Fissure
Anal Fissure is a longitudinal tear in the lower end of the anus. It is the most painful condition affecting the anal region. It is commonly seen in young patients.
Symptoms of Fissure
- Severe burning and pain during and after passing stool
- severe constipation Drop of blood or streak of fresh blood during defecation.
- sentinel piles (Tag of skin at the outer end of the anus)
- Itching
- Hard stool (pellet-like)
Cause of Fissure Treatment
- Hard stool
- surgical Procedure (Piles surgery)
- spincter hypertonia (spasm of anus)
- Repeated child birth
- Excessive use of ointments.
- Excessive use of laxatives.
Diagnosis of Fissure
- Per rectal examination with lignocaine jelly application.
- Proctoscopy is contraindicated because the condition is very painful. (If required can be done under general anesthesia)