What Is An Anal Fissure?

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Anal Fissures

An anal fissure is a tear in the anal canal mucous membrane. Anal fissures may cause bright red bleeding, visible on the toilet paper and sometimes in the toilet bowl. In the acute phase, they may cause sharp pain after defecation. In the case of chronic anal fissures, rectal cancer urinary retention pain is less intense.

Fissures expand from the edge of the anal canal and they are generally located at the level of the posterior commissure, especially because of the low resistance and poor irrigation of the anal canal in that region.

The fissure generally is superficial, but it can reach rectal cancer urinary retention sphincter muscles. The anal fissure is a linear or triangular mucous membrane injury, an open wound, cm long.

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It is located above the anocutaneous line and it reaches or surpasses the dentate line. The bottom of the fissure exposes the anal sphincter muscle fibres. In time, if left untreated, the edges and the bottom of the fissure are covered in granular tissue and fibrin deposits, i. Sentinel tags may sometimes be notices on the outer and inner edge. The nerve terminations are gradually involved in the process, which prevents scarring and explains the onset of the chronic pain syndrome.

In certain cases, there are two fissures, on the anterior and the posterior commissure. Symptoms Patients with anal fissures experience quasi permanent pain, accentuated during defecation. The post-defecation pain may be short-lived or last for a few hours, but it generally disappears before the next defecation.

The pain can be so sharp that it causes patients to avoid defecation, which leads to constipation or even intestinal obstruction. Moreover, constipation causes the elimination of a hard and large stool, which rectal cancer urinary retention aggravate the anal fissure. The pain can also cause urination discomfort dysuria ceai detox la ce ajuta, frequent urination or urinary retention.

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Minor bleeding, itching anal pruritus and bad smelling discharges also rank amongst the possible symptoms, following pus elimination. Prevalence The incidence of anal fissures is of approximately 1 of adults and it is equally distributed between the two genders. The age category is generally ofeven though it can be encountered in older people as well.

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Fissure can also occur in children, following improper hygiene. Anal fissures are frequently encountered in women, after childbirth.

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What Causes Anal Fissures? Anal fissures can also occur as a consequence of injuries at the level of the anus and the anal canal. Diagnosis The detailed anamnesis may suggest the presence of an anal fissure, and the careful examination of the anal area can confirm the presence of the fissure.

If the eversion of the anal mucous membrane does not determine the presence of the fissure, the examination of the anus and anal canal through the rectal cancer urinary retention of a local anaesthetic may be required.

This examination may be performed by inserting a cotton tab into the anus to locate the cause of the pain. The appearance of an acute anal fissure is that of a linear tear. The chronic anal fissure is often associated to various aspects, including: the presence of a skin prominence at the edge of the anus sentinel rectal cancer urinary retention ; the thickened edges of the fissure, with the muscle fibres of the internal sphincter visible at the basis of the fissure; the hypertrophied anal papilla, located in the upper area of the fissure, on the anal canal.

In case of rectal bleeding, an optical rigid or flexible tube endoscopy may be required, to exclude the possibility of more severe anorectal conditions. Sigmoidoscopy, which examines the distal area of the colon, may be sufficient for patients aged below 50, helmintox gintarine typical anal fissures. In the case of patients with heredocolateral colon cancer antecedents aged above 50 so with a high colon cancer riskcolonoscopy is recommended, an examination that is rectal cancer urinary retention on the entire length of the colon.

Atypical fissures that suggest the presence of other diseases, require colonoscopy, upper GI investigations and X-ray scans.

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Treatment It should be mentioned from starters that anal fissure does not require surgery. The modern treatment is the local one, involving the application of special ointments, meant to diminish and subsequently remit the anal sphincter spasm. Surgery is, however, recommended in the case of old, painful fissures. The intervention may be performed under local anaesthesia, no admission, no hospitals, no infusion.

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Block fissurectomy is performed with the edges of the fissures and the sentinel tags, using radiofrequency, regarded as providing extensive wound scarring finesse. Complications If you have minor anal fissure symptoms, do not wait until complications arise, hoping that the condition will just disappear by itself. Rectal cancer urinary retention will not, and ignoring it for a long period of time will make it worse and will most certain lead to undesired complications, such as: Sharp pain anal fissure-related pain is generally due to the anal sphincter spasm.

Acute Paraproctitis — the inflammation of the fatty tissue surrounding the rectum, as a consequence of the inflammation reaching the anal crypts and glands. Excessive bleeding. Rectal fistula — a chronic anal crypt inflammation process, between the sphincter and the anal gland, with the formation of fenestrations. Colitis — an inflammatory disease of the large intestine mucous membrane. Prostatitis — the prostate inflammatory disease. LaurusMedical Appointments.