Doctor insights on:
Fissure Live Exam
Grooves or clefts in various anatomical structures such as the brain (transverse fissure between cerebrum & cerebellum), the skull (sphenoidal fissure), the liver (for the ligamentum teres), the lung (oblique fissure), the spinal cord (ventral median fissure), or other structures such as the palpebral fissure between upper & lower eyelids. Can also be a tear in a structure ...Read more
I think I have either anal fissure or internal hemorrhoid, had rectal exam before no result. Still pain and blood in toilet. Should doc do anoscopy?
Yes: Go back to your doctor for a more thorough examination. Anoscopy may be one way. ...Read more
What is a ovoid hypodense mass in ovarian? & 1.4 cm ovoid hypodense anteriorly ajencent to fissure not seen in prior exam liver. These are CT findings
Ovoid refers to the: Shape (oval). Hypodense means "not solid". We usually refer to these as "cysts." Cysts may be empty or fluid-filled. They are generally benign (not cancerous or dangerous). Keep in mind that the liver cyst is small, about 1/2 inch in diameter. Of course you should get more info from your doctor but most likely you'll get good news. Dr. Anne ...Read more
7 years ago, had bright red rectal bleeding after bm. Hurt to have bm most of the time I saw blood. Dr saw a fissure on exam. By the time I had sigmoidoscopy fissure was gone and no bleeding anymore. Unlikely he missed cancer? No symptoms since.
BRBPR due to...: This may just be hemorrhoids from straining but bleeding from rectum (brbpr) may also indicate anal fissures, proctitis (due to infection, inflammatory bowel disease, radiation therapy, stercoral ulcers, rectal prolapse, trauma, etc.) or a bleeding source further upstream. Depending on your age, risk factors, current medication (aspirin, nsaids, anticoagulants can cause bleeding), see your doctor. ...Read more
First the cause: Before you look for resolution it is important to determine the cause. Recurrent vaginal fissures is not common. Finding the cause is key. An exam, testing and biopsy of the area is a good first start. There may be recurrent candidiasis, condyloma (hpv), vulvar cancer or precancerous changes, lichen sclerosis, lichen simplex chronicus and other causes. ...Read more
Ok to use Proctofoam: But just as important is to be sure to be eating a high fiber diet and most importantly drinking 80-100oz of caffeine free, alcohol free fluid daily, more if you workout strenuously. There are other meds that work better but if no repsonse to above after2 months you may need surgery to avoid complications such as an abscess. See a colorectal surgeon. ...Read more
Several Options: Non-surgical treatment includes warm water soaks 2- 3 times a day, increasing fiber intake, drink lots of water, and taking stool softeners or laxatives. Witch hazel (tucks (witch hazel) pads) can help. Some relief in a day or two usually. It may take several weeks for the fissure to heal completely. Sometimes fissures heal without treatment. May require surgery. ...Read more
Cream (s): I usually recommend a nitroglycerin-based ointment. Also, some pharmacies can make up their own concoction with the collaboration of your doctor. This is called a compounding pharmacy. Perhaps talk with your local compounding pharmacist to see if they have a formulation that is helpful. It is vitally important that you find out why you're having this problem and prevent it/let it heal. Good luck ...Read more
Get a proper and: Thorough history and exam by your doctor or a colon and rectal surgeon. The symptoms of each may be similar but the treatment of each can be somewhat different. Get an expert to confirm your suspicions and recommend the appropriate treatment. ...Read more
Yes: There are more than 90 homeopathic remedies known to help anal fissures. Differentiating which is best for you requires a personal consultation with a professional homeopath. Ignatia may help anal fissures accompanied by rectal spasms. Aesculus is known for hemorrhoid pain associated with low back pain ; rectal pain as if the rectum is full of small sticks. Graphites is yet another possibility. ...Read more
Anal Fissures: Best treatment is eliminating the cause which is usually trauma secondary to hard bowel movements. If so try increasing the fiber in your diet and if stools are still hard take an over the counter stool softner as directed. If you are still having problems see your physician who may recommend other therapies such as nitroglycerine or nifedepine ointment, Botox or in some cases surgery. ...Read more
Skin cracking: Fissuring in outermost layer of tissue covering the body. ...Read more
Sometimes Yeast: The most common cause of vaginal fissures is untreated yeast. You can see your doctor and get tested for that. Sometimes it can be hard to treat. You could go to library and check out a book on yeast and see if it describes your symptoms. Sometimes they are complex and difficult to treat, involving elimination diets and the like. Without a photo, hard to diagnose, but that's a good guess. ...Read more
Anal fissures are common, but not normal; tears in the lining of the anus; often assoc with hard stool, and/or tight anal sphincter. If they are in the north/south locations of the anus can be seen in otherwise healthy people; other locations can be assoc with things like Crohn's disease; Crohn's fissures can be north/south too.
See your doc, gi, or colorectal specialist; may (not) be a big thing. ...Read more
See a Surgeon: Non-surgical treatment includes warm water soaks 2- 3 times a day, increasing fiber intake, drink lots of water, and taking stool softeners or laxatives. Witch hazel (tucks (witch hazel) pads) can help. Some relief in a day or two usually. It may take several weeks for the fissure to heal completely. Sometimes fissures heal without treatment. May require surgery. ...Read more
Not limited to baby: Anal fissures are like paper-cuts in the anus. They can bleed, hurt, & recur, particularly with defecation & any other activity that increases pelvic pressure. Disorders of anal-rectal function, straining at hard stool, prolonged sitting, heavy lifting, long distance walks/runs are causative & should be addressed. If stool softeners, fiber, topical rx, & behavior changes don't cure, see a surgeon. ...Read more
Anal Fissure: SSS:
The three s's.
1. Keep the tear clean. This is done by soaking. Either use sits baths, wet wipes, but do not let this area get infected or irritated.
2. Soften the stool. You do not want to bear down with a hard stool to extend the tear.
And 3. Steroids. Some creams or suppositories will deliver a medicine to help the tissue heal.
Preparation h is witch hazel an anti-itch herb. ...Read more