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An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation , [ 1 ] but with chronic fissures, pain intensity often reduces and becomes cyclical.
Matilda Wormwood, also known by her adoptive name Matilda Honey, is the title character of the bestselling 1988 children's novel Matilda by Roald Dahl.She is a highly precocious five and a half (six and a half in the 1996 film) year old girl who has a passion for reading books.
Two more highly common causes of functional anorectal pain are levator ani syndrome (LAS) and proctalgia fugax.Both of these conditions are thought to be caused by muscle spasms of the either the levator ani muscle or the anal sphincter muscle respectively, and may overlap symptomatically with a third less-common condition called coccygodynia which is the result of previous trauma to the ...
The movie was based on Roald Dahl's classic book of the same name, and told the story of Matilda, a genius little girl who has special magical powers. Photo cred: Getty
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Generally, fissures are due to injury to the mucosa, or because of a poor local blood supply that prevents proper healing, with spasm of the external anal sphincter contributing. [9] The external anal sphincter can be relaxed by the application of glyceryl trinitrate creams, and constipation is managed with laxatives and improving hydration. [ 9 ]
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Lateral internal sphincterotomy is the preferred method of surgery for persons with chronic anal fissures, and is generally used when medical therapy has failed. [1] It is associated with a lower rate of side effects than older techniques such as posterior internal sphincterotomy and anoplasty, [3] and has also been shown to be superior to topical glyceryl trinitrate (GTN 0.2% ointment) in ...
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related to: matilda real life pictures of anal fissures