Anal Fissures
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 3 April 2023
⏱️ 10 minutes
🧾️ Download transcript
Summary
What is the most common cause of anal pain or bleeding that you will see in primary care? It is not hemorrhoid, like we talked about last week. It is in fact anal fissures and some patients will describe them as razor blades coming out of their rectum.
Join Dr. Niket Sonpal, as he discusses how these fissures start and the underlying risk factors such as constipation and diarrhea. Next, is determining if it is in fact an anal fissure or hemorrhoid. Once the fissure is diagnosed, the treatments to start them on is more fiber in their diet and topical analgesics.
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Transcript
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| 0:00.0 | There are a lot of painful things in this world. |
| 0:02.4 | For example, what if you made a whole bucket of chili |
| 0:05.2 | and stayed up all night making it just for it to spill all over your office floor? |
| 0:10.0 | Kevin from the office can attest that this is definitely painful. |
| 0:13.7 | What if you just defeated the dark lord and realized it was time for a sildor to throw the ring |
| 0:19.6 | into Mount Doom? |
| 0:21.0 | And as Al-Rond, if you notice that he said, no, I will not do so. That's also pretty painful. |
| 0:26.4 | What if you waited for hours and hours and hours on the Ticketmaster Presale and you still weren't able to get tickets to the upcoming Taylor Swift shows. |
| 0:35.0 | This is extremely painful and it's pretty much been what every single timeline has been about over the last few weeks. |
| 0:42.0 | Well, medicine is no different. |
| 0:44.0 | There are a lot of painful things, |
| 0:45.0 | gunshots, malignancies, broken bones, etc. |
| 0:48.0 | But there is one thing that you are going to see in your office |
| 0:51.0 | that's going to be extremely |
| 0:52.8 | extremely painful in which patients are going to describe |
| 0:55.3 | razor blades coming out of their rectum. |
| 0:57.6 | And if you're wondering what I'm talking about this week, |
| 0:59.4 | we're going to be talking about anal fissures. |
| 1:01.5 | It's kind of ironic that we're talking about that because Kevin from the office had anal fissures. about neighborhood internist and gastronautologist in this podcast in which you talk about one of the most painful |
| 1:14.9 | things you're going to see in primary care, the anal fissure. Now starting off with some board questions if they would ask you what is the most common cause of anal pain and anal bleeding, you might say hemorrhoids, but it turns out anal fissures is actually one of the most common benign anal rectal diseases that you're going to see in primary care as well as day-to-day practice. |
| 1:47.0 | And if you're wondering how often anal fissures occur, it turns out that about 235,000 new cases occur, but we don't actually have a percentage of incidents or prevalence. |
| 1:57.0 | The reason for this is because we can't tell the difference on statistical data between anal discomfort that's |
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