Anal fissure is one of the most common presenting complaints in the outpatient departments of colorectal and general surgery. In surgical options, lateral internal sphincterotomy LIS is considered as a gold standard by many surgeons because it is believed to be safe, has low morbidity, and is easy to perform. Therefore, the need for conservative management cannot be overemphasized. As of today, chronic fissure-in-ano is considered a non-infective pathology and antibiotics have no role in its management. However, during the last decade, evidence is emerging to the contrary. In , Pelta et al.
A quick guide to managing anal fissures - BPJ Issue 52
An anal fissure is a small cut or tear in the lining of the anus. The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements. At times, the fissure can be deep enough to expose the muscle tissue underneath. In most cases, the tear heals on its own within four to six weeks.
Anal Fissures: Nitroglycerin Ointment
The intestinal tract or bowel ends with the rectum. It ends with the anus — the opening to the outside of the body. There are several common problems, including hemorrhoids, that can occur in the area from the rectum to the anus.
Jump to content. 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.