Anal Fissure Center - Bethesda, MD
Bethesda Gastroenterologist Doctors for Anal FissureType of Physician: Gastroenterologist What is a Gastroenterologist? A subspecialty certification by the Board of Internal Medicine; practitioners focus on the stomach, intestines, colon, liver, and gallbladder (digestive organs). The gastroenterologist treats conditions such as abdominal pain, ulcers, diarrhea, cancer, and jaundice and they consult with surgeons when abdominal operations are indicated. Specialty: Gastroenterology Common Name: GI Doctor Gastroenterologist Doctors in Bethesda * Metropolitan Gastroenterology Group  Metropolitan Gastroenterology Group  T Jake Liang MD  Metropolitan Gastroenterology Group  Metropolitan Gastroenterology Group  Metropolitan Gastroenterology Group  Digestive Disease Branch  Metropolitan Gastroenterology Group  Washington Gastroenterology  Robynne K Chutkan MD  Washington Gastroenterology  Washington Gastroenterology  Washington Gastroenterology  Washington Gastroenterology  Ajay Bakshi MD  Gary M Roggin MD  Digestive Disease Clinic  V P Chandar MD PA  Steven A Burger MD  Sanford Richman MD  Montgomery Gastroenterology  Montgomery Gastroenterology  Montgomery Gastroenterology  Bernard A Heckman MD  MONTROSE PEDIATRIC GI  Maryland Digestive Disease Center  Maryland Digestive Disease Center  Maryland Digestive Disease Center  Maryland Digestive Disease Center  Maryland Digestive Disease Center  Kempanna Sudhakar MD  Rockville Internal Medical Group  S Grace Woo MD LLC  Capital Gastroenterology Consultants PA  Capital Gastroenterology Consultants PA  Capital Gastroenterology Consultants PA  Capital Gastroenterology Consultants PA  Capital Gastroenterology Consultants PA  Capital Gastroenterology Consultants PA  Capital Gastroenterology Consultants PA  Capital Gastroenterology Consultants PA  Capital Gastroenterology Consultants PA  Capital Gastroenterology Consultants PA  Capital Gastroenterology Consultants PA  Jatinder Sekhon MD  Digestive Disease Consultants PA  Digestive Disease Consultants PA  Drs Stern & Gantt  Digestive Disease Consultants PA  Digestive Disease Consultants PA  Digestive Disease Consultants PA  Digestive Disease Consultants PA  Drs Stern & Gantt  Neil L Julie MD  Birns Gloger & Witten MD PC  Birns Gloger & Witten MD PC  Ghanshyam Gupta MD  Arthur Schoengold MD  Birns Gloger & Witten MD PC  Boo K Kim MD  T Ann Tonnu MD  Montgomery Internal Medicine Associates PA  Marc Kozam MD  Ghulam Mohiuddin MD  Ghulam Mohiuddin MD  Asghar Shaigany MD  James S Chesley Jr. MD  Cohen & Epstein MDs  Cohen & Epstein MDs  Healthcare of Greater Washington  McCone Endoscopy Centers  A O Moshyedi MD  A O Moshyedi MD  Mushtaq A Shah MD  Maximo Singer MD  Redjaee & Taleghani MDs  Maryland Digestive Disease Center  Maryland Digestive Disease Center  Elizabeth R Myles MD  Vincent Sutliff MD  GI Associates of Maryland  GI Associates of Maryland  John Bedeau MD & David Gorray MD  Kaiser Permanente Medical Center Largo  Kaiser Permanente Medical Center Largo  Kaiser Permanente Medical Center Largo  Kaiser Permanente Medical Center Largo  Aly Sabet MD  Sam Tellawi MD  Chandrakant K Bhatia MD  Digestive Disease Associates  Digestive Disease Associates  Megan Willard MD  Digestive Disease Associates  Digestive Disease Associates  Digestive Disease Associates  Digestive Disease Associates  Digestive Disease Associates  Gastro Center of Maryland  Wondwosen Abdi MD Bethesda, MarylandUpcoming Local Events2012-06-09
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Anal FissureRead the Anal Fissure article » What are anal fissures?An anal fissure is a cut or tear occuring in the anus (the opening through which stool passes out of the body) that extends upwards into the anal canal. Fissures are a common condition of the anus and anal canal and are responsible for 6-15% of the visits to a colonic and rectal (colorectal) surgeon. They affect men and women equally and both the young and the old. Fissures usually cause pain during bowel movements that often is severe. Anal fissure is the most common cause of rectal bleeding in infancy. Anal fissures occur in the specialized tissue that lines the anus and anal canal, called anoderm. At a line just inside the anus--referred to as the anal verge or intersphincteric groove--the skin (dermis) of the inner buttocks changes to anoderm. Unlike skin, anoderm has no hairs, sweat glands, or sebaceous (oil) glands and contains a larger number of somatic sensory nerves that sense light touch and pain. (The abundance of nerves explains why anal fissures are so painful.) The hairless, gland-less, extremely sensitive anoderm continues for the entire length of the anal canal until it meets the demarcating line for the rectum, called the dentate line. (The rectum is the distal 15 cm of the colon that lies just above the anus and rectum and just below the sigmoid colon.)
