Fissures in CD typically appear in positions other than anterior and posterior. But, like non-IBD fissures, most heal spontaneously and require no surgical therapy (Allan and Keighley, 1988). Some fissures in perianal CD are asymptomatic whereas others cause significant discomfort. In general, fissures in CD are managed conservatively. For those who fail conservative management, surgical intervention is indicated. Wolkomir and Luchtefeld (1993) treated 25 patients with symptomatic fissures surgically and complete healing occurred in 22. Fleshner and colleagues (1995) compared medical with internal sphinc-terotomy for fissures in CD patients. They found healing in only 49% of those treated medically, but 88% of fissures healed in those undergoing surgery.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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