With anal fissure
, the goal is to relax the spastic sphincter muscle, allowing the fissure to heal.
Patients included in this study were of three different diseases including third and fourth degree of hemorrhoids, anal fissures
and low lying fistula in ano.
Most complications such as anal fissure
, thrombosed external hemorrhoids, and prolonged pain may also relate to the deteriorated blood circulation within the mucosa of the anal canal.
is a superficial linear tear in the anoderm, most commonly caused by passage of a large, hard stool.
11) Although these clinicians later endured censure for using this term to describe a melange of maladies not specifically gay, limited to the bowels, or syndromic, they offered the first early warning that men who have anal sex with other men often suffer from anal warts, anal fissures
, viral hepatitis, and a swarm of other insults that abet passage of sexually transmitted infections (STIs) and--it turned out--heightened the risk of anal cancer.
Only when such conservative measures have failed to cure an anal fissure
is surgery likely to be necessary.
Knight JS, Birks M, Farouk R: Topical diltiazem ointment in the treatment of chronic anal fissure
Chronic anal fissure
 was defined by duration of symptoms longer than 3 months and the presence of a skin tag, a sentinel pile or fibrosis at the margins of the fissure.
A section on hemorrhoidectomy, anal fissure
and fistula surgery, and the basics of thyroid and breast cancer surgery would complete my wish-list.
Years ago, when I was serving my internship on the surgical ward of the Montreal General Hospital, I admitted a 19-year-old man for repair of an anal fissure
Many--like "Fissure," by Debra Anne Davis, in which a woman struggles through a visit to a proctologist to treat an anal fissure
, the result of being sodomized by a rapist the week before; or my personal favorite, "So Much in the World Is Waiting To Be Found Out," by Sariah Dorbin, in which an advertising executive stumbles through day-to-day life after her mother is hit by a truck--are so terrible that even the bare facts leave you marveling at cruelty's inventiveness; to enter the moment in all its detail is almost more than can be borne.
Persistent discomfort when you open your bowels can be a sign of an anal fissure
or a tear in the lining of the sphincter.