61. University Of Miami School Of Medicine - Glossary - Anal Fissure About 5075% of anal fissures treated in this fashion will heal in severalweeks to months. anal fissures are common tears in the anal canal. http://www.med.miami.edu/patients/glossary/art.asp?articlekey=270

62. WebMD/Lycos - Article anal fissures do not lead to more serious conditions such as colon cancer.Most anal fissures heal with home treatment after a few days or weeks. http://webmd.lycos.com/NR/internal.asp?GUID={960AF530-A4FA-4D29-A213-C9396FAA3AC

63. Anal Fissure And Fistula Factsheet BUPA Wellness Home A to Z Factsheets Anal fissure and fistula. What are anal fissuresand fistulas? What causes anal fissures and fistulas and who is at risk? http://www.bupa.co.uk/wellness/asp/factsheets/Anal_fissure_and_fistula.asp

search site by keyword personal corporate Homepage Find a Wellness centre Health factsheets Contact details ... A to Z Factsheets Anal fissure and fistula What are anal fissures and fistulas? An anal fissure is a tear in the lining of the anus or the skin around it. An anal fistula is an abnormal track or channel from the anus that opens onto the skin surrounding the anus. What causes anal fissures and fistulas and who is at risk? Frequently, no cause is found for the development of an anal fissure. The most commonly associated condition is constipation. What are the common symptoms and complications of anal fissures and fistulas? Sudden and severe pain in or around the anus is the characteristic symptom of an anal fissure. The pain often occurs during or shortly after the passage of a hard stool, but may also occur spontaneously. Anal fistula is most commonly associated with an abscess near the anus, which gives rise to pain in or around the anus that may be dull and throbbing. The abscess releases pus, which may be blood-stained and soil the underclothes. The formation of a fistula results in the often continuous seepage of pus or sometimes a more thin and watery fluid, again often streaked with blood, from the anus. If the underlying abscess is large enough it may cause a fever and a feeling of being generally unwell. What is the treatment for anal fissures and fistulas?

64. Male Health: Bowel Problems anal fissures. Around 2% of the population have anal fissures and manypeople who think they have piles actually have anal fissures. http://www.malehealth.co.uk/keyinfo/bowelfissures.htm

Anal fissures Around 2% of the population have anal fissures and many people who think they have piles actually have anal fissures. The main symptoms are bright red bleeding and pain after going to the lavatory. Only 20% of anal fissures are caused by constipation and doctors now believe they may be caused by a poor blood supply to the back of the anus. Anal fissures can be treated with a high-fibre diet and regular bathing. If the fissures don't heal then you may need a small operation. This is done under general anaesthetic and is usually successful, but one person out of every twenty may have slight difficulty controlling wind afterwards. Click to close

65. InteliHealth: Anal It must be treated by a doctor. Prevention. You may be able to preventanal fissures by preventing episodes of constipation. To do http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/9396.html

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66. GayHealth: Home New Ointment Helps Heal anal fissures by Sarah Albert. Chronic anal fissures aretears or cuts of the anal lining, which usually are treated surgically. http://www.gayhealth.com/iowa-robot/common/feature.html?record=533

67. Health.iafrica.com | Medically Speaking | Gastro-intestinal Treatment For Anal F GASTROINTESTINAL Treatment for anal fissures. He's had an anal stress but thatdoesn't seem to have worked and the three painful fissures are back again. http://health.iafrica.com/medicallyspeaking/gastro/analfiss0907.htm

Communities: [ h o m e ] Advice Africa Afrikaans Aids Wise Business Cars Careers Cooltech Easy Money Entertainment Fun Stuff Games Highlife Men Motoring My Money News Sport Talk Travel Weather Win Women Services: Book Airtickets Chat Online Classifieds Directories Ecards Homeloans Mobile Magic myiafrica.com Property Search Shop Online Streetfinder Search Sun, 30 Mar 2003 DIET AND HEALTH DOC ONLINE FITNESS ONLINE MEDICAL DIRECTORY ... HEALTH NEWS You are in: Medically Speaking Gastro-Intestinal GASTRO-INTESTINAL Treatment for anal fissures Petra: I wonder if you can tell me about rectal fissures. Harry: That's very painful, have you got it? Petra: No, one of the members of my family has. He's had an anal stress but that doesn't seem to have worked and the three painful fissures are back again. Where do we go from here? Harry: All right, who has he seen? Has he been to a surgeon. Petra: Yes, the surgeon did the anal stress, but it's just not working and it's come back again. Harry: MEDICALLY SPEAKING Don't miss Medically Speaking every Tuesday night at 7:00pm on 702 Talk Radio and 567MW Cape Talk presented by Professor Harry Seftel.

