What is the role of constipation in anal fissures and how are they managed?

Updated: Jul 05, 2019
  • Author: Marc D Basson, MD, PhD, MBA, FACS; Chief Editor: BS Anand, MD  more...
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Answer

The passage of hard stools may result in an acute anal fissure, which is a painful tear in the anoderm that may bleed. The regular passage of hard stools and the painful anal spasms during defecation that impinge the hard stools against the fresh wound prevent the anal fissure from healing. Generally, fissures are managed medically. In addition to local wound care and analgesia, softening of stools is essential for successful management. Surgical intervention is reserved for when medical management fails.


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