Anal fissure is one of the most common lesions to consider in the differential diagnosis of anal pain. This is an ulcer in the squamous epithelium of the anus located just distal to the mucocutaneous junction and usually in the posterior midline. It typically causes episodic pain that occurs during defecation and for one to two hours afterwards. Atypical fissures may be multiple or off the midline, or be large and irregular. These may be caused by inflammatory bowel disease, local or systemic malignancy, venereal infection, trauma, tuberculosis, or chemotherapy.
New Protocol to Treat Anal Fissures | Columbia University Department of Surgery
Jump to navigation. Latest News on Covid We are seeing patients in person and through video visits. Read more about our experiences through the pandemic. Sometimes the most difficult thing about a problem is overcoming the fear of facing it. When people have painful conditions of the anus, they tend to be embarrassed to talk about that part of the body and even less enthusiastic about inviting a doctor to take a look. But anal pain is best treated sooner than later, and an earlier diagnosis can improve patients' outcomes in the long run. What's more, the new protocol offers superb results without cutting the anal sphincter muscle.
Proctalgia is pain due to a spasm of the pelvic floor muscles, the muscles of the anal sphincter, or the muscles of the rectum. This causes severe stabbing pain like a knife sticking into the rectum. This type of pain may originate without warning. It may vary in severity and duration. It may pass quickly or might last much longer.
If you buy something through a link on this page, we may earn a small commission. How this works. Proctalgia fugax refers to the sudden onset of severe pain in the rectum area, which can last from seconds to minutes. The pain is sporadic and can be without warning. The condition is also known as functional recurrent anorectal pain.