An anal fissure is a small tear or crack in the lining of the anus which causes sharp pain, bleeding, itching, or burning.

An anal fissure can affect people of all ages, and it s often seen in infants and young children. Constipation is a common problem in this age group and it is a major cause of this problem.

An anal fissure usually isn t a serious condition. In most cases, the tear heals on its own within four to six weeks. In cases where the fissure persists beyond eight weeks, it s considered chronic, or long term.

Symptoms-

A visible tear in the skin around the anus
A small lump of skin just next to the tear
A sharp pain in the anal area during bowel movements
Streaks of blood on stools or on wiping
Burning or itching around the anus
Causes-

Straining during childbirth
Straining during bowel movements as a result of constipation
Chronic constipation
Diarrhea
Inflammatory bowel disease (IBD)
Overly tight anal sphincter muscles
In rare cases, an anal fissure may develop due to:

Anal cancer which occurs due mostly to ano-receptive sex without barrier protection
HIV infection
Tuberculosis
Syphilis
Herpes
Let s take a closer look at these risk factors.

Anal fissures are common in infants and young kids. Older adults also become prone to anal fissures as the blood flow to the anorectal region decreases.
Women also become prone to these fissures due to straining during childbirth.
The inflammation that occurs in the intestinal lining in people with IBD makes the tissue around the anus more prone to tearing, further causing fissures.
People who frequently experience constipation are at an increased risk for fissures. Also, one can suffer from fissures due to straining and passing large, hard stools. In both these cases, one may experience tears in the anal lining.
Frequent diarrhea can also tear the skin around the anus and so can ano-receptive sex without protection. This can lead to sexually transmitted diseases like genital herpes, HIV/AIDS and infection with HPV virus which causes anal cancer.
Treatment-

Treatment usually helps control anal fissures and the discomfort it causes. Your doctor will prescribe stool softeners and topical pain relievers to stem discomfort. However, if these do not make your anal fissure go away then surgery may be required. And in addition to this, your doctor will also need to look for other underlying causes that can cause anal fissures like for example anal cancer.

Diagnosis

An anal fissure can be diagnosed by simple physical exam. The doctor looks at the area around your anus and follows it up with a rectal exam to confirm the diagnosis.
This can mean the use of an anoscope. In this, the doctor inserts an anoscope into your rectum to be able to see the anal tear.
An anoscope is a thin tube and it allows doctors to inspect the anal canal. An anoscope is also used to diagnose other causes of anal or rectal pain such as hemorrhoids or piles.

How Anal Fissures are Diagnosed?

Being overweight is becoming a common sight. However, opting for bariatric surgery is not the first option for everyone who is obese. Also to remember is that morbid obesity is not an isolated condition. It affects a person s overall physical and mental health in various ways, and therefore bariatric surgery becomes an option only as a last resort. 

Some defining criteria for this surgery would be:

A male who is at least 100 pounds overweight for his height or a female who is at least 80 pounds overweight for her height. This puts them at a body mass index (BMI) of more than 40.
If the BMI is in the range of 35 to 39 and if there are significant health issues like metabolic syndrome, then bariatric surgery can be done. For BMI less than 35, other conservative measures are usually tried before resorting to a surgical approach.
Most people with BMI in the range of 35 and above will have health issues like sleep apnoea, heart disease, lipid disorders, and metabolic syndrome.
Conservative measures to lose weight including diet changes and exercise have failed to produce any desired results.
The person, in addition to physical health, should also be emotionally strong to undergo the demands of bariatric surgery. There are changes involving almost all body systems including digestive, respiratory, cardiac, and musculoskeletal, and so the person needs to be prepared for a lifestyle change.
Strict lifestyle changes including diet and exercise are required, so the person needs to be counseled and convinced about these. A person who can see the long-term benefits will be willing to take the effort.
It is also essential that the person has a strong social support system. For immediate post-op care when skin flaps need to be managed, and for long-term emotional support to manage emotional issues, it works wonders if there is a strong social network. The results are usually better in such people.
A person s overall health would be screened to make sure the lab tests are well within acceptable limits before surgery. It would be unreasonable to get these numbers within limits, if they are way too beyond acceptable limits.
Not the least consideration, but bariatric surgery is an expensive affair. It requires not just surgical costs, but also post-op costs. The good thing, however, is that overall healthcare costs would come down, once the results are visible.
Identifying the right candidate for a bariatric surgery is very essential, as doing this extensive surgical approach on an unsuitable candidate would be a failure.

