A Case Of Anal Fissure - Similima

Clinical Features;
� 1. Pain is of acute onset and often experienced
after straining at defaecation.
� 2. A lump which appears at the anal verge.
� 3. Heamorrhage is in the form of a small amount
of clotted blood when spontaneous rupture
occurs and followed by dramatic relief of pain.
� 4. A lump which is a tense, tender blue swelling
at anal verge.
� 5. An ulcer occurs if spontaneous rupture has
already occured.
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