Hard stool passes and “cuts” anoderm
Linear tear extends from dentate line to anoderm:
Posterior midline 95%
Anterior midline 5%
Externally: Forms skin tag or sentinel pile
Bright red blood per rectum usually on toilet paper
Sharp, cutting, throbbing or burning pain with bowel movement:
May last for hours
Constipation; unable to pass stool owing ...
Initial treatment is conservative therapy for acute anal fissures as an outpatient.
Perform a careful physical exam of rectal area to delineate fissures and exclude other pathology.
Provide combination of pain relief and muscle relaxants for patients with significa...
Herzig DO, Lu KC. Anal Fissure. Surg Clinf North Am. 2010;90(1):22–44.
Nelson RL, Thomas K, Morgan J, et al. Non-surgical Therapy for Anal Fissure. Cochrane Database Syst ...
K60.0 Acute anal fissure
K60.1 Chronic anal fissure
K60.2 Anal fissure, unspecified
30037006 Anal fissure (disorder)
197152000 Chronic anal fissure (disorder)
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