Severe, sharp rectal pain, often with and following defecation but can be continuous; bright red blood on the stool or when wiping
Occasionally, anal pruritus or perianal irritation
Avoid prolonged sitting or straining during bowel movements...
Fargo MV, Latimer KM. Evaluation and management of common anorectal conditions. Am Fam Physician. 2012; 85(6): 624– 630. [View Abstract]
K60.2 Anal fissure, unspecified
K60.0 Acute anal fissure
K60.1 Chronic anal fissure
30037006 Anal fissure (disorder)
197151007 Acute anal fissure (disorder)
197152000 Chronic anal fissure ...
Avoid anoscopy or sigmoidoscopy initially unless necessary for other diagnoses.
Best chance to prevent recurrence is to treat the underlying cause (e.g., chronic constipation).
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An anal fissure is a very painful oval ulceration of the anal canal, found most commonly in the midline posteriorly, less commonly in the midline anteriorly. Its long axis lies longitudinally. Inspection may show a swollen "sentinel" skin tag just below it, and gentle separation of the anal margins may reveal the lower edge of the fissure. The sphincter is spastic; the examination painful. Local anesthesia may be required.
An anal fissure is a very painful oval ulceration of the anal canal, found most commonly in the midline posteriorly, less co...
The pectinate line (also called the dentate or mucocutaneous line by some clinicians) is a particularly important landmark because it is visible and approximates the level of important anatomical changes mentioned previously (e.g., in the nerve supply to the anal canal). Anal fissures and perianal abscesses (A). Prolapes of Hemorrhoids (B).
The pectinate line (also called the dentate or mucocutaneous line by some clinicians) is a particularly important landmark because it is v...