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Fissures are a small split or tear in the skin. Anal fissures are small splits or tears in the mucosal lining of the lower rectum and can range from involving only the epithelium to encompassing the entire thickness of the anal mucosa. Anal fissures can be acute or chronic. The goal of treatment is to relieve pain, constipation , and spasms, as well as reduce the resting internal anal sphincter pressure so that the fissure can fully heal. Therapy for anal fissures ranges from conservative measures to pharmacologic treatments to surgical interventions. Anal fissures result from trauma to the inner lining of the anus.
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Managing anal fissures

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Managing anal fissures - Clinical Advisor

An anal fissure is a common and often painful problem caused by a small tear or ulcer open sore in the lining of the anus back passage. This can cause bleeding, local itching and pain with a bowel movement, which can be severe. When someone has an anal fissure the first treatments can include a high-fibre diet, laxatives and applying anaesthetic ointments to the affected area. Anal fissures usually heal within a few weeks but those that have not healed after 4—6 weeks are called chronic fissures. If someone has a chronic fissure, it is thought that the reason it has not healed is that the ring muscle sphincter that goes around the anus back passage has become so tense that the flow of blood to the lining of the anus is reduced. That means that not enough oxygen carried by the blood gets to the fissure or tear.
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Help! I saw blood on the toilet paper after I wiped – what should I do!?

The Ohio State University. Q : Help! I saw bright red blood on the toilet paper after I wiped.
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The intestinal tract or bowel ends with the rectum. It ends with the anus — the opening to the outside of the body. There are several common problems, including hemorrhoids, that can occur in the area from the rectum to the anus. While almost everyone has heard of hemorrhoids, the other conditions are not so well known.
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