Overview
Definition
Tear in the anoderm.
Epidemiology
Varies globally. Often age and lifestyle dependent.
Etiology & Risk Factors
- Passage of hard stools, straining.
Clinical Symptoms
- Severe tearing pain with defecation
- bright red blood on toilet paper.
Clinical Approach
Diagnosis
- Visual inspection.
Management
- Stool softeners
- Topical nitroglycerin/diltiazem
- Sphincterotomy.
Complications
- Chronic fissure.