Bariatric Surgery - Who Is Eligible For The Same?

A fairly common disorder, which affects the intestines, irritable bowel syndrome affects many adults across the world. If you are suffering from this disorder then you would have problems with bowel movements, mostly the irregularity of it. Sometimes you may suffer from constipation, other times you may suffer from diarrhea and the type of stool will also vary often between thin and hard or soft and liquid.

Common symptoms of irritable bowel syndrome
Some of the common symptoms of irritable bowel syndrome or ibs are as follows:

Constipation or diarrhea, the latter of which can become quite severe during certain episodes
Gas or bloating which can make you uncomfortable
Cramping around the stomach area especially the lower belly which tends to become worse after having food and better after bowel movements
Quality of stools may vary quite a lot from time to time such as very hard to lose
Stomach may start sticking out and become misshapen
May also come with sexual as well as urinary problems
Causes of irritable bowel syndrome
The causes for irritable bowel syndrome vary from person to person. This disorder usually has triggers and yours may be different from someone else suffering from the same problems. However some general triggers and causes could be:

Hormonal problems: this is especially the case with women who tends to suffer from ibs more than men. Hormonal changes in the body such as before and after pregnancy and menopause or periods are known to be common.
Dietary causes: this is one of the major external triggers that have been reported by people. A variety of foods are known to have triggered or cause ibs. Some of the foods that have been implicated are beans, chocolate, cauliflower, cabbage or milk among many others.
Underlying illnesses: sometimes ibs itself may be a symptom of a larger underlying problem such as gastrointestinal disorders, such as bacterial overgrowth and gastroenteritis.
Mental health and stress issues: people going through psychological stress such as before exams or reviews have known to have ibs as stress becomes a trigger in their case. If you have mental health issues in the long run, these are also known to trigger or cause ibs.
Treatment options
Some of the treatment options for ibs are:

Antibiotics
Mental health counseling
Antidepressants
Medications for bowel spasms
Medications for diarrhea or constipation
Specialized medications for ibs for other underlying conditions.

Symptoms, Causes and Treatments for Irritable Bowel Syndrome

The medical term used for kidney disease is Nephrosis and it is seldom also known as the nephritic syndrome. There are a lot of likely causes for this condition and it is detected by carrying out urine test. The treatment for Nephrosis is a long term treatment and done mainly to prevent kidney failure. The kidney disease is very painful and occurs in people of all age groups. It is very important for people who are new to kidney disease that they know about the nine things they should do to stay strong.

Important information on kidney disease

1. The feeling of helplessness on occurrence of kidney disease can be overcome by educating yourself. Individuals should learn everything about kidney disease and can gain vital information even from the Internet.

2. It is very obligatory that the advice of the doctor be followed by an individual suffering from Kidney disease. It is not indispensable that the kidney disease always leads to failure of kidney and to keep your kidney healthy and stay away from any damage, it is necessary to comply with the orders of the Doctor.

3. It is very important that you stick to a diet, which would keep you healthy and protect your kidneys from any further damage. You should be mindful on everything you eat and you can gain assistance on your diet from a renal dietitian.

4. When you suffer from chronic kidney disease, the blood values become very important to gauge the condition of your disease and whether it is getting worse or stable. From time to time, the healthcare provider would check your urine and blood regularly and he would also monitor your blood pressure and blood sugar.

5. You can ask help from the support group and accept their assistance. Your family is your best support system in times of need and so involving them is very important.

6. You must make sure that you are getting the proper care you need and you need to educate yourself by communicating as well as asking questions.

7. You can feel much better by being active, so do things that make you happy. You can exercise regularly, but after taking advice from your doctor. Your main focus must be to keep your heart healthy.

8. A positive attitude is anytime helpful in healing a disease. You can listen to music that entertains your mind and helps you stay positive.

9. It is not difficult to stay healthy even with kidney disease, as a positive feeling would eventually help face the kidney disease. You must plan ahead and be ready for kidney transplant without getting worried.
Most importantly, spread awareness and help people tackle the situation without any difficulty.

