Chronic vs Acute Anal Fissure: How Treatment Differs?
An acute fissure is a fresh tear in the anal lining, usually under six weeks old. It’s painful, bleeds sometimes, and in a good number of cases heals on its own with the right diet and topical treatment. A chronic fissure has been there longer. The skin’s...
Anal Fissure in Children: Is It Common?
Anal fissures rank among the most frequently seen anorectal problems in infants and toddlers. Nearly always caused by constipation or passage of hard stools, they present as a small tear in the anal mucosa with bleeding and pain on defaecation. Most don’t need...
Complex Fistula: Hard to Treat?
Surgery fixes most fistulas. Clean tract, internal opening closed, done. But a subset of cases just don’t behave that way. The tract runs through the sphincter muscle, or it branches into paths that don’t show up without imaging, or the patient’s...