{"product_id":"2940154498392","title":"Anal Fissure, (Break in the Anus) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions","description":"\u003cp\u003eAn anal fissure is a medical disorder that involves a small split or tear in the thin moist tissue (mucosa) lining the lower rectum (anus).\u003cbr\u003eAn anal fissure is a small tear of the sphincter around the back passage (anus).\u003cbr\u003eAlthough the tear of an anal fissure is normally small (less than a centimeter), it can be very painful.\u003cbr\u003eThis is because the anal nerves can sense pain easily.\u003cbr\u003eThe pain becomes worse when the patient passes stools (feces) and for an hour or so after passing feces.\u003cbr\u003eFrequently an anal fissure will bleed a small amount.\u003cbr\u003eThe patient may notice blood after he or she passes feces.\u003cbr\u003eThe blood is normally bright red.\u003cbr\u003eA small amount of blood may be observed on the toilet paper or coating the feces.\u003cbr\u003eAnal fissures are common, both in children and in adults.\u003cbr\u003eThey are not normally dangerous, but they are sore and can be distressing, particularly for children.\u003cbr\u003eIn most patients the anal fissure will heal within 1 to 2 weeks or so, just like any other small cut of the skin.\u003cbr\u003eSome fissures will not heal so fast.\u003cbr\u003eA fissure that persists for more than 6 weeks is called a chronic anal fissure (chronic means persistent).\u003cbr\u003eThis is rare, but treatment can still cause healing.\u003cbr\u003eCauses\u003cbr\u003eThe main cause is constipation and the passage of a hard stool.\u003cbr\u003eIn adults, fissures may be caused by passing large, hard stools, or having diarrhea for a long time.\u003cbr\u003eOther factors are:\u003cbr\u003e1. Decreased blood flow to the area in older adults\u003cbr\u003e2. Too much tension in the sphincter muscles that control the anus\u003cbr\u003e3. Anal fissures are also common in women after childbirth\u003cbr\u003e4. Anal fissure occurs as part of another condition in persons with Crohn's disease or an anal herpes infection.\u003cbr\u003eIt occurs in babies as well as adults\u003cbr\u003eAnal fissures are very common in infants, but they may occur at any age.\u003cbr\u003eThe rate of anal fissures drops with age.\u003cbr\u003eFissures are much less frequent among school-going children than in infants.\u003cbr\u003eOnce a fissure has formed pain when passing feces can tighten the anal tone further.\u003cbr\u003eThis induces pain and worsens symptoms causing a vicious cycle to be set up.\u003cbr\u003eConstipation can make an anal fissure more likely to form.\u003cbr\u003eIn about 10% patients, the anal fissure happens during childbirth.\u003cbr\u003eSometimes an anal fissure occurs if the patient has bad diarrhea.\u003cbr\u003eSymptoms\u003cbr\u003eAnal fissures may cause painful bowel movements and bleeding.\u003cbr\u003eThere may be blood covering the outside of the stool or present on the toilet paper (or baby wipes) after a bowel movement.\u003cbr\u003eSymptoms may start rapidly or form gradually over time.\u003cbr\u003eA crack in the anal skin that can be seen when the part of the anus is stretched slightly (the fissure always occurs in the middle)\u003cbr\u003e1. There is usually a tear in the anal with sometimes overlapping flesh covering the fissure.\u003cbr\u003e2. Itch\u003cbr\u003e3. Bleeding may occur.\u003cbr\u003eHow is an anal fissure diagnosed?\u003cbr\u003eThe doctor will usually diagnose an anal tear (fissure) by the typical symptoms and by examining the skin around the back passage (anus).\u003cbr\u003eTreatment of Anal Fissure:\u003cbr\u003eIn most patients the tear (fissure) heals within a week or so, just like any other small cut or tears to the skin.\u003cbr\u003eTreatment aims to ease the pain and soften the stools (feces) whilst the fissure recovers\u003cbr\u003eRelieving pain and discomfort\u003cbr\u003e1. Warm baths\u003cbr\u003e2. An ointment or cream that has an anesthetic such as lidocaine may help to ease the pain.\u003cbr\u003e3. A cream or ointment that has steroid medicine inside may be prescribed by a doctor if there is a lot of inflammation (swelling) around the fissure\u003cbr\u003e4. Avoid constipation\u003cbr\u003e5. Eat more fiber and fruits\u003cbr\u003e6. Drink more water\u003cbr\u003eIf the patient uses glyceryl trinitrate (GTN) ointment to the anus, it loosens the muscle around the anal sphincter\u003cbr\u003eSurgery is a choice if the fissure does not heal despite the above treatments.\u003c\/p\u003e\u003cp\u003eTABLE OF CONTENT\u003cbr\u003eIntroduction\u003cbr\u003eChapter 1 Anal Fissure\u003cbr\u003eChapter 2 Causes\u003cbr\u003eChapter 3 Symptoms\u003cbr\u003eChapter 4 Diagnosis\u003cbr\u003eChapter 5 Treatment\u003cbr\u003eChapter 6 Prognosis\u003cbr\u003eChapter 7 Hemorrhoids\u003cbr\u003eChapter 8 Anal Fistula\u003cbr\u003eEpilogue\u003c\/p\u003e","brand":"Kenneth Kee","offers":[{"title":"Default Title","offer_id":47111615807728,"sku":"2940154498392","price":2.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0737\/7593\/9824\/files\/2940154498392_p0.jpg?v=1764069131","url":"https:\/\/shop-qa.barnesandnoble.com\/products\/2940154498392","provider":"Barnes \u0026 Noble (DEV)","version":"1.0","type":"link"}