{"id":139,"date":"2019-05-03T13:12:15","date_gmt":"2019-05-03T12:12:15","guid":{"rendered":"http:\/\/www.www.thebirminghamcolorectalclinic.com\/?page_id=139"},"modified":"2020-01-15T10:15:16","modified_gmt":"2020-01-15T10:15:16","slug":"anal-fissure","status":"publish","type":"page","link":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/","title":{"rendered":"Anal Fissure"},"content":{"rendered":"<p><section class=\"ffb-id-2tf2geid fg-section fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#24949e&quot;}\" class=\"fg-bg-layer fg-bg-type-color \" style=\"opacity: 1; background-color: #24949e;\"><\/span><\/span><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row fg-row-no-gutter   fg-row-match-cols\"  data-fg-match-cols=\"{&quot;1&quot;:&quot;0&quot;,&quot;2&quot;:&quot;1&quot;,&quot;3&quot;:&quot;1&quot;,&quot;4&quot;:&quot;1&quot;}\" ><div class=\"ffb-id-2tf2geie fg-col col-xs-7 col-sm-5 col-sm-push-1 col-md-5 col-lg-6 col-lg-push-0 fg-text-dark\"><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><h1 class=\"ffb-id-2ts298qb fg-heading text-center    fg-text-light\">ANAL FISSURE<\/h1><\/div><\/div><\/div><\/div><\/div><\/div><\/section><style>.ffb-id-2tf2geid{ padding-top: 30px;padding-bottom: 30px;}@media (min-width:768px) { .ffb-id-2tf2geid{ padding-top: 40px;padding-bottom: 40px;}}@media (min-width:1200px) { .ffb-id-2tf2geid{ padding-top: 80px;padding-bottom: 80px;}}.ffb-id-2tf2geie{ padding-top: 0px;padding-bottom: 0px;}@media (min-width:768px) { .ffb-id-2tf2geie{ padding-top: 100px;padding-bottom: 100px;}}.ffb-id-2tf2geie{ text-transform: none !important;}.ffb-id-2tf2geie:before,.ffb-id-2tf2geie:after,.ffb-id-2tf2geie:hover,.ffb-id-2tf2geie:focus,.ffb-id-2tf2geie *,.ffb-id-2tf2geie *:before,.ffb-id-2tf2geie *:after,.ffb-id-2tf2geie *:hover,.ffb-id-2tf2geie *:focus{ text-transform: none !important;}.ffb-id-2tf2geie{ font-weight: 400 !important;text-align: left !important;}.ffb-id-2tf2geie ,.ffb-id-2tf2geie:before,.ffb-id-2tf2geie:after,.ffb-id-2tf2geie:hover,.ffb-id-2tf2geie:focus,.ffb-id-2tf2geie *,.ffb-id-2tf2geie *:before,.ffb-id-2tf2geie *:after,.ffb-id-2tf2geie *:hover,.ffb-id-2tf2geie *:focus{ font-weight: 400 !important;text-align: left !important;}.ffb-id-2ts298qb ,.ffb-id-2ts298qb:before,.ffb-id-2ts298qb:after,.ffb-id-2ts298qb *,.ffb-id-2ts298qb *:before,.ffb-id-2ts298qb *:after{ color: #ffffff !important;}.ffb-id-2ts298qb{ text-transform: uppercase !important;}.ffb-id-2ts298qb:before,.ffb-id-2ts298qb:after,.ffb-id-2ts298qb:hover,.ffb-id-2ts298qb:focus,.ffb-id-2ts298qb *,.ffb-id-2ts298qb *:before,.ffb-id-2ts298qb *:after,.ffb-id-2ts298qb *:hover,.ffb-id-2ts298qb *:focus{ text-transform: uppercase !important;}.ffb-id-2ts298qb{ line-height: 1 !important;}.ffb-id-2ts298qb ,.ffb-id-2ts298qb:before,.ffb-id-2ts298qb:after,.ffb-id-2ts298qb:hover,.ffb-id-2ts298qb:focus,.ffb-id-2ts298qb *,.ffb-id-2ts298qb *:before,.ffb-id-2ts298qb *:after,.ffb-id-2ts298qb *:hover,.ffb-id-2ts298qb *:focus{ line-height: 1 !important;}<\/style><script type=\"text\/javascript\"><\/script><section class=\"ffb-id-32jt6jcl fg-section fg-text-dark\"><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row    fg-row-match-cols\"  data-fg-match-cols=\"{&quot;1&quot;:&quot;0&quot;,&quot;2&quot;:&quot;1&quot;,&quot;3&quot;:&quot;1&quot;,&quot;4&quot;:&quot;1&quot;}\" ><div class=\"ffb-id-32jt6jcm fg-col col-xs-12 col-sm-6 col-md-5 fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;image&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;url&quot;:&quot;http:\\\/\\\/www.thebirminghamcolorectalclinic.com\\\/wp-content\\\/uploads\\\/2019\\\/09\\\/Female-HEMORRHOIDS-concept-x-ray-left-view.jpg&quot;,&quot;size&quot;:&quot;cover&quot;,&quot;repeat&quot;:&quot;no-repeat&quot;,&quot;attachment&quot;:&quot;scroll&quot;,&quot;position&quot;:&quot;right center&quot;}\" class=\"fg-bg-layer fg-bg-type-image \" style=\"opacity: 1; background-image: url(&quot;http:\/\/www.thebirminghamcolorectalclinic.com\/wp-content\/uploads\/2019\/09\/Female-HEMORRHOIDS-concept-x-ray-left-view.jpg&quot;); background-repeat: no-repeat; background-attachment: scroll; background-position: right center; background-size: cover;\"><\/span><span data-fg-bg=\"{&quot;type&quot;:&quot;slant&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;color&quot;:&quot;#ffffff&quot;,&quot;edge&quot;:&quot;right&quot;,&quot;direction&quot;:&quot;up&quot;,&quot;angle&quot;:&quot;15&quot;,&quot;hidden_xs&quot;:&quot;yes&quot;,&quot;hidden_sm&quot;:&quot;yes&quot;}\" class=\"fg-bg-layer fg-bg-type-slant hidden-xs hidden-sm\" style=\"opacity: 1\"><\/span><\/span><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><\/div><\/div><\/div><\/div><div class=\"ffb-id-32jt6jcn fg-col col-xs-12 col-sm-6 col-md-7 fg-text-dark\"><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><section class=\"ffb-id-32jt6jcq section-heading fg-text-dark\"><h2 style=\"font-weight:400;  text-transform:uppercase; \" class=\"fg-text-dark ffb-h2-1\">What is an anal fissure?