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Topic: Anal fissure

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	Hemorrhoid.net - Anal Fissure
		An anal fissure (AY-nul FISH-er) is a tear in the anus causing a painful linear ulcer at the margin of the anus.
		Because of an associated anal crypt infection, causing cryptitis, a fissure, an ulcer, or possibly even an abscess may occur at the superior aspect of the anal canal where it attaches to the lower rectal mucosa.
		Since anal fissures are characterized by spasm of the internal anal sphincter and a reduction in mucosal blood flow, the aim of treatment is to relieve ischemia by reducing resting anal pressure and improving mucosal perfusion.
	www.hemorrhoid.net /fissure.php (1080 words)

	MedlinePlus Medical Encyclopedia: Anal fissure
		An anal fissure is a small split or tear in the anal mucosa that may cause painful bowel movements and bleeding.
		In adults, fissures may be caused by constipation, the passing of large, hard stools, or by prolonged diarrhea.
		Anal fissures are also common in women after childbirth and people with Crohn's disease.
	www.nlm.nih.gov /medlineplus/ency/article/001130.htm (528 words)

	Closed versus open lateral internal sphincterotomy in chronic anal fissure:
		Anal fissure is a common anorectal pathology that causes significant morbidity in healthy population.
		Anal fissure is a linear tear at the anal verge.
		The ratio of male to female for chronic anal fissure in the present study is close to the study conducted by Badar, Qamaruddin and Hafizullah in which 80.9% male and 19% female patients presented with chronic anal fissure with the ratio of 4.2:1 respectively.
	www.pmrc.org.pk /fissure.htm (2154 words)

	Anal Fissure
		An anal fissure is a tear in the lining of the lower rectum (anus) that causes pain during bowel movements.
		Anal fissures are caused by vigorous stretching of the anal canal.
		In some cases, an anal fissure may be caused by Crohn's disease, an inflammatory bowel disease (IBD) that causes bloody diarrhea, abdominal pain, fever, weight loss, and fissures or fistulas near the anus.
	www.everettclinic.com /kbase/topic/mini/uf4764/overview.htm (938 words)

	eMedicine - Anal Fissure : Article by Lisa S Poritz, MD
		Problem: An anal fissure is a painful linear tear or crack in the distal anal canal, which, in the short term, usually involves only the epithelium and, in the long term, involves the full thickness of the anal mucosa (see Images 1-2).
		The fibers of the internal anal sphincter are visible in the base of the chronic fissure, and often, an enlarged anal skin tag is present distal to the fissure and hypertrophied anal papillae are present in the anal canal proximal to the fissure.
		The surgical anal canal is approximately 4 cm long and extends from the anal verge or intersphincteric groove distally to the anorectal ring proximally.
	www.emedicine.com /med/topic3532.htm (3554 words)

	eMedicine - Anal Fissure : Article by Brian P Gillett, MD (Site not responding. Last check: 2007-11-03)
		Anal fissures are common in infancy, and they represent the most common cause of bright rectal bleeding at any age.
		Therefore, increased tone at the internal anal sphincter compromises perfusion of the anoderm, particularly at the posterior midline, by compressing arterioles of the inferior rectal artery.
		Chronic anal fissures should be treated by excision of the fissure along with its sentinel tag (pile) and internal sphincterotomy at the base of the ulcer.
	www.emedicine.com /ped/topic2938.htm (2962 words)

	Anal fissure, cut in anus area, anal pain
		An anal fissure is a small tear or cut in the skin around the anus which can cause pain and/or bleeding.
		A chronic fissure may be due to poor bowel habits, tight or spastic anal sphincter muscles, scarring or an underlying medical problem.
		Historically chronic fissures were treated with surgical disruption or division of the internal anal sphincter muscle.
	www.surgery.usc.edu /divisions/cr/analfissure.html (202 words)

	Anal fissure treatment, surgery - chronic fissures & sphincter pain
		Anal fissure is thought to be a common disorder for which many people do not seek medical advice.
		Most anal fissures are at the rear of the anal opening - in line with the cleft of the buttocks.
		The anal stretch procedure is rarely done as there is a high risk of faecal incontinence and tears of the anal sphincter.
	hcd2.bupa.co.uk /fact_sheets/html/anal_fissure.html (1227 words)

