What Is It

Anal Fissure is longitudinal tear in the lower end of anus. It is the most painful condition affecting the anal region. It commonly seen in young patients.


  • Severe burning and pain during and after passing stool.
  • severe constipation Drop of blood or streak of fresh blood during defecation.
  • sentinel piles (Tag of skin at the outer end of anus).
  • Itching.
  • Hard stool (pellet like).

  • Hard stool.
  • surgical Procedure (Piles surgery).
  • spincter hypertonia (spasm of anus)
  • Repeated child birth.
  • Excessive use of ointments.
  • Excessive use of laxatives.

  • Per rectal examination with lignocaine jelly application.
  • Proctoscopy is contraindicated because the condition is very painful. (If require can be done under general anasthesia).

  • Anemia.
  • Pain.
  • Infection.
  • Fistula
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