A common anal disorder caused by an elongated ulcer or tear that extends upwards into the anal canal from the anal sphincter. A fissure may be caused by the passage of hard, dry faeces. There is usually pain during defaecation and the muscles of the anus may go into spasm. There may be a small amount of bright red blood on faeces or toilet paper.
The tear often heals naturally over a few days. Treatment of recurrent or persistent fissures is by anal dilatation and a high-fibre diet, which helps soften the faeces. Surgery to remove the fissure is occasionally necessary.
a break or rent of the mucosa of the anal canal, which commonly presents with anal pain during and immediately following defecation and the passage of bright red blood in the stools. Anal fissures may occur secondary to constipation and having to forcefully strain during the process of defecation or as a consequence of prolonged episodes of diarrhoea. Over time an anal fissure may fail to heal, leading to the development of a chronic fissure that is prone to perianal infection. Medical treatment includes stool softeners and topical smooth muscle relaxants (such as 2% diltiazem cream). Surgery for anal fissures refractory to medical treatment includes lateral sphincterotomy (cutting the muscle of the anal sphincter).
A small split or ulcer on the skin or mucous membrane at the entrance of the anus. Motions are passed with much pain. The anus is tightly contracted because of muscle spasm. Pain at the anal verge on straining at stool; possible stain of bright red blood on toilet paper. Torn tag of epithelium.
May be associated with piles, Crohn’s disease or colitis. Appearance resembles crack at corner of the mouth.
Alternatives. Sometimes has to be resolved by surgical operation.
Tea. Formula. Equal parts: Chamomile, Comfrey herb, Figwort. 2 teaspoons to each cup boiling water. Infuse 15 minutes. 1 cup thrice daily.
Decoction. Equal parts. Bistort root. Cranesbill root. Frangula bark. 1 teaspoon to each cup water simmered gently 20 minutes. Half-1 cup thrice daily.
Powders. Formula. Bistort root 1; Slippery Elm 2; Fenugreek 1. Pinch red pepper. Mix. Dose: 750mg (three 00 capsules, or half a teaspoon) thrice daily.
Liquid extracts. Formula. Bistort root 2; Marshmallow root 1; Frangula bark 1. Dose: 30-60 drops thrice daily, before meals.
Tincture. Tincture Bistort BHP (1983) (1:5 in 45 per cent alcohol). Dose: 30-60 drops, thrice daily. Topical. Comfrey or Calendula cream: smear on anal dilator or suppository to relieve spasm and heal. Vitamin E cream. Insert 1-4 Garlic capsules into rectum at night.
Practitioner ointment. Figwort 10; Belladonna 1. Ointment base to make 100 parts. Diet. Low residue. Dandelion coffee.
Supplements. Plenty of Vitamin C. (Oranges, citrus fruits)
Attention to bowels: Psyllium seeds. ... fissure, anal
(in dentistry) a plastic coating that is bonded to the enamel surface of premolar and molar teeth to seal the fissures, in order to prevent dental caries. Composite resins, unfilled resins, and glass ionomer cements have been used as fissure sealants.... fissure sealant
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