ANAL FISSURE

DEFINATION

An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus.  If not healead for 8 weeks it will change to chronic anal fissure

CAUSES

 An anal fissure may occur when you pass hard or large stools during a bowel movement.

Other possible causes of anal fissures include: persistent diarrhoea, Crohn’s disease or another inflammatory bowel disease, Anal cancer, HIV, Anal intercourse, Syphilis and Tuberculosis
 
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SYMPTOMS

  • Pain during bowel movements.
  • Pain after bowel movements that can last up to several hours.
  • Bright red blood on the stool or toilet paper after a bowel movement.
  • A visible crack in the skin around the anus.
  • A small lump or skin tag on the skin near the anal fissure.

PREVENTION

Avoid constipation by eating a plenty of fibers and water and avoid carbohydrates, white breads and legumes, treat persistant diarrhea

Avoid and treat other causes of Anal fissure

DIAGNOSIS

 Medical history and a physical exam is all that’s needed to diagnose an anal fissure. Rarely Anoscopy, sigmoidscopy or Colonoscopy may be needed

TREATMENT

For acute fissures medical treatment and changing life style are sufficent

MEDICAL TREATMENT INCLUDE: Ointments containing nitroglycerine, Aneasthetic creams, Botox injection and Dilatation of the sphincter

SURGICAL TREATMENT : Excision of the fissures and or Partial Sphincterotomy

LASER TREATMENT

Laser treatment is one of the most effective treatments for chronic anal fissures. It is a minimally invasive procedure that uses laser energy to shrink the hemorrhoid tissue. The procedure is performed on an outpatient basis and has a high success rate.

In Ghazala Clinics we guarantee the best results with newest laser machines and low prices