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Anal fissure
KABERA Ren,MD
PGY IV Resident
Family and Community Medicine
National University of Rwanda
Plan
Introduction
Causes, incidence and risk factors
Signs and symptoms
Treatment
Prognosis
Complications
Prevention
Introduction
An anal fissure is a break or tear in the skin of the anal
canal.
An anal fissure is a small split or tear in the thin moist tissue
(mucosa) lining the lower rectum (anus).
Anal fissures may be noticed by bright red anal bleeding on
the toilet paper, sometimes in the toilet.
Introduction
Acute fissure cause severe periodic pain after defecation chronic
fissures- pain intensity is often less.
Anal fissures usually extend from the anal opening and are usually
located posteriorly in the midline,
Fissure depth may be superficial or sometimes down to the
underlying sphincter muscle
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