Anal Fissure

An anal fissure (fissure in ano, anal ulcer) is a tear or ulcer in the lining of the anus Causes of anal fissure
Constipation, hard or large stool
Diarrhea
Childbirth

Symptoms of Anal fissure

• Pain:Fissure cause pain after defecation. The pain lasts for several minutes to several hours and then subsides until the next bowel movements.
• Bleeding :Bleeding during or shortly after a bowel movements is very common. Usually the bleeding is quite slight and amounts to little more than a streaking of the motion, but occasionally the loss is more profuse and may cause Anemia.
• Swelling :Some patients with a large sentinel tag may become aware of this lump at the anus and may complain of having a painful external pile.
• Discharge and Pruritus:Increased moisture of the perianal skin, resulting pruritus ani.
• Urinary symptoms :Some patients with a painful anal fissure develop disturbances of micturition, either painful urination (dysuria) and retention or increased frequency.
  Fissures cause the sphincter to go into spasm, which may prevent healing.
• Diagnoses:A doctor diagnoses a fissure by inspecting the anus.
• Treatment:Kshara sutra and anal dilatation