68. APRIA HEALTHCARE Resources - Health Advisors anal fissures are a fairly common disorder and occur more often in women. Analfissures are usually caused by small tears in the skin of the anus. http://www.apria.com/resources/ap_res_adv_show/0,1278,108-198-A-32,00.htm

69. Herbs Hands Healing, Haemorroids, PIles And Anal Fissures anal fissures can be a worsening of haemorrhoids where they have split and willnot heal around the anus due to its sphincter movement and stretching on http://www.herbs-hands-healing.co.uk/ailments/haemorroids.html

A - Z index acne anaemia angina appendicitis arthritis asthma athletes foot bladder weakness boils brain clarity breast lumps bronchitis bursitis candida cervical cysts cervical polyps cold sores colitis constipation coughs cystitis cysts dandruff depression dermatitis diabetes diarrhoea disturbed patterns of sleep diverticulitis duodenal ulcers dysmennorheoa ear infections eczema endometriosis fever fibroids gastric ulcer glandular fever goitre gout growing pains haemorroids hayfever headaches heart attack hepatitis herpes simplex herpes zoster high blood pressure hypertension hyperthyrodism hypoglycaemia hypotension hypothyroidism impetigo incontinence indigestion infertility insomnia irregular periods irritable bowel syndrome jaundice kidney stones liver spots low blood pressure low blood sugar lung infections mastitis Meniers syndrome menopause migraine multiple sclerosis mumps nose problems oedema oral thrush oesteoporosis ovarian cysts over active thyroid palpitations painful periods pancreatitis Parkinson's disease pelvic inflammatory disease phlebitis piles pregnancy Premenstrual syndrome prostate enlargement prostitis psoriasis rheumatism ringworm salpingitis sciatica shingles sinus infections sinusitis tinnitus thrombosis thrombophlebitis thrush varicose veins verrucas water retention warts worms This painful condition can often be an early warning signal to assess the state of the digestive system in general. Rectal bleeding must be differentially diagnosed from malignant disease. Anal fissures can be a worsening of haemorrhoids where they have split and will not heal around the anus due to its sphincter movement and stretching on defecation.

70. Colon And Rectal Surgeons Are Trying Botox Treatment, Too Chicago Patients with anal fissures and hemorrhoids may benefit from the sametherapeutic agent others are using to regain a youthful facial appearance. http://jama.ama-assn.org/issues/v288n4/ffull/jmn0724-3.html

71. ThirdAge - Adam - Anal Fissure anal fissures are common in young infants, and studies suggest 80% of infants willhave had an anal fissure by age 1. These usually heal spontaneously and do http://www.thirdage.com/health/adam/ency/article/001130.htm

document.write(''); document.write(''); document.write('<'); document.write('/SCRIPT>'); document.write(''); document.write(''); document.write('<'); document.write('/A>'); document.write('<'); document.write('/NOSCRIPT>'); document.write('<'); document.write('/IFRAME>'); Activities Computers Family Tree Health ... Prevention Anal fissure Definition: A small split or tear in the anal mucosa that may cause painful bowel movements, bleeding with streaks of blood on the outside of the stool, or blood on the toilet tissue. Causes, incidence, and risk factors: Anal fissures are common in young infants, and studies suggest 80% of infants will have had an anal fissure by age 1. These usually heal spontaneously and do not require specific medical treatment aside from good diaper hygeine. The incidence decreases rapidly with age, and fissures are much less common in school age children. In adults, fissures may be caused by constipation with large, hard stools or by prolonged diarrhea. In older patients, anal fissures can also be caused by decreased blood flow to the area. Anal fissures are also more common in women after childbirth and in people with Crohn's disease. Rectum Review Date: 5/3/2002 Reviewed By: Julie A. Miller, M.D., Department of Surgery, Royal Melbourne Hospital, Melbourne, Australia. Review provided by VeriMed Healthcare Network.

72. Welcome To ENH.org - Anal Fissure anal fissures are tears in the skin overlying the anal sphincter, usually due toincreased tone of the anal sphincter muscles, and a failure of these muscle to http://www.enh.org/surgery/100154.asp

Anal fissure Normal anatomy The anus is a sphincter at the end of the rectum through which passes stool during defecation. The anal sphincter is a critical mechanism for control of fecal continence. Review Date: 07/20/01 Reviewed By: A.D.A.M. Medical Illustration Team 2650 Ridge Avenue Evanston, IL 60201 Site Map Email Us! Indication Anal fissures are tears in the skin overlying the anal sphincter, usually due to increased tone of the anal sphincter muscles, and a failure of these muscle to relax. Anal fissures cause pain during defecation and bleeding from the anus. Review Date: 07/20/01 Reviewed By: A.D.A.M. Medical Illustration Team 2650 Ridge Avenue Evanston, IL 60201 Site Map Email Us! Incision Most anal fissures can be treated successfully with conservative measures, which include stool softeners and warm soaks. The goal is to relax the anal sphincter, which allows the fissure to heal. If these methods are ineffective, surgery is necessary. This is called an internal sphincterotomy, a procedure in which the anal sphincter is partially cut, thus allowing it to relax and permitting the fissure to heal. Review Date: 07/20/01 Reviewed By: A.D.A.M. Medical Illustration Team

