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Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut. A chronic anal fissure likely has a deeper tear, and may have internal or external fleshy growths.

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Anal Fissures

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Anal fissure | Hospital da Luz

An anal fissure is a small split or tear in the thin moist tissue mucosa lining the lower rectum anus. In adults, fissures may be caused by passing large, hard stools, or having diarrhea for a long time. Other factors may include:. The condition affects males and females equally. Anal fissures are also common in women after childbirth and in people with Crohn disease. An anal fissure can be seen as a crack in the anal skin when the area is stretched slightly. The fissure is almost always in the middle.

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Anal Fissure

Anal fissures are tiny tears in the skin around the anus and can be painful. They usually develop as a side effect of constipation. Constipation is the condition where a person passes faeces poo less frequently than usual and the poo is harder, drier and painful to pass.

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There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.