Pictures of persistant anal fissure

Study record managers: refer to the Data Element Definitions if submitting registration or results information. Chronic anal fissure is a rupture of anal canal mucosa lasting for more than 2 months and resistant to non-surgical treatment. This condition is attended by severe pain syndrome during and after bowel movement defecation. This condition is most frequent in younger and working-age adults; therefore, the treatment issue is of particular relevance.
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Chronic Anal Fissures

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Anal fissure - Diagnosis and treatment - Mayo Clinic

Language: English French. Surgical sphincterotomy for chronic anal fissure can cause fecal incontinence. This has led to the investigation of nonsurgical treatment options that avoid permanent damage to the internal anal sphincter. We conducted a retrospective, ongoing chart review with telephone follow-up of 88 patients treated for chronic anal fissure between November and December During the first half of the study period, patients were treated with topical nitroglycerin and pneumatic dilatation.
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Complex Treatment of a Chronic Anal Fissure

Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut. A chronic anal fissure likely has a deeper tear, and may have internal or external fleshy growths.
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An anal fissure is a common and often painful problem caused by a small tear or ulcer open sore in the lining of the anus back passage. This can cause bleeding, local itching and pain with a bowel movement, which can be severe. When someone has an anal fissure the first treatments can include a high-fibre diet, laxatives and applying anaesthetic ointments to the affected area. Anal fissures usually heal within a few weeks but those that have not healed after 4—6 weeks are called chronic fissures. If someone has a chronic fissure, it is thought that the reason it has not healed is that the ring muscle sphincter that goes around the anus back passage has become so tense that the flow of blood to the lining of the anus is reduced.
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