	Anal fissure (torn rectum) - causes and treatment options at MedicineNet.com
		An anal fissure is a cut or tear occuring in the anus (the opening through which stool passes out of the body) that extends upwards into the anal canal.
		Fissures are a common condition of the anus and anal canal and are responsible for 6-15% of the visits to a colonic and rectal (colorectal) surgeon.
		Anal fissure is the most common cause of rectal bleeding in infancy.
	www.medicinenet.com /anal_fissure/article.htm (327 words)

	Fissure
		Fissures are often associated with secondary changes which may include a skin tag (also known as a sentinel pile though it is not actually ‘piles’), hypertrophied anal papilla, and relative anal stenosis secondary to spasm of the muscle sphincter.
		Anal fissure is a common and minor disorder but merits careful attention because it is painful and the treatment is simple and effective.
		This is the stage of abrasion of the anal mucosa.
	www.angelfire.com /ar/laparoscopy/fissure.html (1484 words)

	Anal fissure - Wheatgrass
		As shown in Figure 1, a fissure is a split or tear at the outer end of the anal canal wall, usually at the posterior or back side of the anus.
		Although it affects a different part of the body, anal fissure results from a breakdown in the anal wall very much like the split lip shown in Figure 2 which, as many of us know, can also be very painful and difficult to treat.
		My theory is that this is what occurs in anal fissure and possibly in other similar painful conditions such as tennis elbow and plantar fasciitis and perhaps even in the split lip shown in Figure 2.
	www.wheatgrassprofessional.info /af_info.htm (1208 words)

	Anal fissure (Site not responding. Last check: 2007-11-03)
		Anal fissures are tears in the skin overlying the anal sphincter, usually due to increased tone of the anal sphincter muscles, and a failure of these muscle to relax.
		Anal fissures cause pain during defecation and bleeding from the anus.
		This is called an internal sphincterotomy, a procedure in which the anal sphincter is partially cut, thus allowing it to relax and permitting the fissure to heal.
	www.shands.org /health/surgeries/100154.html (514 words)

	Anal fissure
		The exact cause of anal fissure is unknown.
		One of the reasons it was thought to persist was that the fissure caused spasm of a muscle inside the anus which in turn reduced the blood supply to the anal canal.
		The anal verge being unable to "rest" for any length of time because of the need for bowel evacuation, the fissure remains open.
	www.wheatgrassprofessional.info /anal_fissure.htm (752 words)

	Anal Fissure - Frequently Asked Questions
		Anal fissure is a painful crack or tear in the skin and membrane of the anal canal, usually in the midline of the anus.
		Anal fissure is usually caused by over-stretching of the anal sphincter muscle.
		Anal fissure is also common in women after childbirth and in those suffering from Crohn's disease.
	www.hemorrhoidsinplainenglish.com /anorectal/anal-fissure.htm (601 words)

	Anal Fissure Glossary of Terms with Definitions on MedicineNet.com
		Anal fissure is a common cause of red blood in the stool.
		Anal papilla: A skin tag that projects up from the junction between the skin and the inside lining of the anus.
		Anal papillae tend to occur with anal fissures and may be detected on a digital examination of the anus or with a scope.
	www.medicinenet.com /anal_fissure/glossary.htm (5033 words)

	Anal Fissure - Patient UK
		An anal fissure (an anal 'tear') causes pain in the anus.
		An anal fissure is a small tear of the skin of the anus.
		Most anal fissures are thought to be due to passing large or hard faeces when you are constipated.
	www.patient.co.uk /showdoc.asp?doc=23068676 (1164 words)

	UpToDate Patient information: Anal fissure
		— An anal fissure is a tear in the lining of the anus, the opening where feces are excreted.
		There are no reliable estimates of the frequency of anal fissures in the general population; some studies suggest that as many as one in five persons develop a fissure during their lifetime.
		— Anal fissures are caused most frequently by trauma that stretches the anal canal, such as after passage of large or hard bowel movement or explosive diarrhea.
	patients.uptodate.com /topic.asp?file=digestiv/11250 (1888 words)

	Palo Alto Medical Foundation General Surgery Center: ANAL FISSURE -- BOTOX (Site not responding. Last check: 2007-11-03)
		An anal fissure, or split in the skin of the distal anal canal, is a common problem that causes substantial morbidity in people who are otherwise healthy.
		The majority of fissures occur in the posterior midline of the anal canal and are usually the result of tearing of the skin from hard stool or other physical irritants.
		Spasm of the anal sphincter has been noted in association with anal fissure, and for many years treatment has focused on alleviating spasm of the sphincter.
	www.pamf.org /surgery/analfissuebotox.html (658 words)

