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Anal fissure wiki

An anal fissure , or fissura ani, is a fissure a small tear in the anal canal. Patients typically complain of sharp anal pain during and after defecation , lasting minuters or hours [1]. This small wound can sometimes bleed a little bit during or after defecation. It's not completely clear what causes an anal fissure. It is possibly caused by constipation , too much strain on the anal sphincter the circular muscle of the anus , reduced blood circulation, the skin is not made dry enough after taking a shower or swimming, the skin has been stretched too much, pregnancy, giving birth, and not changing a baby's diper in time. After the anal fissure closes, it takes 6 weeks to 3 months before the wound is healed completely.
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Anal fissure

Anal fissure wiki
Anal fissure wiki
Anal fissure wiki
Anal fissure wiki
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Identifying the best therapy for chronic anal fissure

An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, [1] but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. Fissure depth may be superficial or sometimes down to the underlying sphincter muscle.
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Identifying the best therapy for chronic anal fissure

An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, [1] but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. Fissure depth may be superficial or sometimes down to the underlying sphincter muscle.
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Chronic anal fissure CAF is a painful tear or crack which occurs in the anoderm. The optimal algorithm of therapy for CAF is still debated. It relieves CAF symptoms with a high rate of healing. Chemical sphincterotomy CS with nitrates, calcium blockers or botulinum toxin BTX is safe, with the rapid relief of pain, mild side-effects and no risk of surgery or anesthesia, but is a statistically less effective therapy for CAF than LIS.
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