Recurrent anal fissures

Please understand that our phone lines must be clear for urgent medical care needs. When this changes, we will update this website. Our vaccine supply remains limited. Fissures result from the stretching of your anal mucosa beyond its normal capacity. This often happens when stools are hard due to constipation. Once the tear happens, it leads to repeated injury.
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Anal Fissures

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RECURRENT ANAL FISSURE: CONCEPT OF PATHOGENESIS AND TREATMENT | JAMA | JAMA Network

An anal fissure is a common and often painful problem caused by a small tear or ulcer open sore in the lining of the anus back passage. This can cause bleeding, local itching and pain with a bowel movement, which can be severe. When someone has an anal fissure the first treatments can include a high-fibre diet, laxatives and applying anaesthetic ointments to the affected area. Anal fissures usually heal within a few weeks but those that have not healed after 4—6 weeks are called chronic fissures. If someone has a chronic fissure, it is thought that the reason it has not healed is that the ring muscle sphincter that goes around the anus back passage has become so tense that the flow of blood to the lining of the anus is reduced. That means that not enough oxygen carried by the blood gets to the fissure or tear. Without enough oxygen, the cells which make up the lining can't grow and repair heal the fissure or tear.
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Chronic Anal Fissures

Back to Anal fissure. Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you don't follow the self-help advice outlined below.
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Allentown, Pa. From Department of Proctology, Allentown Hospital. Chronic anal fissure represents one of the most painful diseases occurring in the anorectal area. Cure requires removal of all abnormal tissue and is primarily a surgical problem.
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