MSRA: Anal Fissure

Question 1

What is the most common location for an anal fissure?

Answer 1

Posterior midline

Question 2

What are the risk factors for anal fissures?

Answer 2

Constipation
Inflammatory Bowel Disease

Question 3

What is the management of anal fissures?

Answer 3

Treat constipation with bulk-forming laxatives
Fluid and fibre intake
Analgesia (Paracetamol, Iburprofen, avoid Opioids, consider topical Lidocaine)
If symptoms for more than 1 week - topical 0.4% GTN ointment