabstr/AB003431.htm

From The Cochrane Library, Issue 2, 2005 Non surgical therapy for anal fissure (Cochrane Review) Nelson R ABSTRACT What's new in this issue Search abstracts Browse alphabetical list of titles Browse by Review Group A substantive amendment to this systematic review was last made on 03 July 2003. Cochrane reviews are regularly checked and updated if necessary. Background: Because of the disability associated with surgery for anal fissure and the risk of incontinence, medical alternatives for surgery have been sought. Most recently, pharmacologic methods that relax the anal smooth muscle, to accomplish reversibly what occurs in surgery, have been used to obtain fissure healing. Objectives: To assess the efficacy and morbidity of various medical therapies for anal fissure. Search strategy: Search terms include "anal fissure randomized". Selection criteria: Studies in which participants were randomized to a non-surgical therapy for anal fissure. Comparison groups may include an operative procedure, an alternate medical therapy or placebo. Chronic fissure, acute fissure and fissure in children are included in the review. Atypical fissures associated with inflammatory bowel disease or cancer or anal infection are excluded. Data collection and analysis: Data were abstracted from published reports and meeting abstracts, assessing method of randomization, blinding, "intention to treat" and drop-outs, therapies, supportive measures (applied to both groups), dosing and frequency and cross-overs. Dichotomous outcome measures included Non-healing of the fissure (a combination of persistence and recurrence), and Adverse events (including incontinence, headache, infection, anaphylaxis). Continuous outcome measures included measures of pain relief and anorectal manometry.

97. Bob The Anal Fissure By Joe Cidoni As It Appeared In A Series Of Bob has become a holy terror of an anal fissure and my surgeon has informed me My anal fissure Bob who had plagued me for the last three years is in the http://web.mit.edu/acw/www/bob.html

Bob the Anal Fissure By Joe Cidoni As it appeared in a series of posts to alt.tasteless. After lurking about in the wings the required 2 months I have felt the need to tell you about my anal fissure Bob. It all started about two years ago in Thailand. I had just fired a round of green chile liquishit down the hole that the Asians call "toilet" when I noticed an odd sensation just inside the rim of my sphincter accompanied by a blasting spray of rich red blood. After living in Asia for six months I thought that I had experienced nearly every digestive tract malady known to man. Worms, burning and colonic liquidity on a huge scale. Butt (hehe) this was something completely different. It was a singularly unique feeling that I know now to have been the actual tearing of my rectum. It was Bob making himself known to me. At first Bob wasn't so bad. Occasional itch and discomfort. Nothing that I couldn't handle. A mint flavored suppository now and again seemed to do the trick. But then about a year ago my cruel master Bob began requiring more and more from me. Itching on a scale that can only be desribed as "hellish" was the order of the day. I had a permanent brown stain on my index finger from trying to scratch the inside of my colon through my troubled anus.

98. Cornell Physicians: Anal Fissure Health information about anal Fissure from NewYorkPresbyterian. The University Hospitals of Columbia and Cornell. http://wo-pub2.med.cornell.edu/cgi-bin/WebObjects/PublicA.woa/5/wa/viewHContent?

99. Anal Fissure DoctorNDTV Health Information On Anal Fissure anal fissure Health India - DoctorNDTV for the better health of Indians, Health Information on anal fissure, Diseases. http://www.doctorndtv.com/topics/detailtopics.asp?id=38&heading=AllTopics

100. Surgery For Anal Fissure DoctorNDTV Health Information On Surgery for anal fissure Health India - DoctorNDTV for the better health of Indians, Health Information on Surgery for anal fissure, http://www.doctorndtv.com/topics/detailtopics.asp?id=304&heading=AllTopics

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