73. Colon And Rectal Surgery From Doctor Cloud, M.D amount of attention in the literature because of its ability to relax the anal sphinctermuscle and get a percentage of more difficult anal fissures to heal http://www.colonandrectalsurgery.com/html/patientedu/sub/ped7.htm

MONTHLY ARTICLE ANAL FISSURE One of the most common disorders that we see is anal fissure. An anal fissure is a "cut" or "ulcer" that usually occurs in either the front or the back of the anus. It is usually the result of a transient bout of constipation or diarrhea. Almost everyone will get a fissure at some point in their life, but they usually go away spontaneously as soon as the transient bout of constipation or diarrhea resolves and things return to normal. There are other conditions that may cause an anal fissure, but they are somewhat rare and will not be discussed here. The fissure is showing some signs of healing and/or is not causing any further pain- in these cases, I will continue the regimen for additional weeks and see if the fissure will heal.

74. Cellegy Pharmaceuticals Inc Corporate Profile Hemorrhoids, Chronic anal fissures. When administered to the anal canal, it relaxesthe internal sphincter muscle, which relieves pain of chronic anal fissures. http://www.gastroendonews.com/profiles/gen0702.cp/protected/cellegypharmac.htm

75. Medical Conditions - Anal Fissure Most anal fissures arise following trauma (injury) to the anus. Medical TreatmentAbout 60% of anal fissures heal without the need for surgery. http://www.oxfordclinic.co.nz/conditions/anal-fissure.htm

Anal Fissure What is an Anal Fissure (Fissure-in-Ano)? An Anal Fissure is a common disorder which affects any age group. An Anal Fissure is a benign superficial ulcer in the anal canal. It is usually about 1 cm long and at its lower end there may be a tag of swollen skin. This tag is called a sentinal pile. Sentinal, because it guards the fissure. Primary fissures may be acute (sudden onset) or chronic (persistent symptoms of more than a few weeks). Cause of Anal Fissure Most Anal Fissures arise following trauma (injury) to the anus. The most common trauma is associated with the passage of a hard, constipated stool. However, Anal Fissures can occur during bouts of diarrhoea, childbirth or ulceration of thrombosed haemorrhoids. More rarely it may present as a symptom of inflammatory bowel disease. An Anal Fissure is a simple mechanical problem and does not turn to cancer. Symptoms of an Anal Fissure Pain is the major symptom of an Anal Fissure. It comes on at the time of defaecation and lasts for a variable period afterwards. It is mainly due to intense spasm in the internal anal sphincter muscle. Bleeding is the commonly associated symptom, especially when the fissure first develops. An anal lump may be noted. This may be a swollen skin tag associated with the fissure. Treatment of an Anal Fissure Medical Treatment About 60% of Anal Fissures heal without the need for surgery. Many acute, superficial fissures heal spontaneously. Even deep chronic fissures can heal with conservative measures, dietary management (regular meals with increased fibre content), use of stool bulking agents (to soften your bowel motion) such as Mucilax and frequent warm baths.

76. MotherNature.com - The Doctors Book Of Home Remedies: Fissures Fissures. 14 Soothing Solutions. The similarities between anal fissures and hemorrhoidsare largely superficial. anal fissures may make you want to scratch. http://www.mothernature.com/Library/bookshelf/Books/47/59.cfm

Free Shipping on all orders over $35.00! Order By Phone 1-800-439-5506 (M-F 9-5 EST) Search Products Library 4 Ways To Shop Brands Gender/Age Health Concern Departments CHAPTER LIST FOR BOOK TITLE: introduction to doctors home remedies Ch.1 introduction to doctors home remedies Ch.2 acne Ch.3 allergies Ch.4 angina Ch.5 athritis Ch.6 asthma Ch.7 athletes foot Ch.8 backache Ch.9 bad breath Ch.10 bed-wetting Ch.11 belching Ch.12 bites Ch.13 black eye Ch.14 bladder infections Ch.15 blisters Ch.16 blood pressure Ch.17 body odor Ch.18 boils Ch.19 breast discomfort Ch.20 breastfeeding Ch.21 bronchitis Ch.22 bruises Ch.23 bruxism Ch.24 burns Ch.25 bursitis Ch.26 canker sores Ch.27 carpal tunnel syndrome Ch.28 cellulite Ch.29 chafing Ch.30 chapped hands Ch.31 chapped lips Ch.32 cholesterol Ch.33 colds Ch.34 cold sores Ch.35 colic Ch.36 conjunctivitis Ch.37 constipation Ch.38 corns and calluses Ch.39 cuts and scrapes Ch.40 dandruff Ch.41 denture troubles Ch.42 depression Ch.43 dermatitis and eczema Ch.44 diabetes Ch.45

