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Anal Fissure

Anal Fissure

WHAT IS ANAL FISSURE?

An anal fissure is a little tear or split in the coating of the anus. It might happen while passing hard stools.

It can bring about sharp pain and bleeding during and after defecations. It might likewise bring about tingling and blaze in the anal region. Sometimes the pain gets too serious, that patient suffers vertigo and perspiration on a passing stool. Few patients suffer discomfort while sitting. Sometimes, pricking sensation is felt. And often patients complain of difficulty in passing stools due to narrowing of the anal canal, caused by spasm of internal sphincter.

It is normally a minor condition that persists only for a 3-4 week. Most of the time tear heal on its own. Home remedies can help ease the torment.

It may happen subsequently after delivery or any major surgery. This occurs in an individual of any age, yet it’s regularly found in new-born children and youthful kids.

SYMPTOMS OF AN ANAL FISSURE

It may bring about at least one of the accompanying indications:

  • a noticeable tear in the skin around the rear-end
  • a skin tag, or a little chunk of skin, by the tear
  • sharp torment in the anal range amid solid discharges
  • streaks of blood on stools or on tissue paper subsequent to wiping
  • burning or tingling in the butt-centric range

CAUSES OF ANAL FISSURE

Anal fissure regularly happens while passing hard stools. Chronic constipation or frequent diarrhoea can cause a tear in the skin around the anus. Other basic causes include:

  • straining amid labor
  • decreased blood stream to the anorectal range
  • overly tight or spastic butt-centric sphincter muscle

In uncommon cases, a butt-centric gap may create due to:

  • anal tumor
  • HIV
  • tuberculosis
  • herpes

TREATMENTS

  • Sitz bath
  • Local application of ointment (like anovat)
  • Laxatives (like isabgol, liquid paraffin)
  • Tablet (like oxyrutin, dosage advised by doctor)
  • Surgery ( closed lateral sphincterotomy or laser sphincterotomy)

ADVANTAGES OF LASER SPINCTROTOMY

  • Persistent fissures may require a lateral internal anal spinctrotomy.
  • It is a highly effective treatment for a fissure.
  • Recurrence rates after this type of surgery are very low.
  • It is a minor operation.
  • Can be performed as a day case without the need to stay overnight.
  • This sphincterotomy operation helps the fissure heal by decreasing pain and spasm.
  • Need for postoperative dressing is less likely.
  • A laser also can be done in post CABG (Cardiac), Pregnant & Lactational Patient.
  • Chances of loss of stool control (Incontinence) is not there.