Anal Fissure And Haemorrhoids

Question 1

Anal fissures

Answer 1

• Tear or ulcer in the anal Canal = bleeding or pain on defamation

Question 2

Acute anal fissure, how would it be treated?

Answer 2

• Ensure stool passes easier
  
  • Treat with bulk forming or osmotic laxatives
  • Topical or local anaesthetic (lidocaine)- only used for a few days
  • Topical corticosteroids - use no more than 7 days due to side effects

Question 3

In pregnancy what would you give?

Answer 3

Pregnancy - bulk forming laxatives - no topical hemorrhoidal preparations - only simple soothing preps if needed