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Fissure Operation, Fissure treatment, Fissure Meaning, Anal fissure, Fissure Lecture in Hindi
Anal fissure is a small tear in the superficial part of anal canal and cause pain and bleeding with bowel movements.

Most anal fissures respond to simple treatments but some will require surgery.

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Anal fissure is a small tear in the superficial part of anal canal and cause pain and bleeding with bowel movements.

Most anal fissures respond to simple treatments but some will require surgery.

Symptoms
Signs and symptoms of an anal fissure include:

Pain, mild to severe after passage of stools and may last for hours after that
Bright red blood on the stool or toilet paper
Skin tag on anal verge

Causes
Common causes of anal fissure include:

Hard stools
Constipation and straining during bowel movements
Chronic diarrhea
Pregnancy
Childbirth

Complications
Complications of anal fissure can include:

Failure to heal.An anal fissure that fails to heal within eight weeks is considered chronic and may need further treatment.
Once you’ve experienced an anal fissure, you are prone to having another one.
A tear that extends to surrounding muscles.


Prevention

High-fiber diet
Drink more fluids
Exercise regularly


Diagnosis
Usually simple examination by doctor will be enough to diagnose fissure.
An anoscope is a tubular device inserted into the anus to help your doctor visualize the rectum and anus.


Treatment

Anal fissures often heal within a few weeks if you take steps to keep your stool soft, such as increasing your intake of fiber and fluids. Soaking in warm water for 10 to 20 minutes several times a day, especially after bowel movements, can help relax the sphincter and promote healing.

If your symptoms persist, you’ll likely need further treatment.

Nonsurgical treatments
Doctor will usually try medicines and life style modifications to relieve symptoms but if they do not work, surgery may be needed.

Surgery
Lateral Internal Sphincterotomy- (LIS) involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain, and promote healing.

Studies have found that for chronic fissure, surgery is much more effective than any medical treatment.

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