Frequency of Anal Fissure in Patients Presenting with Anorectal Symptoms in Surgical OPD
DOI:
https://doi.org/10.70749/ijbr.v3i7.2964Keywords:
Anal Canal, Anal Fissure, Constipation, Defecation, Rectal DiseasesAbstract
Background: Anal fissure is one of the common anorectal disease causing pain and bleeding in patients with anorectal complaints. Early identification is important for proper management and to avoid complications. Objective: To determine the frequency of anal fissure in patients presenting with anorectal symptoms and its association with clinical factors. Study Design: Cross sectional study. Duration and Place of Study: This study was conducted from 4 March 2025 to 4 June 2025 in Surgical outpatient department of Ayub Teaching Hospital Abbottabad. Methodology: Total 225 patients with anorectal symptoms aged 18 to 70 years were included. Patients with other anorectal diseases and serious comorbid conditions were excluded. Detailed history and clinical examination including digital rectal examination was done. Anal fissure was diagnosed on identification of longitudinal tear in anal canal. Data was analyzed using statistical package for social sciences version 27. Results: Mean age was 45.04 ± 14.95 years and male patients was 62.2%. Anal fissure was found in 45 patients (20.00%). Pain on defecation was most common symptom 155 (68.90%). Significant association was seen with pain on defecation (p<0.001), rectal bleeding (p<0.001), difficulty in passing stools (p=0.018) and swelling (p=0.027). Conclusion: Anal fissure is common in patients with anorectal symptoms. Pain on defecation and rectal bleeding are strong indicators and help in early diagnosis.
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