Treatment of anal fissure in children.

ABSTRACT

Anal fissure is a very common condition in small children. Constipation, painful defecation and bleeding during defecation are usually main complaints. The conventional therapy using laxatives, enema, stool softener, local treatment and dietetic measures are generally accepted but still it is not clear that how long it will take for treating anal fissure adequately. This paper presents a conventional therapy for anal fissure in 124 children, aged 1 month to 6 years. Parents were advised to pay attention to the children strictly according to the schedule of treatments. Follow up was done regularly after 2, 4, 8 and 12 weeks in every case. The result revealed that treatment is time consuming. At least eight weeks were required before most of the symptoms disappeared. The cooperation of parents is also an important factor involving results of treatment and preventing recurrence.