A longitudinal tear in anal canal is called anal fissure. Cause is constipation. Symptoms are painful defecation and bleeding per rectum. Blood come in a streak along stool. Patient can manage medically. Laxative orally and pain killer. Sitz Bath ( sitting in a tub containing hot water and table spoon of dettol for 10 minutes ) twice a day. 0.2% GTN ointment for local application twice a day.
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| Anal fissure |
If medical treatment fail, then treatment is surgical. Anal dilation or Lateral interrnal Sphinctertomy under spinal anesthesia.
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| Anal Fissure |
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