	Anal Fissure and Chronic Anal Fissure: information at Mayo Clinic
		Anal fissures are one of the most common causes of anal pain.
		An anal fissure is a small tear in the lining of the anal canal, usually at the very back of the anal opening.
		An anal fissure existing on its own (primary) is usually thought to be the result of straining--either from passing hard and large stool, or (more uncommon) from explosive diarrhea.
	www.mayoclinic.org /anal-fissure/index.html (301 words)

	Anal fissure
		The most common cause of anal fissures is large or hard stool passing through the anal canal during bowel movements.
		As many as 80 percent of infants experience an anal fissure during their first year of life, although experts aren't sure of the reason.
		However, after your anal fissure has healed and especially if you've had rectal bleeding, your doctor may recommend further testing, usually a sigmoidoscopy or colonoscopy, to be sure no underlying disorder, such as Crohn's disease, caused your anal fissure.
	www.cnn.com /HEALTH/library/DS/00762.html (1365 words)

	Anal fissure - MayoClinic.com
		An anal fissure is a small tear in the lining of the anal canal.
		Common in infants ages 6 to 24 months, anal fissures are less likely to develop in older children.
		Anal fissures that fail to heal may become chronic and cause considerable discomfort.
	www.mayoclinic.com /health/anal-fissure/DS00762 (199 words)

	Anal Fissure
		A fissure that has not healed after 6 weeks is considered long-term, or chronic, and usually needs additional treatment.
		The main surgery for chronic anal fissure is lateral internal sphincterotomy.
		This may be true for women who develop a fissure while giving birth, because they typically do not have a high resting pressure in their internal sphincter.
	www.peacehealth.org /kbase/topic/mini/uf4764/treatmnt.htm (458 words)

	Anal Fissures - Proven Natural Treatment.
		An anal fissure is a small tear or cut which lines the anus.
		Anal fissures occur in the tissue that lines anal canal, called anoderm, which contains a large amount of sensory nerves.
		Fissures are normally cause by constipation and pressure in the area.
	www.amoils.com /anal-fissures.html (1254 words)

	Anal Fissure: Anal and Rectal Disorders: Merck Manual Home Edition
		An anal fissure is a tear or ulcer in the lining of the anus.
		Anal fissures may be caused by an injury from a hard or large bowel movement.
		Fissures cause pain and bleeding, usually during or shortly after a bowel movement.
	www.merck.com /mmhe/sec09/ch130/ch130c.html (231 words)

	Anal fissure - WrongDiagnosis.com
		Detailed information about the causes of Anal fissure including medication causes and drug interaction causes can be found in our causes pages.
		With a diagnosis of Anal fissure, it is also important to consider whether there is an underlying condition causing Anal fissure.
		The prognosis of Anal fissure may include the duration of Anal fissure, chances of complications of Anal fissure, probable outcomes, prospects for recovery, recovery period for Anal fissure, survival rates, death rates, and other outcome possibilities in the overall prognosis of Anal fissure.
	www.wrongdiagnosis.com /a/anal_fissure/intro.htm (593 words)

	Pediatric Advisor 2006.2: Anal Fissure Brief Version
		An anal fissure is a shallow tear or crack in the skin at the opening of the anus.
		An anal fissure is an injury usually caused by your child passing a large or hard BM.
		Fissures heal quickly, usually in 1 or 2 days.
	www.med.umich.edu /1libr/pa/pa_svanalfi_hhg.htm (289 words)

	Anal fissure: Treatment - MayoClinic.com
		Anal fissures are fairly common and usually heal without treatment or with nonsurgical treatments.
		For infants, the only intervention necessary may be changing the diaper regularly and keeping the anal area clean.
		If you have a chronic anal fissure that won't heal on its own, your doctor may recommend surgery.
	www.mayoclinic.com /health/anal-fissure/DS00762/DSECTION=8 (540 words)

	Anal Fissure - health information
		When hard stools pass through a tight anal opening, a laceration may occur and that is referred to as a fissure.
		Fissures can also be caused by anal trauma, laxative abuse, childbirth trauma, or laceration by a foreign object.
		Also taking Sitz baths (soaking the anal area in warm water for 20-30 minutes several times daily) is an excellent way to relax the anal sphincter tone and increase the blood flow to the area to promote healing.
	www.mckinley.uiuc.edu /Handouts/anal_fissure.html (460 words)

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