A term applied both to clefts of normal anatomical structure and also to small narrow ulcers occurring in skin and mucous membrane. The latter type of ?ssure occurs especially at the corners of the mouth and at the anus. (See LIPS; RECTUM, DISEASES OF.)
n. 1. (in anatomy) a groove or cleft; e.g. the fissure of Sylvius is the groove that separates the temporal lobe of the brain from the frontal and parietal lobes. 2. (in pathology) a cleft-like defect in the skin or mucous membranes. See anal fissure. 3. (in dentistry) a naturally occurring groove in the enamel on the surface of a tooth, especially a premolar or molar. It is a common site of dental caries.
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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