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Anal discomfort symptoms are not part of these conditions as they Healthy bowel action can minimize fecal contact and help the anal distress.
Anal Fissure: A Common Cause of Anal Pain
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Description:Anal fissure - Painful anal fissures can be a recurrent problem in people who suffer from repeated episodes of constipation. Another condition that causes anal pain is a thrombosed external hemorrhoid. A vicious cycle ensues whereby the anal spasm exacerbates the ischemia and prevents the fissure from healing, which in turn sustains the anal spasm to prevent further tearing. It is believed that the decreased blood flow to the midline portion of the anus contributes to a relatively ischemic milieu that becomes more profound secondary to the associated sphincter spasm noted in the majority of patients with anal fissure. Most anal fissures are located in the midline and are posterior more frequently than anterior. If the fistula is associated with Crohn's disease, treatment is directed toward the Crohn's disease with anti-inflammatory medications combined with an antibiotic.
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