New to Kidney Disease? Nine Things You Should Do

Polycystic Ovary Syndrome (PCOS) is a condition, which is born due to an imbalance of hormones within the female body. When this happens, the female body faces anumber of problems as far as her periods or menstrual cycles goes, besides finding it difficult to conceive naturally and easily. Let us find out more about this condition.

PCOS and hormones
To begin with, let us understand what hormones are. These are chemical impulses that send messages to various parts of the brain and rest of the body to signal the release of other kinds of hormones that may be vital for various functions. In PCOS, it is normally seen that the sex hormones are thrown out of balance, due to which the ovaries start producing a small dose of some male hormones. This creates problems as far as ovulation is concerned and also, it gives rise to the growth of facial hair, acne and changes in the overall appearance of the patient. Insulin resistance is another cause that may also trigger PCOS. It is also an inherited issue in many cases.

Symptoms
From irregular periods to an increase in acne and facial hair, there are many symptoms that may point at the existence of this condition. Fertility problems and issues related to normal ovulation are also often seen in women who are suffering from this condition due to the irregular periods. Additionally, depression may be seen in many patients who are suffering from this condition on a chronic basis. Thinning of hair and excess weight gain with difficulty in losing extra pounds may also be indicative of PCOS.

Diagnosis
The diagnosis of PCOS is usually done with the help of a physical examination as well as a blood test that will primarily help in determining the sugar levels and insulin. The doctor will also conduct other hormone tests so as to understand which hormones are not in balance and which ones may be triggering changes in the body. Apart from all this, the doctor will also study the body mass index (BMI) of the patient to find out if there has been a sudden and drastic change on the weight of the patient. During the lab tests, where the blood and urine are examined, the doctor will also seek to rule out any anomalies in the thyroid gland. An ultrasound of the ovaries will also be conducted.

Treatment
Weight loss programs as well as diet tweaks that remove excess dairy and meat may be recommended by the doctor. Further, the doctor may also put the patient on birth control pills so as to bring better balance of hormones. Moreover, moderate exercise will be required for the patient so that the normal production of hormones may be resumed eventually. 

PCOS - How It Can Be Diagnosed?

While some couples conceive with ease, conceiving a child can be extremely difficult for others. In cases where a woman is not able to get pregnant despite having regular intercourse in tune with her biological cycle, infertility tests may be suggested to investigate the reason behind this. In most cases, these tests are suggested if a year has gone by without intercourse resulting in a pregnancy. Women may also be said to be infertile, if they cannot carry a foetus to full term. 

Infertility can affect both men and women and can be triggered by a number of different reasons. In some cases, it is treatable while in others, alternative ways of having a family may need to be discussed. Hence, it is very important to understand the different types and triggers for infertility and to undergo complete infertility investigations. Some of the common types of infertility investigations are as given below.

Blood tests: A blood test of both partners is used to assess the general health of the couple and to identify any health factors that may be impeding fertility.
Tests for women: 
Hysterosalpingogram: This is an X ray that can identify if a blockage or any other issue in the fallopian tubes are the cause for infertility.
Pelvic ultrasound: This is used to have a look at the anatomy of the female reproductive system and to check for fibroids.
Laparoscopy / hysteroscopy: This is used to get a clearer picture of the ovaries, uterus and other parts of the reproductive system.
Tracking cycle: Ovulation and the thickness of the uterus lining may also affect infertility, This can be diagnosed by tracking and assessing the menstrual cycle.
Tests for men
Semen analysis:This test is used to get an idea of sperm concentration, motility and the appearance of sperm in a man s semen. In some cases, the semen may not include any sperm cells. In such cases, a follow up investigation may be required to assess if sperm cells are being created in the testicles. This is known as testicular sperm aspiration or a testicular biopsy.
Sperm DNA: The DNA in sperm also plays an important role in fertility. This test is used to assess the sperm DNA integrity and to see how it may affect embryo development and chances of an on-going pregnancy.
Infertility treatment depends on the cause identified by the above tests and hence it is important for both partners to undergo complete testing.

Complete Infertility Investigation - Why is It Important?

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