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Digestive Health

  • An anal fissure, or fissure-in-ano, is a crack in the lining of the lower anal canal and can be one of several possible causes for anal pain. The lower anal canal is an exquisitely sensitive area of skin and can produce fairly significant signals of pain if it is damaged.
  • Fissures begin as a small tear or ulceration, due to either a bout of diarrhea or sometimes a particularly large bowel movement. Often, the anus is already chronically irritated by something else. The vast majority of fissures resolve entirely within a day or so and rarely cause any prolonged problem.
  • Symptoms are sharp pain and a small amount of bright blood during a bowel movement
    The symptoms of fissure are sharp, knife-like pain in the anus during a bowel movement, and often the presence of a small amount of bright red blood streaking the toilet paper during wiping. Fissures rarely bleed more than a small amount.
  • Sometimes, if a fissure becomes chronic (long-standing) and deep, another kind of pain can develop. It is a dull ache in the anus and pelvis that starts a few minutes after the bowel movement and can persist for an hour or two before gradually subsiding. This chronic fissure pain is due to spasm of the internal sphincter muscle (one of the small muscles in the anus) and can be quite debilitating. It is like a recurring "Charley horse" of the anus and can be so bad that patients can no longer work.
  • Most patients with a fissure-in-ano have pain only with bowel movements and some minor streaking of blood. Once the bowel movement is over, they are fine after a few minutes. It is important to note that the bleeding associated with a fissure-in-ano is bright red and associated with some pain or tenderness in the anus. Dark bleeding of greater amounts without any anal tenderness or pain should be checked by a physician.
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ale hoof (ground ivy, cat-foot, ground, turn hoof, hay maids, ale hoof)
alfalfa (alfalfa, lucerne)
all-heal (valerian, all-heal, garden heliotrope)
aloe (aloe vera, aloe, burn plant, lily of the desert, elephant's gall)
aloe vera (aloe vera, aloe, burn plant, lily of the desert, elephant's gall)
American coneflower (echinacea, purple coneflower, coneflower, American coneflower)
American cranberry (cranberry, American cranberry, bog cranberry)
American dwarf palm tree (saw palmetto, American dwarf palm tree, cabbage palm)
angelica (angelica, archangel, garden angelica, masterwort, wild angelica)
arborvitae (thuja, white cedar, arborvitae, hackmatack, tree of life)
 
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