What causes anal fissures?Anal fissures are caused by trauma to the anus and anal canal. The cause of the trauma usually is a bowel movement, and many patients can remember the exact bowel movement during which their pain began. The fissure may be caused by a hard stool or repeated episodes of diarrhea. Occasionally, the insertion of a rectal thermometer, enema tip, endoscope, or ultrasound probe (for examining the prostate gland) can result in sufficient trauma to produce a fissure. During childbirth, trauma to the perineum (the skin between t... Recommended Reading Related to Anal FissureWhat is flexible sigmoidoscopy?Flexible sigmoidoscopy is a procedure that allows your doctor to examine the rectum and the lower (sigmoid) colon. The flexible sigmoidoscope is a flexible tube 60 cm long and about the thickness of your little finger. It is inserted gently into the anus and advanced slowly into the rectum and the lower colon. It is an accurate and simple method of investigating the cause of rectal bleeding, change in bowel habit, and rectal symptoms such as pain and diarrhea. Flexible sigmoidoscopy also is a part of colon screening and surveillance for colon cancer. What is the preparation for flexible sigmoidoscopy?In order to obtain accurate results, the rectum and the lower colon must be completely clean of stool. Your doctor will give you detailed instructions on how to cleanse your colon. In general, this requires the use of one or two enemas prior to the procedure and may also call for a laxative and some dietar... Other Related Anal Fissure ArticlesEmergency Contact for Bethesda
Nearby Bethesda Hospitals *National Institutes of Health Suburban Hospital Psychiatric Institute of Washington Sibley Memorial Hospital Holy Cross Hospital Walter Reed Army Medical Center Georgetown University Hospital Washington Adventist Hospital National Rehabilitation Hospital Washington Hospital Center Washington DC VA Medical Center Children's National Medical Center Howard University Hospital The George Washington University Hospital Providence Hospital The HSC Pediatric Center Virginia Hospital Center The Specialty Hospital of Washington Dominion Hospital Shady Grove Adventist Hospital Adventist Rehabilitation Hospital of Maryland Potomac Ridge Behavioral Health Adventist HealthCare Gladys Spellman Specialty Hospital Prince George's Hospital Center Saint Elizabeth's Hospital Inova Alexandria Hospital Inova Fairfax Hospital Inova Fairfax Hospital for Children Northern Virginia Mental Health Institute Montgomery General Hospital United Medical Center The Specialty Hospital of Washington-Hadley Doctors Community Hospital Laurel Regional Hospital Reston Hospital Center Inova Fair Oaks Hospital Inova Mount Vernon Hospital Fort Washington Hospital Howard County General Hospital Southern Maryland Hospital Center Inova Loudoun Hospital Center Sheppard Pratt at Ellicott City Prince William Hospital Potomac Hospital North Spring Behavioral Healthcare Baltimore Washington Medical Center Graydon Manor Behavioral Health Spring Grove Hospital Center Springfield Hospital Center Anne Arundel Medical Center Saint Agnes Hospital Kernan Hospital Northwest Hospital Harbor Hospital Center Bon Secours Baltimore Health System Civista Medical Center University of Maryland Medical Center Baltimore VA Medical Center University Specialty Hospital Maryland General Hospital Mercy Medical Center Levindale Hebrew Geriatric Center & Hospital Kennedy Krieger Institute Sinai Hospital of Baltimore Frederick Memorial Hospital Johns Hopkins Hospital Featured Articles*Provider Directory Terms of Use: The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. |
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Related Diseases & Conditions
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Rectal Bleeding (Blood in Stool, Hematochezia)
- Rectal bleeding (hematochezia) refers to the passage of bright red blood from the anus. Rectal bleeding may be moderate to severe and most bleeding comes from the colon, rectum, or anus. Common causes include anal fissures, hemorrhoids, diverticulitis, and more.
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Hemorrhoids
- Hemorrhoid is an enlarged vein in the walls of the anus and sometimes around the rectum, usually caused by untreated constipation, but occasionally associated with chronic diarrhea. If untreated, hemorrhoids can worsen, protruding from the anus. Also known as piles.
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Constipation
- Constipation is defined medically as fewer than three stools per week and severe constipation as less than one stool per week. Constipation usually is caused by the slow movement of stool through the colon. There are many causes of constipation including medications, poor bowel habits, low fiber diets, abuse of laxatives, hormonal disorders, and diseases primarily of other parts of the body that also affect the colon.
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Anal Itching
- Anal itching is the irritation of the skin at the exit of the rectum, known as the anus, accompanied by the desire to scratch. Causes include everything from irritating foods we eat, to certain disease and infections. Treatment options include local anesthetics, vasoconstrictors, protectants, astringents, antiseptics, keratolytics, analgesics, and corticosteroids. If condition persists, a doctor examination may be needed to identify an underlying cause.
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Laxatives for Constipation
- Laxatives for treatment of constipation include over-the-counter preparations such as bulk-forming laxatives, stool softeners, lubricant laxatives, stimulant laxatives, saline laxatives, enemas and suppositories. Some over-the-counter laxatives are not recommended for patients with specific diseases or conditions. Some laxatives may have negative adverse effects if taken over long periods of time.
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Rectal Bleeding (Blood in Stool, Hematochezia)
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