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A member asked:
How does chronic diarrhea cause anal fissure? acid? alkalinity? pressure? speed? all of the above?
A doctor has provided 1 answer
Likely pressure: Anal closure is the result of a purse string like set of muscles. Stool passage is meant to be by a gradual relaxation & stretch of the skin. The explosive/bursting pressure of a stool bolus could easily force the tissue open and create a tear. Random bits of semi-formed stool likely augment the escaping load.
Answered 4/12/2018
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