77. DEC Report 96 - Summary GLYCERYL TRINITRATE FOR CHRONIC anal fissures. Strongly supported. 0.2% glyceryl trinitrate(GTN) ointment is an unlicensed treatment for chronic anal fissures. http://www.hta.nhsweb.nhs.uk/rapidhta/Old DEC Site/html_summaries/96.htm

GLYCERYL TRINITRATE FOR CHRONIC ANAL FISSURES Conclusion of the Development and Evaluation Committee Strongly supported 0.2% glyceryl trinitrate (GTN) ointment is an unlicensed treatment for chronic anal fissures. The Committee agreed that GTN has a clinically important effect on healing and is a simple and cheap treatment. It often avoids the need for surgery, as well as the delay in waiting for surgical treatment. Evidence for the use of this treatment comes from 2 RCTs which are of good quality but have fairly small sample sizes. The Committee noted that a large UK trial is due to report later this year and asked to keep a watching brief in this area. The Committee noted that GTN is contraindicated for patients with certain conditions and for those taking sildenafil. Given concern about misdiagnosing potentially curable anorectal cancers, the Committee also stated that patients with chronic anal fissures should be positively diagnosed by full examination before receiving GTN treatment. Summary of the report The proposal is for a trial of treatment of 0.2% Glyceryl Trinitrate (GTN) ointment for at least 6 weeks for people with chronic anal fissures.

78. Essential Baby Forum - Blush Anal Fissures Anyone? Topic blush anal fissures anyone? janey r, 18 Sep 02 @ 832AM. Rather embarrassing problem, but I am at my wits end! What http://www.essentialbaby.com.au/CFForum/printthread.cfm?Forum=84&Topic=2076

79. Treating The Anal Sphincter Topical Diltiazem and Bethanechol Show Healing of anal fissures. A UnitedKingdom study at St. topical diltiazem for chronic anal fissures. http://www.geocities.com/md_duba/GP32.html

Treating the Anal Sphincter The most interesting development in medicinal treatment of hemorrhoids has to do with the use of agents that relax the anal sphincter. There is evidence that hemorrhoid sufferers have increased tightness of the anal sphincter , and some studies are showing that a variety of anal sphincter-relaxing remedies may promote improvement in prolapsed internal hemorrhoids and thrombosed external hemorrhoids, possibly avoiding surgery, or make it possible to to use techniques short of scalpel hemorrhoidectomy . Topical Nitroglycerin in Treatment of Acute Strangulated Internal Hemorrhoids In a Netherlands study four male patients (median age 35 years, range 30-42) with acute strangulated hemorrhoids were treated with 1% isosorbide dinitrate. The ointment was applied to the anoderm. This application was repeated every 3 h during daytime for 2 weeks. Significant pain relief was achieved within 1 day, while transient mild headache was experienced during the first 2 days. Within 1 week the hemorrhoids became reducible. Thereafter the hemorrhoids could be treated adequately by rubber band ligation. Int J Colorectal Dis 2000 Aug;15(4):253-4 (ISSN: 0179-1958) Briel JW; Zimmerman DD; Schouten WR]

80. Anal Fissure anal fissures. Most acute fissure heal spontaneously. Local nitroglycerin fortreatment of anal fissures an alternative to lateral sphincterotomy? http://www.surgical-tutor.org.uk/system/abdomen/anal_fissure.htm

Up Abdominal incisions Groin hernias Other hernias ... Inflammatory bowel disease [ Anal fissure ] Haemorrhoids Perianal sepsis Pilonidal sinus Rectal prolapse ... Abdominal masses Anal fissures Most acute fissure heal spontaneously Chronic fissures (more than 6 weeks) duration associated with increased intra-anal pressure Treatment aimed at reducing anal sphincter pressure Aetiology Probably due to mucosal ischaemia secondary to muscle spasm Probably not a 'tear' due to the passage of a hard stool (Pecten band theory) 5% associated with chronic intersphinteric abscess Usually seen between 30 and 50 years 90% posterior midline 10% anterior midline Anterior fissure more common in women – specially post partum If multiple fissure or at unusual site consider Crohn's Disease Syphilis Tuberculosis Clinical features Present with pain on defecation, bright red bleeding and pruritus ani Fissure often visible on parting of buttocks +/- 'sentinel pile' Features of chronicity - papilla, undermined edges, visible internal sphincter Treatment Bulking agent and topical local anaesthesia produces symptomatic improvement 50% of acute fissures heal with this treatment Recent interest in the use of 0.2% GTN ointment for treatment of chronic fissures

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