Anal incontinence can include inability to control gas, mild fecal soiling, or loss of solid stool.Some degree of incontinence can occur in up to 45 percent of patients in the immediate surgical recovery period.
Both operations aim to decrease sphincter spasming and thereby restore normal blood supply to the anal mucosa.In infants, once an anal fissure has occurred, addressing underlying causes is usually enough to ensure healing occurs.Non-surgical treatments are recommended initially for acute and chronic anal fissures.), topical nifedipine 0.3% with lidocaine 1.5% ointment (Antrolin in Italy since April 2004) and diltiazem 2% (Anoheal in UK, although still in Phase III development).In adults, fissures may be caused by constipation, the passing of large, hard stools, or by prolonged diarrhea.In older adults, anal fissures may be caused by decreased blood flow to the area.Lateral sphincterotomy is the Gold Standard for curing this affliction.
Surgical procedures are generally reserved for people with anal fissure who have tried medical therapy for at least one to three months and have not healed. The main concern with surgery is the development of anal incontinence.
As constipation can be a cause, making sure the infant is drinking enough fluids (i.e.
breastmilk, proper ratios when mixing formulas) is beneficial.
An anal fissure is a cut or tear in the lining of the anus that causes pain during and after a bowel movement.
Anal fissures are sometimes confused with hemorrhoids, which may also cause pain.
A common side effect drawback of nitroglycerine ointment is headache, caused by systemic absorption of the drug, which limits patient acceptability.