Sitz Bath for Fissure: Does It Work?

Sitz Bath for Fissure: Does It Work?

Sitz baths work for anal fissures, but within defined limits. Warm water soaking reduces internal sphincter spasm, improves blood circulation to the wound base, and lowers pain enough to break the fear-of-defaecation cycle that makes fissures worse. For acute...
Anal Fissure in Children: Is It Common?

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?

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...
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