Anal fissure

Summary of Anal fissure
An anal fissure or rectal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper, sometimes in the toilet. If acute they may cause pain after defecation but with chronic fissures pain intensity is often less. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. 

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Pathology

Gastrointestinal system

Peritoneum and peritoneal cavity disorders

Assessments
Anal fissure

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High Yield Notes
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Anal fissure
Flashcards

Anal fissure

5 flashcards
Preview

The cause of anal fissure may be a hard bowel movement, which is associated with diets low in .

Questions

USMLE® Step 1 style questions USMLE

1 questions

USMLE® Step 2 style questions USMLE

2 questions
Preview

A 34-year-old woman comes to the emergency department because of painful defecation and blood in her stool. She has a history of irritable bowel disease and says she has recently become more constipated. She says that since the birth of her child, her bowel movements have been very painful and she has noticed bright red blood on the toilet paper. She likens the pain to passing shards of glass. Examination shows a superficial tear in her anoderm. She is currently breastfeeding. Which of the following is the most appropriate initial treatment?

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