Anal fissure: Difference between revisions

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__NOTOC__
__NOTOC__
{{Infobox_Disease |
  Name        = {{PAGENAME}} |
  Image          = |
  Caption        = |
  DiseasesDB    = 673 |
  ICD10      = {{ICD10|K|60|0|k|55}}-{{ICD10|K|60|2|k|55}} |
  ICD9        = {{ICD9|565.0}} |
  ICDO          = |
  OMIM          = |
  MedlinePlus    = 001130 |
}} 
{{Anal fissure}}
{{Anal fissure}}


'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''


{{CMG}}
{{CMG}}; {{AE}} {{ADS}}


==Overview==
{{SK}} Fissure in ano
An '''anal fissure''' is an unnatural crack or tear in the [[anus]] skin. As a fissure, these tiny tears may show as bright red rectal bleeding and cause severe periodic pain after defecation.<ref name="new">Gott M.D., Peter H. (March 5, 1998) [[The Fresno Bee]] ''New thearpy coming for anal fissures.'' Section:Life; Page E2</ref> The tear usually extends from the anal opening and located posteriorly in the midline. This location is probably because of the relatively unsupported nature of the anal wall in that location.


==Prevention==
== [[Anal fissure overview|Overview]] ==


In infants under one year old, frequent diaper change can prevent anal fissure.  For adults, the following can help prevent fissure:
== [[Anal fissure historical perspective|Historical Perspective]] ==


*Treating constipation by eating food rich in [[fiber|dietary fiber]], avoiding [[caffeine]] (which can increase constipation),<ref> Basson, Marc D. , "Constipation" emedicine [http://www.emedicine.com/med/topic2833.htm] </ref> drinking a lot of water and taking stool softener.
== [[Anal fissure classification|Classification]] ==
*Treating [[diarrhea]] promptly.
*Lubricating the anal canal with KY Jelly or other water-based lubrication before inserting anything (ex: vibrator, penis) into your anal canal.(petroleum jelly is not recommended because it can harbor harmful bacteria).
*Avoiding straining or prolonged sitting on the toilet.
*Using a moist wipe instead of perfumed and harsh toilet paper.
*Keeping the anus dry and hygienic.
*When using Analpram (cream) do not use the dispenser which can injure the area.  Instead use a finger to insert a pea size amount of cream. 
*[[Carmex]] lip ointment (the version <i>without</i> sunscreen-protection chemicals) also helps and is much less expensive than Analpram ($70.00 small tube).


==Treatment==
== [[Anal fissure pathophysiology|Pathophysiology]] ==


==References==
== [[Anal fissure causes|Causes]] ==
{{Reflist|2}}


==External links==
== [[Anal fissure differential diagnosis|Differentiating Anal Fissure from other Diseases]] ==


*[http:////www.wikisurgery.com/index.php?title=Anal-fissure-lateral-sphincterotomy-Operationscript Anal fissure and lateral sphincterotomy:Operation Script on Wikisurgery].
== [[Anal fissure epidemiology and demographics|Epidemiology and Demographics]] ==


*[http://www.wikisurgery.com/index.php?title=Anal-fissure-lateral-sphincterotomy-PatientInformation Anal fissure and lateral sphincterotomy:Information for patients  on Wikisurgery].
== [[Anal fissure risk factors|Risk Factors]] ==
 
== [[Anal fissure screening|Screening]] ==
 
== [[Anal fissure natural history, complications and prognosis|Natural History, Complications and Prognosis]] ==
 
== [[Anal fissure diagnosis|Diagnosis]] ==
 
[[Anal fissure history and symptoms|History and Symptoms]] | [[Anal fissure physical examination|Physical Examination]] | [[Anal fissure laboratory findings|Laboratory Findings]] | [[Anal fissure abdominal x ray|Abdominal X Ray]] | [[Anal fissure CT|CT]] | [[Anal fissure MRI|MRI]] | [[Anal fissure ultrasound|Ultrasound]] | [[Anal fissure other imaging findings|Other Imaging Findings]] | [[Anal fissure other diagnostic studies|Other Diagnostic Studies]]
 
== Treatment ==
 
[[Anal fissure medical therapy|Medical Therapy]] | [[Anal fissure surgery|Surgery]] | [[Anal fissure primary prevention|Primary Prevention]] | [[Anal fissure secondary prevention|Secondary Prevention]] | [[Anal fissure cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Anal fissure future or investigational therapies|Future or Investigational Therapies]]
 
== Case Studies ==
 
: [[Anal fissure case study one|Case #1]]




{{Gastroenterology}}
{{Gastroenterology}}
[[Category:Gastroenterology]]
[[Category:Proctology]]
[[Category:Disease]]
[[de:Analfissur]]
[[de:Analfissur]]
[[fr:Fissure anale]]
[[fr:Fissure anale]]
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{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
{{WikiDoc Sources}}
[[Category:Gastroenterology]]
[[Category:Disease]]

Latest revision as of 20:23, 29 July 2020

Anal fissure Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Anal Fissure from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Abdominal X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Anal fissure On the Web

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Risk calculators and risk factors for Anal fissure

For patient information click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]

Synonyms and keywords: Fissure in ano

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Anal Fissure from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Abdominal X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1


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