An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. You also may experience spasms in the ring of muscle at the end of your anus (anal sphincter).
Anal fissures are very common in young infants but can affect people of any age. Most anal fissures get better with simple treatments, such as increased fiber intake or sitz baths. Some people with anal fissures may need medication or, occasionally, surgery. Dr Rahul Sinha’s is one of the best Doctor for Anal Fissure Treatment in Delhi and Provide most advanced laser Technic.
C/F of Anal Fissure:
- Severe anal pain during the defection
- Bleeding P/R Bright
- Blood streak outside the stool
- Constipation
- Itching
Predisposing Factors: FISSURE
- Faces – Hard
- Ischemia
- Surgical Procedure- Haemorrhoidectomy
- Sphincter hypertonia
- Underlying disease – Crohn’s, TB, L.V, Syphilis etc
- Repeated Childbirth
- Enthusiastic usage of ointments and abuse of laxatives.
Etiology & Predisposing factors Anal Fissure:
- Age: Young adults & middle-aged man
- Gender: Male > Female
- Posterior midline is the commonest site because-
- Maximum stretching on this site
- Less tissue here
- Minimal tissue perfusion
Operative procedure for FIA
- Anal Dilatation
- Posterior division of the exposed fibers of the internal sphincter in the base of the fissure.
- Lateral Anal sphincterotomy of Notaras
- Anal advancement Flap