Anal fissure Flashcards
1
Q
Define
A
A split in the skin of the distal anal canal
2
Q
Epidemiology
A
Males
Caucasian
People with bad diets
3
Q
Symptoms
A
Tearing pain
Blood on paper after whiting
4
Q
Investigations?
A
Purely clinical diagnosis
5
Q
Management
A
Fluids and fibre
Topical analgesia
Topical GTN or diltiazem to dilate anus
Surgery in severe chronic cases
6
Q
Prognosis
A
80% recover fine
7
Q
Complications
A
Surgery can cause incontincen
