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External anal fissures

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. If these treatments are ineffective the patient will need a surgical referral.
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Anal Fissure Expanded Information

External anal fissures
External anal fissures
External anal fissures
External anal fissures
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Anal fissure - Diagnosis and treatment - Mayo Clinic

An anal or a rectal fissure is a small tear, cut, or open sore in the skin around the anus. This problem can affect people belonging to all age groups but is more common in infants and young adults. Anal fissures can extend their way into the anal canal, exposing the muscles surrounding the rim of the anus, the anal sphincter. This can cause a muscle spasm, which leads to the further tearing of the affected region, pain, and slowing down the healing process.
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Anal Fissure

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.
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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.
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