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    Anal Fissure, (Break in the Anus) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Anal Fissure, (Break in the Anus) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Anal Fissure, (Break in the Anus) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook96 pages51 minutes

    Anal Fissure, (Break in the Anus) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    An anal fissure is a medical disorder that involves a small split or tear in the thin moist tissue (mucosa) lining the lower rectum (anus).
    An anal fissure is a small tear of the sphincter around the back passage (anus).
    Although the tear of an anal fissure is normally small (less than a centimeter), it can be very painful.
    This is because the anal nerves can sense pain easily.
    The pain becomes worse when the patient passes stools (feces) and for an hour or so after passing feces.
    Frequently an anal fissure will bleed a small amount.
    The patient may notice blood after he or she passes feces.
    The blood is normally bright red.
    A small amount of blood may be observed on the toilet paper or coating the feces.
    Anal fissures are common, both in children and in adults.
    They are not normally dangerous, but they are sore and can be distressing, particularly for children.
    In most patients the anal fissure will heal within 1 to 2 weeks or so, just like any other small cut of the skin.
    Some fissures will not heal so fast.
    A fissure that persists for more than 6 weeks is called a chronic anal fissure (chronic means persistent).
    This is rare, but treatment can still cause healing.
    Causes
    The main cause is constipation and the passage of a hard stool.
    In adults, fissures may be caused by passing large, hard stools, or having diarrhea for a long time.
    Other factors are:
    1. Decreased blood flow to the area in older adults
    2. Too much tension in the sphincter muscles that control the anus
    3. Anal fissures are also common in women after childbirth
    4. Anal fissure occurs as part of another condition in persons with Crohn's disease or an anal herpes infection.
    It occurs in babies as well as adults
    Anal fissures are very common in infants, but they may occur at any age.
    The rate of anal fissures drops with age.
    Fissures are much less frequent among school-going children than in infants.
    Once a fissure has formed pain when passing feces can tighten the anal tone further.
    This induces pain and worsens symptoms causing a vicious cycle to be set up.
    Constipation can make an anal fissure more likely to form.
    In about 10% patients, the anal fissure happens during childbirth.
    Sometimes an anal fissure occurs if the patient has bad diarrhea.
    Symptoms
    Anal fissures may cause painful bowel movements and bleeding.
    There may be blood covering the outside of the stool or present on the toilet paper (or baby wipes) after a bowel movement.
    Symptoms may start rapidly or form gradually over time.
    A crack in the anal skin that can be seen when the part of the anus is stretched slightly (the fissure always occurs in the middle)
    1. There is usually a tear in the anal with sometimes overlapping flesh covering the fissure.
    2. Itch
    3. Bleeding may occur.
    How is an anal fissure diagnosed?
    The doctor will usually diagnose an anal tear (fissure) by the typical symptoms and by examining the skin around the back passage (anus).
    Treatment of Anal Fissure:
    In most patients the tear (fissure) heals within a week or so, just like any other small cut or tears to the skin.
    Treatment aims to ease the pain and soften the stools (feces) whilst the fissure recovers
    Relieving pain and discomfort
    1. Warm baths
    2. An ointment or cream that has an anesthetic such as lidocaine may help to ease the pain.
    3. A cream or ointment that has steroid medicine inside may be prescribed by a doctor if there is a lot of inflammation (swelling) around the fissure
    4. Avoid constipation
    5. Eat more fiber and fruits
    6. Drink more water
    If the patient uses glyceryl trinitrate (GTN) ointment to the anus, it loosens the muscle around the anal sphincter
    Surgery is a choice if the fissure does not heal despite the above treatments.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Anal Fissure

    LanguageEnglish
    PublisherKenneth Kee
    Release dateAug 8, 2017
    ISBN9781370964437
    Anal Fissure, (Break in the Anus) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Anal Fissure, (Break in the Anus) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Anal Fissure,

      (Break in the Anus)

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2015 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Anal Fissure, Diagnosis, Treatment and Related Conditions or in vernacular terms

      (What You need to treat Anal Fissure)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://ken-med.com.

      From which many free articles from the blog was taken and put together into 600 amazon kindle books and some into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Anal Fissure

      What is an anal fissure?

      An anal fissure is a medical disorder that involves a small split or tear in the thin moist tissue (mucosa) lining the lower rectum (anus).

      An anal fissure is a small tear of the sphincter around the back passage (anus).

      Although the tear of an anal fissure is normally small (less than a centimeter), it can be very painful.

      This is because the anal nerves can sense pain easily.

      The pain becomes worse when the patient passes stools (feces) and for an hour or so after passing feces.

      Frequently an anal fissure will bleed a small amount.

      The patient may notice blood after he or she passes feces.

      The blood is normally bright red.

      A small amount of blood may be observed on the toilet paper or coating the feces.

      Anal fissures are common, both in children and in adults.

      They are not normally dangerous, but they are sore and can be distressing, particularly for children.

      In most patients the anal fissure will heal within 1 to 2 weeks or so, just like any other small cut of the skin.

      Some fissures will not heal so fast.

      A fissure that persists for more than 6 weeks is called a chronic anal fissure (chronic means persistent).

      This is rare, but treatment can still cause healing.

      What causes an anal fissure?

      Causes

      The main cause is constipation and the passage of

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