Disable Preloader

Fissure In Ano

Fissure In Ano

It is adisease which occupies 70%of anorectal case. It is linear ulcer in anal canal. Due to hard stool and increased distal girth of stool cause linear tear at anal verge. It is very painful condition. The pain is caused by spasm of sphincter muscles. Figure or video

An anal fissure, fissure in Ano or rectal 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 is often less. 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. Untreated fissures develop a hood like skin tag (sentinel piles) which cover the fissure and cause discomfort, pain.

Other common causes of anal fissures include :

  •  Ichildbirth trauma in women
  •  ICrohn's disease
  •  Iulcerative colitis
  •  IPoor toileting in young children.
    • Symptoms -

      •  IPainful defecation
      •  IBleeding per rectum – streak on stool or drops
      •  IHard stool
      •  IUnsatisfactory motion
      •  IMass around anus

      Treatment-

      • 1. Injection treatment
      • 2. Anal dilatation
      • 3. Lateral Sphincterectomy
      • 4. Non-surgical treatments are recommended initially for acute and chronic anal fissures.[ These include topical nitroglycerin or calcium channel blockers (e.g. diltiazem), or injection of botulinum toxin into the anal sphincter.
      • Other measures include warm sitz baths, topical anesthetics, and high-fiber diet and stool softeners.