Anal Fissure Flashcards
(4 cards)
1
Q
What is anal fissure
A
Tear or ulceration in the lining of the anal canal
2
Q
Symptoms of anal fissure
A
Bleeding, persistent pain on defecation and linear split in mucosa
3
Q
Acute anal fissure treatment
A
Less than 6 weeks =
- bulk forming e.g. ispaghula husk and osmotic e.g. lactulose
- lidocaine
- paracetamol and ibuprofen analgesic
4
Q
Chronic anal fissure treatment
A
- More than 6 weeks
- Give rectal ointment = GTN ointment
- SE = headaches
Alt = dilitazem or nifedipine
