– RUDDOCK.E.H,
DEFINITION-A longitudinal ulcer at the anal margin. It is similar to the crack which occurs in. he lower lip of the mouth, and like the later, is exquisitely painful.
Fissure of the anus is usually single and situated in the middle line posteriorly. Below it there is a tag of he mucous membrane called ‘sentinel pile.
SYMPTOMS-Severe burning pain during and after defecation with great spasm of he anal sphincter muscle. the faeces may be streaked with blood.
TREATMENT-(See P{lies and Fistula in Ano.) -the bowels must be regulated, copious hot enemata being used when necessary, and ointment of calendula, Hamamelis, or AEsculus applied.
In many cases a small operation under anesthetic is necessary.