Anal fissure natural history, complications and prognosis: Difference between revisions
(Created page with "__NOTOC__ {{Anal fissure}} Please help WikiDoc by adding content here. It's easy! Click here to learn about editing. ==References== {{Reflis...") |
m (Bot: Removing from Primary care) |
||
| (12 intermediate revisions by 4 users not shown) | |||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Anal fissure}} | {{Anal fissure}} | ||
{{CMG}}; {{AE}}{{ADS}} | |||
==Overview== | |||
The symptoms of anal fissure can develop in infants as well as in adults following episodes of severe and chronic [[constipation]]<nowiki/>and [[diarrhea]]. If left untreated, the unhealed fissures can get complicated to chronic fissures, [[anal abscess]], [[anal fistula]] and [[fecal incontinence]]. The prognosis is generally excellent and 90% spontaneously heal or with dietary and medical measures. | |||
==Natural History, Complications, and Prognosis== | |||
===Natural History=== | |||
*The symptoms of anal fissure can develop in the childhood in children having frequent [[diarrhea]] or severe [[constipation]]. | |||
*In adults, severe and chronic [[constipation]] leads to increased straining efforts which ultimately leads to anal fissure. | |||
*If left untreated, they become chronic anal fissure which frequently have an anal tag and unhealed fissures can get complicated to [[anal fistula]] and [[anal abscess]]. | |||
===Complications=== | |||
*Common complications of anal fissure include:<ref name="pmid7587755">{{cite journal |vauthors=Fleshner PR, Schoetz DJ, Roberts PL, Murray JJ, Coller JA, Veidenheimer MC |title=Anal fissure in Crohn's disease: a plea for aggressive management |journal=Dis. Colon Rectum |volume=38 |issue=11 |pages=1137–43 |year=1995 |pmid=7587755 |doi= |url=}}</ref><ref>'https://online.epocrates.com/u/2952563/Anal+fissure' title=Anal fissure at Epocrates Online</ref> | |||
**Failure to heal and become chronic fissures | |||
**[[Anal abscess]] or [[Anal fistula|fistula]] | |||
**[[Fecal incontinence]] after surgery | |||
===Prognosis=== | |||
*Prognosis is generally excellent and the patients with acute anal fissure is approximately 90% spontaneously heal or with dietary and medical measures.<ref>Jonas M, Scholefield JH. Anal fissure. In: Holzheimer RG, Mannick JA, editors. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich: Zuckschwerdt; 2001. Available from: https://www.ncbi.nlm.nih.gov/books/NBK6878/</ref> | |||
*[[Fecal incontinence]] occurs in 56.5% of patients undergoing surgery. | |||
==References== | ==References== | ||
{{Reflist|2}} | |||
{{ | | ||
| |||
{{WikiDoc Help Menu}} | |||
{{WikiDoc Sources}} | |||
[[Category: | [[Category:Medicine]] | ||
[[Category:Gastroenterology]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 20:24, 29 July 2020
|
Anal fissure Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Anal fissure natural history, complications and prognosis On the Web |
|
American Roentgen Ray Society Images of Anal fissure natural history, complications and prognosis |
|
FDA on Anal fissure natural history, complications and prognosis |
|
CDC on Anal fissure natural history, complications and prognosis |
|
Anal fissure natural history, complications and prognosis in the news |
|
Blogs on Anal fissure natural history, complications and prognosis |
|
Risk calculators and risk factors for Anal fissure natural history, complications and prognosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]
Overview
The symptoms of anal fissure can develop in infants as well as in adults following episodes of severe and chronic constipationand diarrhea. If left untreated, the unhealed fissures can get complicated to chronic fissures, anal abscess, anal fistula and fecal incontinence. The prognosis is generally excellent and 90% spontaneously heal or with dietary and medical measures.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of anal fissure can develop in the childhood in children having frequent diarrhea or severe constipation.
- In adults, severe and chronic constipation leads to increased straining efforts which ultimately leads to anal fissure.
- If left untreated, they become chronic anal fissure which frequently have an anal tag and unhealed fissures can get complicated to anal fistula and anal abscess.
Complications
- Common complications of anal fissure include:[1][2]
- Failure to heal and become chronic fissures
- Anal abscess or fistula
- Fecal incontinence after surgery
Prognosis
- Prognosis is generally excellent and the patients with acute anal fissure is approximately 90% spontaneously heal or with dietary and medical measures.[3]
- Fecal incontinence occurs in 56.5% of patients undergoing surgery.
References
- ↑ Fleshner PR, Schoetz DJ, Roberts PL, Murray JJ, Coller JA, Veidenheimer MC (1995). "Anal fissure in Crohn's disease: a plea for aggressive management". Dis. Colon Rectum. 38 (11): 1137–43. PMID 7587755.
- ↑ 'https://online.epocrates.com/u/2952563/Anal+fissure' title=Anal fissure at Epocrates Online
- ↑ Jonas M, Scholefield JH. Anal fissure. In: Holzheimer RG, Mannick JA, editors. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich: Zuckschwerdt; 2001. Available from: https://www.ncbi.nlm.nih.gov/books/NBK6878/