Anal fissure - Symptoms and causes - Mayo Clinic
This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action. Medically reviewed by Drugs. Last updated on Sep 24, An anal fissure is a cut or tear in the tissue inside your anus. An anal fissure may be acute or chronic. An acute anal fissure is usually small and shallow and often heals without treatment.
Chronic anal fissure from suspected adult sexual abuse in a traumatic anal sex practice patient.
An anal fissure is a small tear in the external skin of the lining of the anal canal. The tear exposes the underlying muscle, which, in turn, leads to the manifestation of symptoms mostly pain. The majority of acute fissures can heal without anal fissure surgery, and rather with an appropriate bowel regimen, as well as with the use of topical creams, suppositories, and refraining from anal intercourse. The success of this resolution is the immediate initiation of the above treatment and seeking qualified medical assistance early on in the process.
The aetiopathogenesis of chronic anal fissure CAF is unclear and is probably multifactorial. This case report identifies adulthood sexual abuse as a significant risk and a potential aetiopathogenic factor of CAF This case history was discovered while carrying out administrated interviews during authors' clinical retrospective study on CAF. The clinical presentation of this year-old woman is predominated by chronic anal lesions anal tears in the anoderm, anal sphincter hypertrophy , associated medical history as a high consumer of healthcare with very poor mental health, chronic traumatic anal sex practice history, and especially persistent recurrences of gastro-intestinal symptoms after surgery. Surgical history is summarized as: 7x spontaneous abortion; 5x fistulectomy and 3x anal abscess; 4x Bartholin's gland; 4x hypertrophy papilla ablation; 2x anal manometry, 2x fissurectomy and 1x sphincterotomy; 2x haemorrhoid; and 1x hysterectomy.