Anal_Fissure_Flashcards
What dietary changes can help manage an anal fissure?
Increase dietary fibre (include foods containing whole grains, fruits and vegetables) and increase fluid intake.
What treatments can help ensure stools are soft and easy to pass in children with anal fissures?
Consider constipation treatment: lactulose, movicol, senokot.
What advice should be given regarding the use of laxatives in children?
Children should brush their teeth after taking laxatives, to prevent tooth decay.
What pain management options are recommended for children with anal fissures?
Offer simple analgesia (paracetamol or ibuprofen) and sitting in a shallow, warm bath (if possible, particularly after a bowel movement) can help relieve the pain.
What hygiene advice should be given for managing anal fissures?
Advise on the importance of anal hygiene.
When should parents seek further help if their child’s anal fissure has not healed?
Advise the parents that if it has NOT healed after 2 weeks or the child remains in a great deal of pain, they should seek help.
What serious concern should be kept in mind when assessing a child with an anal fissure?
Keep in mind the possibility of sexual abuse.
