Anal Fissure Cases in Children at Outpatient Clinic in Karbala

Abstract

Objective: Anal fissures are often accompanied by patients’ refusal to defecate, despite diarrhoea, due to severe pain in the anus. These health problems are particularly evident in patients with anal canal obstruction. However, the functional disease that causes anal fissures is not limited to persistent diarrhoea or constipation. Our current research aims to achieve clinical significance in the treatment of the disease and to reduce the prevalence of diseases associated with anal fissures in the age groups mentioned for pediatric patients who suffer from a variety of clinical manifestations.

Methods: Data related to 250 cases of anal fissure disease were collected for children aged between 1 month and 10 years in Karbala Pediatric Clinics for both sexes for the period from 1-3-2023 to 7-5-2024. There were various causes related to anal fissures in children, distributed between 100 cases for males and 150 cases for females. Treated by Diet, toilet training, lactulose syrup, lidocaine gel, + Laximed Suppositories 240 cases, while treated by anal dilatation under general Anaesthesia 10 cases.

Results: Number of patients distributed according to age from 1 month to 10 years old. Data documented the following: (60 cases were from 1 to 6 months), (95 cases were from 6 months – 1 year), (75 cases were from 1 – 3 years), and (20 cases were from 3 – 10 years). 

Conclusions: An anal fissure in children is a common disease that needs to be treated surgically or non-surgically, as it is accompanied by other related diseases that may lead to other complications that worsen in the future if neglected. Therefore, containing and controlling the disease is essential through an early visit to a specialist doctor, as it is possible to treat the disease and follow the specialist doctor’s instructions until full recovery.