Anal Fissure Center - Nashua, NH
Nashua 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 Nashua * Mark L Mallek MD  Richard C Dai MD  Dennis Shea MD  Londonderry Gastroenterology Associates  New Hampshire Gastroenterology  New Hampshire Gastroenterology Inc  Knut J Roalsvig MD  Northeast Gastroenterology Associates  Northeast Gastroenterology Associates  Emil K Karagiannis MD  Dartmouth-Hitchcock Manchester  Concord Gastroenterology  Concord Gastroenterology  Concord Gastroenterology  Concord Gastroenterology  Concord Gastroenterology  Seacoast Gastroenterology  Seacoast Gastroenterology  Seacoast Gastroenterology  Seacoast Gastroenterology  Gastroenterology PA  Gastroenterology Professional Associates  Gastroenterology Professional Associates  Gastroenterology PA  Gastroenterology PA  Gastroenterology PA  Gastroenterology Professional Associates  Dartmouth-Hitchcock Keene Gastroenterology  Dartmouth-Hitchcock Keene Gastroenterology  Dartmouth-Hitchcock Keene Gastroenterology  Dartmouth-Hitchcock Keene Gastroenterology  Carroll County Gastroenterology  Associates in Surgery & Gastroenterology  Associates in Surgery & Gastroenterology  DHMC Gastroenterology Department  Brian S Berk MD  DHMC Gastroenterology Department  DHMC Gastroenterology Department  DHMC Gastroenterology Department  DHMC Gastroenterology Department  DHMC Gastroenterology Department Nashua, New HampshireUpcoming 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 Nashua
Nearby Nashua Hospitals *Southern New Hampshire Medical Center St Joseph Hospital HC Solomon Mental Health Center Lowell General Hospital Parkland Medical Center Saints Medical Center Nashoba Valley Medical Center Northeast Rehabilitation Health Network Caritas Holy Family Hospital and Medical Center Elliot Hospital Tewksbury Hospital Catholic Medical Center Lawrence General Hospital Hampstead Hospital Manchester VA Medical Center Isham Health Center Whittier Rehabilitation Hospital Haverhill Edith Nourse Rogers Memorial Veterans Hospital Health Alliance Burbank Hospital Emerson Hospital Merrimack Valley Hospital HealthAlliance Hospital Leominster Campus Lahey Clinic Medical Center Baldpate Hospital Crotched Mountain Rehabilitation Center HEALTHSOUTH New England Rehabilitation Hospital Monadnock Community Hospital UMass Memorial Clinton Hospital Winchester Hospital UMass Memorial Marlborough Hospital McLean Hospital Heywood Hospital Melrose Wakefield Hospital Lawrence Memorial Hospital Anna Jaques Hospital New Hampshire Hospital North Shore Medical Center Concord Hospital HEALTHSOUTH Rehabilitation Hospital Exeter Hospital Kindred Hospital Boston North Shore  Somerville Hospital  Mount Auburn Hospital  Newton Wellesley Hospital  Youville Hospital and Rehabilitation Center  Cambridge Hospital  Westborough State Hospital  Whidden Memorial Hospital  Caritas St Elizabeth's Medical Center  Franciscan Hospital for Children  Beverly Hospital  Kindred Hospital Boston  MetroWest Medical Center Framingham Union Hospital  North Shore Children's Hospital  Salem Hospital & the Birthplace  Arbour HRI Hospital  Lawrence F Quigley Memorial Hospital  Shaughnessy-Kaplan Rehabilitation Hospital  M I T Medical  Kindred Specialty Hospital Natick  MetroWest Medical Center Leonard Morse Hospital  Spaulding Rehabilitation Hospital  Whittier Rehabilitation Hospital Westborough  Massachusetts General Hospital  Massachusetts Eye & Ear Infirmary  Shriners Hospitals for Children Boston Burn Hospital  Beth Israel Deaconess Medical Center  Children's Hospital Boston  Dana Farber Cancer Institute  Brigham & Women's Hospital  New England Baptist Hospital  VA Boston Healthcare System Jamaica Plain Campus  Tufts New England Medical Center 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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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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