Rectal anal fissures

Abstract Anal fissure is one of the most common anorectal problems. Anal fissure is largely associated with high anal sphincter pressures and most treatment options are based on reducing anal pressures. Conservative management, using increased fiber and warm baths, results in healing of approximately half of all anal fissures. In fissures that fail conservative care, various pharmacologic and surgical options offer satisfactory cure rates. Lateral internal sphincterotomy remains the gold standard for definitive management of anal fissure. This review outlines the key points in the presentation, pathophysiology, and management of anal fissure.
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Anal fissure

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Anal fissure - NHS

Topic Overview What is an anal fissure? An anal fissure is a tear in the lining of the lower rectum anal canal that causes pain during bowel movements. Anal fissures don't lead to more serious problems. Most anal fissures heal with home treatment after a few days or weeks. These are called short-term acute anal fissures.
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Anal Fissure

Summary Faeces is temporarily stored in the rectum and expelled from the body via the anus. An anal fissure is a tear or split in the lining of the anus anal mucosa. The symptoms include pain and bright red blood from the anus. Treatment options include laxatives and surgery. Self-help suggestions include switching to a high-fibre diet and drinking plenty of water.
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Factors that may increase your risk of developing an anal fissure include: Straining during bowel movements and passing hard stools increase the risk of tearing. Anal fissures are more common in women after they give birth. This inflammatory bowel disease causes chronic inflammation of the intestinal tract, which may make the lining of the anal canal more vulnerable to tearing. Anal fissures can occur at any age, but are more common in infants and middle-aged adults.
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