Lateral anal fissure
An anal fissure is a longitudinal tear of the perianal skin distal to the dentate line , often due to increased anal sphincter tone. Anal fissures are classified according to etiology e. They are typically very painful and may present with bright red blood per rectum hematochezia. Anal fissures are a clinical diagnosis based on history and examination findings.
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An anal fissure fissure-in-ano is a small, oval shaped tear in skin that lines the opening of the anus. Fissures typically cause severe pain and bleeding with bowel movements. Fissures are quite common in the general population, but are often confused with other causes of pain and bleeding, such as hemorrhoids. Anal fissures can occur at any age and have equal gender distribution. A small number of patients may actually have fissures in both the front and the back locations. Fissures located elsewhere off to the side should raise suspicion for other diseases see below and will need to be examined further.
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An anal fissure is a common, mostly benign, condition that can be acute or chronic. The diagnosis is usually made on history and physical examination, but further investigations are sometimes necessary. Primary fissures are usually benign and located in the posterior or anterior position. Secondary fissures are lateral or multiple and often indicate a more serious underlying pathology. The management of primary anal fissures is generally non-operative and includes increased dietary fibre, sitz baths, topical ointments and botulinum toxin injections.
NCBI Bookshelf. Munich: Zuckschwerdt; Jonas and J. Authors M. An anal fissure is a linear tear in the skin of the distal anal canal below the dentate line.