Anal Fissure Treatment Dubai by Dr Khaldoun Ghareb
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Anal Fissure

Anal Fissure

Anal fissures are a common disease in which an opening (wound) occurs in the lining of the anus (under the rectum) and is very painful. It affects all people of all ages and health statuses, males and females. Hemorrhoids are associated with anal fissures in some cases, noting that anal fissures do not develop into other dangerous diseases such as colon cancer.

Causes of Anal Fissures

The cause of an anal fissure is trauma or damage to the opening and the anal canal; defecation is what causes this trauma, most often resulting in the occurrence of the fissure, the patient feels the occurrence of a fissure during defecation, even if it is not fully diagnosed, but he realizes the pain and describes it to the doctor, hard stool and diarrhea both cause an Anal fissure.
Insertion of a thermometer into the anus, an enema, an endoscope, and an ultrasound probe for examining the prostate glands are all reasons for trauma to the anus that may result in a fissure. Natural childbirth may also cause trauma to the skin between the vagina and the anus in the posterior (perineal region), causing a fissure that extends into the anal canal.
The vagina in women weakens the stent at the front end of the anal canal, so the fissure occurs from the front in 10% of cases in women and only 1% in males, with the possibility of the formation of an appendix of skin at the end of the anal fissure called the sentinel nipple.

Fissure’s Symptoms

  • Acute pain.
  • Burning during defecation.
  • Anal itching.
  • Bleeding: The crack often leaves a small stain of bright red blood on the toilet paper. Therefore, it is necessary to inform the doctor. It is also necessary to distinguish the location of the blood and its color.
  • Blood separated from stool, clear color, and other things necessary to inform the doctor about it.
  • Blood mixed with stool is usually a sign of another condition, which could be enteritis or colon cancer.
Note: An anal fissure may not cause any pain for some people, but it remains without healing and bleeds intermittently, and does not show any other symptoms with it.

Examinations and Tests

An anal fissure is diagnosed by a doctor, a clinical examination is done, and the symptoms are known, and the examination may include the following:
Anoscopy is usually performed by the doctor after the fissure begins to heal, but if the examination is necessary immediately, this can be done with local anesthesia of the area.

The Diagnostic Stage Includes Knowing the Following:

  • Number of slits; Is it one slit or more, and how many?
  • The location of the fissure is next to the anus or above or below the anus.
  • The presence of any disease or other medical condition that causes fissures, such as inflammatory bowel disease, anal cancer, syphilis, tuberculosis, suppressed immune system, HIV (AIDS), or Crohn’s disease, which can cause anal fissures and fistulas.
  • Ensuring the presence or absence of any skin lump in the anus, as this is a sign that an anal fissure is chronic. Note that the skin lump may be incorrectly diagnosed as hemorrhoid.

Fissure Treatment

  1. Laser therapy
  2. Advanced rectal slide therapy
  3. Material injection Treatment
  4. Fast
  5. security
  6. effective
  7. It can be performed under local anesthesia.
  8. Drug therapy
Choosing the best and most appropriate treatment method for the incision requires an intra-anal pressure test (a simple, quick one-minute test) that helps the doctor choose the best treatment method.

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    Dr Khaldoun Ghareb

    Specialist General Surgery


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    ام عبدالله
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