Beruflich Dokumente
Kultur Dokumente
(Fissure in Ano)
Dr. MSM Shiffa
MD, BUMS, LLB, AAL
INTRODUCTION
Fissure is a linear or lngitudinal tear in the anal
canal extending from just below the dentate
line to the anal verge.
Anal Dilatation
Medical Management
Most anal fissures are shallow or
superficial (less than a quarter of inch or
0.64 cm deep). These fissures self-heal
within a couple of weeks. While waiting for
the fissure to heal, topical or suppository
containing anti-inflammatory agents and
local anesthetic can be used. Furthermore,
treatment used for hemorrhoid such as
eating a high-fiber diet, using stool
softener, taking pain killer and having a
sitting bath
Medical Management
Painful deep fissures, on the other
hand cut through the sphincter
muscle thus making it prone to
spasm, which exacerbates the fissure
and aborts the healing process.
Medications such as nitroglycerine
and nifedipine ointments can relax
the sphincter muscle
Medical Management
Surgical intervention may be required for
persisting deep anal fissures unresponsive
to the above conservative measures.
Procedures include:
Internal lateral sphincterotomy or excising
a portion of the sphincter
Anal dilation or stretching of the anal canal
is no longer recommended because of the
unacceptably high incidence of fecal
incontinence
Digital examination under
anaesthesia
Stool softener
Bulking agents
Local anaesthetic gel
Usool e ilaj
Izal e Sabab
Mulayyinat
Mushil
Correct the mizaj
Radiat
Mudammilat
Muhallilat
Habis ud dam
Daf e tafoon
Avoid
Hot & dry spicy food
Cold food
Take fibre, mucillagious food and fruit
Externally
Abzan
Nakhuna, baboona, gule teesu