(K60.1) Chronic anal fissure

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1 872 308 in individuals diagnosis chronic anal fissure confirmed
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2 708 deaths with diagnosis chronic anal fissure

Diagnosis chronic anal fissure is diagnosed Men are 26.18% more likely than Women

1 181 278

Men receive the diagnosis chronic anal fissure

1 209 (0.1 %)

Died from this diagnosis.

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691 030

Women receive the diagnosis chronic anal fissure

1 499 (0.2 %)

Died from this diagnosis.

Risk Group for the Disease chronic anal fissure - Men and Women aged 50-54

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In Men diagnosis is most often set at age 0-94
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Less common in men the disease occurs at Age 95+Less common in women the disease occurs at Age 95+
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In Women diagnosis is most often set at age 0-94

Disease Features chronic anal fissure

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Absence or low individual and public risk
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Chronic anal fissure - what does this mean

Chronic anal fissure is a tear in the lining of the anus that can cause pain and bleeding. it is usually caused by repeated episodes of constipation, straining during bowel movements, or trauma to the anal area. it can also be caused by inflammation or infection of the anal area.

What happens during the disease - chronic anal fissure

Chronic anal fissure is a tear in the lining of the anal canal that is caused by repeated episodes of constipation, straining during bowel movements, or prolonged passage of hard stools. the tear leads to inflammation and increased pressure in the anal sphincter muscles, which can cause pain and difficulty with bowel movements. the inflammation can also lead to scarring and narrowing of the anal canal, which can make it difficult for the anal sphincter to relax and allow the passage of stool.

Clinical Pattern

A chronic anal fissure is a tear in the lining of the anus that causes pain, burning, and bleeding. It is often caused by passing hard or large stools, and may be accompanied by spasms of the anal sphincter. Symptoms include pain during and after bowel movements, bright red blood on the toilet paper, and a visible tear in the skin around the anus. Treatment may include lifestyle changes, topical medications, and in some cases, surgery.

How does a doctor diagnose

  • Physical examination and review of medical history.
  • Digital rectal examination.
  • Anoscopy.
  • Sigmoidoscopy.
  • Colonoscopy.
  • Anal manometry.
  • Endoanal ultrasonography.
  • Tensometry.

Treatment and Medical Assistance

Main Goal: Treat the chronic anal fissure and reduce pain
  • Increase fiber intake in the diet
  • Increase water intake
  • Apply topical medications to the affected area
  • Take sitz baths
  • Perform stretching exercises
  • Avoid constipation and straining while bowel movements
  • Use stool softeners
  • Use a donut cushion for comfort
  • Undergo surgery if necessary
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7 Days of Hospitalization Required
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Average Time for Outpatient Care Not Established

Chronic anal fissure - Prevention

Chronic anal fissure can be prevented by maintaining good bowel habits, such as avoiding constipation and straining during bowel movements. it is important to keep the area clean and dry, and to avoid any activities that could cause further irritation. eating a high-fiber diet and drinking plenty of fluids can help to prevent constipation. additionally, topical creams or ointments may be used to help keep the area lubricated.