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.

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