Anal Fissure yeet Flashcards
1
Q
What are they?
A
Tears in the squamous epithelium pf lower 1/3rd of anal canal
2
Q
Cause of anal fissures?
A
Constipation
Trauma
Crohns
3
Q
Presentation?
A
-Bright red rectal bleeding
Severe pain on defecation (passing glass)
Unable to tolerate PR
4
Q
Investigation?
A
Sigmoidoscopy if suspected Crohn’s
Conservative: stool softeners, GTN, Botox injections
Surgical: internal lateral sphincterotomy
5
Q
Complications of surgery for anal fissures?
A
Incontinence
6
Q
Topical steroids provide relief. True or Flase?
A
FALSE
