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An anal fissure is a disruption of the skin at the distal anal canal.
Acute fissures are simple splits or cracks in the anoderm while chronic fissures may show secondary changes like sentinel tag, hypertrophied anal papilla, rolled edges, fibrosis of the edges or deep ulceration with exposure of the underlying internal anal sphincter muscle within the fissure's base.
Most fissures are seen by separating the buttocks with opposing traction of the thumbs.
Diet modification and medical therapy constitute the initial treatment for anal fissures.
For further information regarding the management of Anal Fissure, please refer to Disease Algorithm for the Treatment Guideline.
Acute fissures are simple splits or cracks in the anoderm while chronic fissures may show secondary changes like sentinel tag, hypertrophied anal papilla, rolled edges, fibrosis of the edges or deep ulceration with exposure of the underlying internal anal sphincter muscle within the fissure's base.
Most fissures are seen by separating the buttocks with opposing traction of the thumbs.
Diet modification and medical therapy constitute the initial treatment for anal fissures.
For further information regarding the management of Anal Fissure, please refer to Disease Algorithm for the Treatment Guideline.