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Previous Volume 338:257-259 January 22, 1998 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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It has been said that all patients with anorectal symptoms come to the doctor reporting hemorrhoids or worrying about cancer. Among the myriad other diagnostic possibilities, one of the most common is anal fissure. This small tear in the anal skin just at or inside the anal verge typically causes symptoms of severe pain after defecation and bright red rectal bleeding. Anal fissures are easy to diagnose by taking a history and performing an appropriate physical examination — visualizing a sentinel skin tag and everting the anal canal by opposing traction of the patient's buttocks — and easier still for . . . [Full Text of this Article]

References

This article has been cited by other articles:

• BHARDWAJ, R, VAIZEY, C J, BOULOS, P B, HOYLE, C H V (2000). Neuromyogenic properties of the internal anal sphincter: therapeutic rationale for anal fissures. Gut 46: 861-868 [Full Text]  
• Brisinda, G., Maria, G., Bentivoglio, A. R., Cassetta, E., Gui, D., Albanese, A. (1999). A Comparison of Injections of Botulinum Toxin and Topical Nitroglycerin Ointment for the Treatment of Chronic Anal Fissure. NEJM 341: 65-69 [Abstract] [Full Text]  
• Perez-Miranda, M., Jimenez, J. M., Maria, G., Gui, D., Brisinda, G., Madoff, R. D. (1998). Treatment of Chronic Anal Fissure. NEJM 338: 1698-1699 [Full Text]