Anal Fissure Center - Cambridge, MA
Cambridge 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 Cambridge * Harvard Vanguard Medical Specialties Cambridge  Cambridge Hospital Medical Specialists  Harvard Vanguard Medical Specialties Cambridge  Harvard Vanguard Gastroenterology  Harvard Vanguard Gastroenterology  Harvard Vanguard Gastroenterology  Pastor Medical Group  Harvard Vanguard Gastroenterology  Harvard Vanguard Medical Associates Surgery  Harvard Vanguard Gastroenterology  Beth Israel Deaconess Medical Center  Beth Israel Deaconess Medical Center Gastroenterology  Beth Israel Deaconess Medical Center  John Chobanian MD  Ram Chuttani MD  Beth Israel Deaconess Medical Center Gastroenterology  Mt Auburn Gastroenterology Associates  Harvey Goldman MD  Mt Auburn Gastroenterology Associates  Ciaran P Kelly MD  John T. Lamont, MD  Anthony J Lembo MD  Cambridge Gastroenterology Associates  Beth Israel Deaconess Med Ctr Digestive Disease Ctr  Beth Israel Deaconess  Torre Morgan MD  Beth Israel Deaconess Medical Center Gastroenterology  Beth Israel Deaconess  Beth Israel Deaconess Medical Center Gastroenterology  Beth Israel Deaconess  Beth Israel Deaconess Medical Center Gastroenterology  Helen M Shields MD  Beth Israel Deaconess Medical Center Gastroenterology  Dana-Farber Cancer Institute Gastroenterologic Oncology  Dana-Farber Cancer Institute Gastroenterologic Oncology  Beth Israel Deaconess Medical Center Liver Center  Beth Israel Deaconess Gastroenterology  Beth Israel Deaconess Gastroenterology  Brigham & Women's Hospital Gastroenterology  Beth Israel Deaconess Medical Center Liver Center  Beth Israel Deaconess Medical Center Liver Center  Beth Israel Deaconess Gastroenterology  Beth Israel Deaconess Gastroenterology  Beth Israel Deaconess Gastroenterology  Beth Israel Deaconess Gastroenterology  Beth Israel Deaconess Medical Center Liver Center  Beth Israel Deaconess Medical Center Liver Center  Beth Israel Deaconess Medical Center Liver Center  Beth Israel Deaconess Gastroenterology  Beth Israel Deaconess Medical Center Liver Center  Beth Israel Deaconess Medical Center Liver Center  Charles Trey & Associates PC  Brigham & Women's Hospital Gastroenterology and Hepatology Associates  Brigham & Women's Hospital Gastroenterology and Hepatology Associates  Brigham & Women's Hospital Gastroenterology and Hepatology Associates  Brigham & Women's Hospital Gastroenterology and Hepatology Associates  Brigham & Women's Hospital Gastroenterology and Hepatology Associates  Brigham & Women's Hospital Gastroenterology and Hepatology Associates  Brigham & Women's Hospital Gastroenterology and Hepatology Associates  Brigham & Women's Hospital Gastroenterology and Hepatology Associates  Brigham & Women's Hospital Gastroenterology and Hepatology Associates  Brigham & Women's Hospital Gastroenterology and Hepatology Associates  Brigham & Women's Hospital Gastroenterology and Hepatology Associates  Blackwell Medical Associates  Blackwell Medical Associates  Kinnari R Kher MD  Blackwell Medical Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  Massachusetts General Hospital Gastroenterology  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  MGH Gastroenterology Associates  Pediatric GI & Nutritional Associates at MGH  MGH Gastroenterology Associates Cambridge, MassachusettsUpcoming Local Events2012-05-19
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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 Cambridge
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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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