Anorectal conditions: anal fissure and anorectal fistula.

  title={Anorectal conditions: anal fissure and anorectal fistula.},
  author={Audralan Fox and Pamela H Tietze and Kalyanakrishnan Ramakrishnan},
  journal={FP essentials},
Anal fissures are linear splits in the anal mucosa. Acute fissures typically resolve within a few weeks; chronic fissures persist longer than 8 to 12 weeks. Most fissures are posterior and midline and are related to constipation or anal trauma. Painful defecation and rectal bleeding are common symptoms. The diagnosis typically is clinical. High-fiber diet, stool softeners, and medicated ointments relieve symptoms and speed healing of acute fissures but offer limited benefit in chronic fissures… CONTINUE READING

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