Anal Fissures

A. An anal fissure is a longitudinal tear in the distal anal canal, usually in the posterior or anterior midline. Anal fissures may be associated with secondary changes such as a sentinel tag, hypertrophied anal papilla, induration of the edge of the fissure, and anal stenosis. A patient with multiple fissures, or whose fissure is not in the midline, is more likely to have Crohn's disease.

B. Anal fissures are caused by spasm of the internal anal sphincter. Risk factors include a low fiber diet and previous anal surgery.

C. Patients with anal fissures complain of perirectal pain which is sharp, searing or burning and is associated with defecation. Bleeding from anal fissures is bright red and not mixed with the stool.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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