|Discussion in 'All Categories' started by raj kapoor - Jun 7th, 2011 4:37 am.
|there is a fissure in the anal region. i would like to know if the treatment is available at wlh.
re: anal fissure by Dr Sadhana - Jun 8th, 2011 12:56 pm
|Dear Raj Kapoor
The treatment of fissure is available at World Laparoscopy Hospital. The primary surgery for chronic anal fissure is lateral internal sphincterotomy. The doctor makes a small incision in to the internal anal sphincter to lessen anal resting pressure. You should understand that, even with surgery, an anal fissure must heal on its own. A sphincterotomy involves operating about the sphincter muscles, not closing the actual fissure. Lateral internal sphincterotomy has a better rate of success than any medicine that is used to treat long-term anal fissures. The outcomes last longer, and fewer individuals have anal fissures return after surgery than after treatment with medicine. In certain studies, a greater number of people who had lateral internal sphincterotomy had some inability to control gas or stool (incontinence) after surgery when compared with people given medicine. Despite these results, satisfaction with this surgery is high. And a review of many studies demonstrated that the risk of incontinence was 8 percent. Which means that about 8 from 100 people who had the surgery had some trouble with incontinence. But this rate wasn't very different from the rates seen in individuals who were given medicine for their chronic anal fissures.
re: anal fissure by BoadoocculT - Nov 10th, 2011 11:20 am
re: anal fissure by epibiontout - Nov 20th, 2011 8:34 pm
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re: anal fissure by AntiliaAnyday - Dec 1st, 2011 3:45 am
re: anal fissure by AntiliaAnyday - Dec 1st, 2011 6:55 am
|An anal fissure is really a small split or tear within the thin moist tissue (mucosa) lining the low rectum (anus).
Causes, incidence, and risk factors
Anal fissures are incredibly common in young infants but may occur at any age. Studies suggest 80% of infants may have had an anal fissure towards the end of the newbie. The rate of anal fissures decreases rapidly as we grow older. Fissures are much less common among school-aged children than infants.
In adults, fissures might be brought on by constipation, the passing of large, hard stools, or by prolonged diarrhea. In older adults, anal fissures might be caused by decreased blood circulation to the area.
Anal fissures will also be common in women after childbirth and persons with Crohn's disease.
Anal fissures may cause painful bowel motions and bleeding. There may be blood on the outside of the stool or around the mouthwash (or baby wipes) following a bowel movement.
Other symptoms can include:
A crack in the skin that can be seen when the area is stretched slightly (the fissure is almost always in the middle)
Signs and tests
Doctor will perform a rectal exam and check out a sample of the rectal (anal) tissue.
Most fissures heal by themselves and do not require treatment, aside from good diaper hygiene in infants.
However, some fissures may need treatment. The next home care methods usually heal most anal fissures.
Cleansing more gently
Diet changes -- consuming more bulk, substances that absorb water whilst in the intestinal tract
Muscle relaxants put on your skin
Numbing cream, if pain disrupts normal bowel movement
Petroleum jelly applied to the area
If the anal fissues don't go away with home care methods, treatment may involve:
Botox injections into muscle in the anus (anal sphincter)
Minor surgery to unwind the anal muscle
Anal fissures generally heal quickly without further problems. However, people who develop fissures are more likely to have them later on.
Occasionally, a fissure becomes chronic and will not heal. Chronic fissures may need minor surgery to unwind the sphincter.
Calling your health care provider
Call your health care provider if symptoms associated with anal fissure are present, or maybe the fissure doesn't heal appropriately with treatment.
To avoid anal fissures in infants, be sure to change diapers frequently.
To avoid fissures at all ages:
Keep the anal area dry
Wipe with soft materials or a moistened cloth or cotton pad
Promptly treat any constipation or diarrhea
Avoid irritating the rectum
re: anal fissure by epibiontout - Dec 5th, 2011 8:39 am
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re: anal fissure by SteeliOrite - Feb 17th, 2012 10:21 pm
|Chronic anal fissures are thought to be much less common than acute anal fissure, but they are certainly not rare. It is estimated that around 10% of people who visit a proctologist
re: anal fissure by yapechalking - Feb 20th, 2012 12:20 am
|The long term eefect for chronic anal fissures can vary from person to person. In some cases, the symptoms can be relieved by switching to a high-fibre diet. However, some cases may require medication to control the symptoms, and a small number of cases will require surgery.
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