There are several theories to the causes of anal fissures. Avoid if allergic or hypersensitive to rhubarb, its constituents, or related plants from the Polygonaceae family. The muscle continues to get bigger the fissure more painful and eventually the patient can not have a normal stool and resorts to having only small soft stools. Psyllium, also referred to as ispaghula or isphagula, is derived from the husks of the seeds of Plantago ovata. The recovery from this surgery is therefore minimal. Phenomenon of nitrate tolerance. This does not occur in conditions like Hirschsprung's disease.
These anal fissures become deeper and form ulcers. Once investigated and diagnosed, management of secondary fissures will involve an extensive multidisciplinary approach involving gastroenterologists, infectious disease specialists, oncologists, pathologists and colorectal surgeons. One patient had transient incontinence to flatus. The classification of anal fissures is based on causative factors. The risk of a subsequent anal fissure is increased in persons who have had a previous anal fissure. Komentarz Medycyna praktyczna Chirurgia. More recent examples of chemical sphincterotomy include the use of calcium channel blockers and botulinum toxin.
Anal Fissures - McConnell Colorectal CenterMcConnell Colorectal Center
There is an association between warts, receptive anal intercourse and anal cancer. References Feldman M, et al. It also helps select those lesions that might benefit from pre-operative adjuvant therapy. The symptom is socially and sexually embarrassing and some patients only seek advice after several years of social isolation. No complications were observed due to the procedure. Other authors evaluated patients, with an average of 72 months follow-up after sphincterotomy.
Most fissures heal within a few weeks and do not require specific treatment. Each patient's perception of her own health condition had a statistically significant improvement at the end of the treatment Table 5. Use cautiously in patients using anticoagulants blood thinners , due to the potential for excessive bleeding to occur. You also may experience spasms in the ring of muscle at the end of your anus anal sphincter. Aging is often accompanied by decreased blood flow to the anus, increasing the risk of nonhealing wounds.