Chronic anal fissure

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A little mucus is commonly found in the stool, but if you see more mucus than normal, you may need to consult your doctor. Effect of injection of botulinum toxin type A injected into the external ana sphincter in patients with anal fissures. Mayo Clinic in Rochester, Minn. Endo-anal ultrasound demonstrating the appearance of the internal anal sphincter IAS after manual dilatation for chronic anal fissure. Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Chronicity of a fissure relates to duration of greater than 6 weeks with fibres of the internal anal sphincter visible at the base of the fissure. Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region.

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If you have a chronic anal fissure that is resistant to other treatments, or if your symptoms are severe, your doctor may recommend surgery.

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Modern Perspectives in the Treatment of Chronic Anal Fissures

Anal fissures are commonly encountered in routine colorectal practice. This content does not have an Arabic version. Relaxing the muscle allows the anal fissure to heal. Table 2 Effect of injection of botulinum toxin type A injected into the internal anal sphincter in patients with anal fissures. In most cases, the tear heals on its own within four to six weeks.

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