Healing Hands clinic-A leading proctology clinic
Fisher Disease: A Painful Misnomer Anal Fissure or Fissure-in-ano is a small crack or tear in the opening and lining of the anus. Written as ‘fisher’ by many because of an error in spelling, this rather painful condition has taken the name of ‘Fisher disease’ among many Indians. An anal fissure occurs because of various reasons that include: A) Passing hard stools – Lack of high-fibre diet, low water intake, constipation are the possible reasons that can cause hard stools. B) Straining during childbirth – trauma to the skin between the posterior vagina and the anus medically known as perineum can potentially cause a tear in the delicate skin of the anus. C) Repeated episodes of diarrhoea – Repeated perks of diarrhoea can also lead to anal fissure. D) Due to medical procedures: The insertion or various medical devices for diagnosis eg: Endoscope, Rectal Thermometer, enema tip can result in a trauma causing fissure. Types of Anal Fissure: There are two types of anal fissures 1. Acute Anal Fissure: Acute anal fissures occur suddenly and potentially heal within a time span of 2 weeks. They are associated with tremendous pain. These type of anal fissured can be treated with medicines and cream. 2. Chronic Anal Fissure: Chronic anal fissure generally fail to heal within the time span of 8 to 9 weeks and can worsen the case by reducing the diameter of the anal opening by half centimetre (½ cm) due to which there are chances of recurrence of the fissure every time the patient passes out the stools. Signs and Symptoms of anal fissure: Usually the diagnosis of anal fissure can be really easy just by asking yourself few of the following questions – 29/6/2017
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