ANAL FISSURE
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Essentials of Diagnosis:-
- Acute pain during and after defecation.
- Bright red blood with stool.
- Tendency for constipation due to fear of pain.
- Treatment:-
-Mineral oil and stool softners daily. Mild laxative- Syp Cremaffin 2-3 tea spoon hs.
-Anal suppositories twice daily.
-Local application of Gentian violet 1 per cent Xylo-
caine 4 percent jelly locally 1/2 hour before passing
stools or sos.
-Anal dilatation.
-Surgical excision if all above measures fail or
recurrence occurs.