By ULY CLINIC

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Anal Fissures

 

Introduction

 

These are painful linear ulcers in the anal canal. Young and middle aged adults most commonly affected. Primary fissure occur in the posterior midline. It can also be secondary to Chrohn’s disease, anal cancer, or infection such as syphilis, TB in which case they occur more lateral. Passage of hard stools is a common predisposition to primary fissures. 

 

Diagnostic Criteria

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• Severe sharp pain during and after defecation with/out bright red bleeding. PLUS

• Evidence of linear anal rectal ulceration  on protoscopy examination 

 

Non-Pharmacological Treatment 

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• Ensure high fluid intake

• Use non stimulant osmotic  laxatives 

 

Pharmacological Treatment

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Topical anaesthetics and frequent seat baths can reduce sphincter spasm Surgical sphicterotomy is definitive treatment.

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Updated on, 2.11.2020

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References

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1. STG