Author disclosure: Richard L. Nelson has received fees from the American College of Physicians for web-based education modules. He is also the author of references cited in this review. Chronic anal fissures typically occur in the midline, with visible sphincter fibers at the fissure base, anal papillae, sentinel piles, and indurated margins. Anal fissures are a common cause of anal pain during and for one to two hours after defecation. The cause is not fully understood, but low intake of dietary fiber may be a risk factor.
How would you counsel the patient about other treatment options? Understand the mechanism of action of Lu Daniel O. Anal Fissure. This is the typical presentation of a perianal abscess in a male infant.
If you notice blood when you poop, you may have an anal fissure. Anal fissures are small tears in the thin tissue mucosa that lines the anus. The anus is the opening at the end of your gastrointestinal tract. These tears can be painful and make you bleed. Sometimes, fissures rip slowly over time.
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