Rabinovitz MD Christopher J. This is a surgeon who specialises in conditions affecting your bowel and back passage. Microscopic histologic images. Histology confirmed the benign nature of the lesion. An anal fissure also called fissure-in-ano is a small rip or tear in the lining of the anal canal. Following a healthy diet high in fibre and drinking plenty of fluids can help to prevent both piles and anal fissures. However, it is important to realise that the absence of pain does not exclude cancer.
It can be easy to confuse anal fissures and piles haemorrhoids. However, sinister findings are possible in this group and a high index of suspicion must be maintained. The only treatment that seemed to help was the use of an anal plug. Your surgeon will discuss this with you if this option is indicated. Anal fissures result from trauma to the inner lining of the anus. This man rather sheepishly requested help with the removal of this perianal lesion.
Foods with a high fibre content include fruit and vegetables, baked beans, and wholegrain breads and cereals. Washing using a hand shower, sponge or cotton cloth should be encouraged. Some patients may benefit from an alternative surgery called an anal advancement flap anoplasty. On examination, a tear or crack in the skin will be visible and painful to palpation. Nitroglycerin works by chemically relaxing the internal anal sphincter muscle, which decreases sphincter pressure and subsequently increases blood flow to the injury site, resulting in healing of the fissure.
Narcotic pain medications are not recommended for anal fissures, as they promote constipation. It has usually been there for some time as patients are reluctant to present. Perianal dermatitis This condition usually presents with the complaint of irritation. Please login or register first to view this content. Advice about straining and diet, along with use of topical agents such as nitrates and stool softeners, usually results in healing. Having a condition that affects your skin, such as psoriasis.