Anal Fissure: A Common Cause of Anal Pain

Anal Fissure: A Common Cause of Anal Pain


Herman Villalba, MD; Sabrina Villalba, MD; Maher A Abbas, MD, FACS, FASCRS

Fall 2007 - Volume 11 Number 4

https://doi.org/10.7812/TPP/07-072

Vignette


A patient presents with severe anal pain, lasting hours after each bowel movement. She notices some intermittent bleeding with defecation. She comes to the office with the presumed diagnosis of hemorrhoids. Are her symptoms consistent with hemorrhoidal disease, or does she have another disorder?

Introduction


Benign anorectal disorders are common and increasing in incidence. The decreasing intake in dietary fiber over the 20th century and into the 21st has contributed to a steady rise in preventable anorectal disorders. It is estimated that 20% of the American public has such benign conditions.1 Although hemorrhoids represent the most common benign anorectal disorder, anal pain is most often secondary to an acute or chronic anal fissure and not hemorrhoidal disease.1-14

The Permanente Journal

Sponsored by the eight Permanente Medical Groups, The Permanente Journal advances knowledge in scientific research, clinical medicine, and innovative health care delivery.

Reprint Permissions

The Permanente Journal welcomes requests for reprints and reproduction. Use of any and all material published in The Permanente Journal is copyrighted and protected.

The Permanente Press

The Permanente Press publishes The Permanente Journal and books related to healthcare. Journal subscriptions are entered for the calendar year. Advance payment in US dollars is required.


ISSN 1552-5775 Copyright © 2018 thepermanentejournal.org.

The Permanente Press. All Rights Reserved.