Anal Fissure = longitudinal or elliptical tear of squamous lining of distal anal canal ``` 6w = CHRONIC ``` Acute: 6w: - Continue above techniques - TOPICAL GTN - 1st line Mx of chronic anal fissure - If topical GTN is not effective after 8w then secondary referral should be considered for either surgery or botulinum toxin NB Topical steroids DO NOT provide relief

Anal Fissure Flashcards by Lani Walshaw

Anal Fissure

Anal Fissure = longitudinal or elliptical tear of squamous lining of distal anal canal

<6w = ACUTE
>6w = CHRONIC

Acute: <6w
- Dietary advice, high fibre, high fluid intake
- Bulk forming laxatives
- Lubricants pre defecation eg petroleum jelly
- Topical anaesthetics
NB: Around 90% of anal fissures occur on posterior midline

Chronic >6w:

Continue above techniques
TOPICAL GTN - 1st line Mx of chronic anal fissure
If topical GTN is not effective after 8w then secondary referral should be considered for either surgery or botulinum toxin

NB Topical steroids DO NOT provide relief

How well did you know this?

Not at all

Perfectly

Brainscape's Knowledge GenomeTM

Anal Fissure Flashcards

Brainscape's Knowledge Genome^TM