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Μαχμούντ Αουανταλλα ιατρός χειρουργός, λαπαροσκοπική χειρουργική, Laser. Παπαφλέσσα 3, Παλλήνη Αττικης, 15351
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ANAL FISSURE
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ANAL FISSURES

 

 

 What is anal fissure?

Anal fissure is a painful tear or crack in the inner lining of the anal canal usually in the posterior midline in the vertical axis.

 

 What is the cause of the anal fissure?

The main and most common cause of anal fissure is chronic constipation. A fissure may also arise from trauma to the anus (surgery, colonoscopy, injection, passing hard instruments via the anus, etc). Rarely, it may be a manifestation of a specific underlying disease such as Crohn's disease, or ulcerative colitis, cancer, Chlamydia, herpes, gonorrhea, herpes, AIDS, tuberculosis.

 

 What are the symptoms of the anal fissure?

Pain: acute and sharp pain which starts when the patient passes stools and lasts for at least 20 minutes and ceases suddenly until the next bowel motion.

Bleeding:  Small amount of bright red blood streaked on the stool.

The symptoms hardly ever disappear spontaneously.

Whenever you have these symptoms you should be examined by a doctor.

 How the fissure can be diagnosed?

Diagnosis of a fissure is usually a painless procedure and can be made in most cases by inspection of the region only. Whenever there is doubt about the diagnosis, other investigations may be needed.

 What is the treatment of the fissure?

 Medical treatment: is indicated in the early stage and is aimed to relief constipation and pain (non-constipating diet, worm bath, topical creams tablets to relief the pain). If symptoms persist despite the medical treatment, surgery should be considered as soon as possible.

Surgical treatment: once the medical therapy has failed, surgery is indicated. Surgical procedures used are simple, last for minutes and totally therapeutic; the patient leaves the hospital after a couple of hours and resumes his activities next day.

The most popular procedures used to treat fissure are:

1)       Stretching of anal sphincter: anal dilatation is simple and needs no instruments. The sphincter spasm is the main cause of medical treatment failure, it blocks the blood flow to the fissure, relaxing the sphincter will allow good blood flow and the fissure will heal.

2)      Lateral Internal Sphincterotomy (Division of internal anal sphincter): This is today’s most preferred therapy for chronic and non-healing fissures and is regarded worldwide as the most successful method of treating a fissure.

 

The final decision for the best suitable technique is made by the surgeon after evaluating your condition.

 

 www.doctor-a.gr

 


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