is an ulcer in the long axis of lower anal canal.
However anal fissure
is always distal to the dentate line.
Two more recent studies from Pakistan have reported that diltiazem hydrochloride is equally effective in healing chronic anal fissure
like glyceryl trinitrate.
The absence of an effect of lidocaine confirms conventional wisdom that pain relief alone is not sufficient to heal anal fissures
. Medical therapy traditionally consists of relief of sphincter hypertonia, maintenance of atraumatic passage of stool (i.e., increased fiber intake), and pain relief.
We conclude that injection of botulinum toxin into the internal anal sphincter is effective in treating acute anal fissure
and in preventing its chronicity.
In our study total of 2003 patients with anal fissure
were included, of which 470 patients were acute fissure patients and 1533 chronic fissure patients.
One study on patients with chronic anal fissure
evaluated the SF-36 QOL scale and demonstrated that the intensity of pain and bleeding has a negative effect on bodily pain and role limitations because of personal or emotional problems (18).
Objective: To compare fissure healing and complications in chronic anal fissure
with use of lateral anal sphicterotomy and 0.2% GTN.
The pain associated with an anal fissure
is distinct from that of an abscess or thrombosed hemorrhoids - it's a throbbing pain lasting minutes to hours per episode.
Typically, this irritation could be from haemorrhoids or from an anal fissure
, and would tend to cause pain that was more localized to the rectal area than general abdominal pain.
anal fistula, hemorrhoid, anal fissure
or rectal cancer operations.
She suffered from an anal fissure
, intracerebral hemorrhage, and new and old marks of injuries were found in many parts of her body, according to media reports.