<\/h2><\/section><p class=\"ffb-id-32jt6jcr fg-paragraph text-center text-sm-left   fg-text-dark\"><\/p>\n<p>An anal fissure is a split in the lining of the anal canal.  Patients experience pain that occurs on defecation with passage of bright red blood, seen on the toilet paper. Defecation can be so painful that patients are afraid to go to the toilet; this then leads to the passage of large, hard stools that make the problem worse.  A throbbing anal discomfort can persist for several hours after a bowel movement, caused by spasm of the anal sphincter.  Healing of the fissure is often impaired by this spasm, which causes a reduction in blood supply to the anal canal lining.<\/p>\n<p><\/p><\/div><\/div><\/div><\/div><div class=\"ffb-id-32jtcomi fg-col col-xs-12 col-sm-6 col-md-12 fg-text-dark\"><div class=\"fg-match-column-inside-wrapper\"><section class=\"ffb-id-32jtcoml section-heading fg-text-dark\"><h2 style=\"font-weight:400;  text-transform:uppercase; \" class=\"fg-text-dark ffb-h2-1\">Treatment of anal fissure<\/h2><\/section><p class=\"ffb-id-32jtcomm fg-paragraph text-center text-sm-left   fg-text-dark\"><\/p>\n<p>Treatment is aimed at breaking the cycle of pain, spasm, and reduced blood supply.  It consists of two components: achieving a soft stool consistency and relaxation of the internal sphincter.  Medical therapy leads to healing in the vast majority of patients with acute anal fissures, and almost half of the patients with chronic fissures.<\/p>\n<p><\/p><p class=\"ffb-id-32ju11l3 fg-paragraph text-center text-sm-left   fg-text-dark\"><\/p>\n<p style=\"text-transform: uppercase\"><strong>1. Achieving a soft non-irritant stool<\/strong><\/p>\n<p>Dietary modification to increase the amount of fibre [aim for 25g to 30g per day], or taking a fibre supplement, can help achieve a soft stool consistency.  It is also important to avoid foodstuffs that cause irritant faeces such as coffee, tea, caffeinated fizzy drinks, beer, chocolate, spicy foods, and tomatoes.  The key, though, is to ensure that the patient increases the amount of water he or she drinks to 2 litres per day in the average adult.<\/p>\n<p style=\"text-transform: uppercase\"><strong>2. Relaxation of the internal sphincter<\/strong><\/p>\n<p>Warm baths may ease the acute pain in the anal area.  After a bath, the anal area should be carefully dried with a towel or a hair dryer with cool air.  If a bath is not possible, using a wet baby wipe after a bowel motion is helpful to achieve optimal cleansing of the anal skin.<\/p>\n<p>Based on the theory that anal fissures fail to heal due to reduced blood supply, topical ointments that reduce the anal sphincter pressure such as diltiazem or GTN may be useful.  Injection of a muscle relaxant to the internal sphincter can be used as a second line therapy; studies show rates of healing of 60%-70% after a single injection of 15 or 20 Units of the relaxant.  Surgical treatment is generally reserved for fissures that have failed to be treated successfully with medical therapy.  Lateral sphincterotomy is the procedure of choice for the majority of surgeons.  This operation surgically divides a portion of the internal anal sphincter and is highly effective in reducing symptoms of chronic anal fissure.  However, persistent minor incontinence may occur in up to 35% of patients after the procedure; some will resolve within 6 weeks or so and some will be permanent.<\/li>\n<\/ul>\n<p><\/p><\/div><\/div><\/div><\/div><\/section><style>.ffb-id-2tf2geid{ \npadding-top: 30px;\npadding-bottom: 30px;\n\n}\n@media (min-width:768px) { \n.ffb-id-2tf2geid{ \npadding-top: 40px;\npadding-bottom: 40px;\n\n}\n}@media (min-width:1200px) { \n.ffb-id-2tf2geid{ \npadding-top: 80px;\npadding-bottom: 80px;\n\n}\n}.ffb-id-2tf2geie{ \npadding-top: 0px;\npadding-bottom: 0px;\n\n}\n@media (min-width:768px) { \n.ffb-id-2tf2geie{ \npadding-top: 100px;\npadding-bottom: 100px;\n\n}\n}.ffb-id-2tf2geie{ \ntext-transform: none !important;\n}\n.ffb-id-2tf2geie:before,\n.ffb-id-2tf2geie:after,\n.ffb-id-2tf2geie:hover,\n.ffb-id-2tf2geie:focus,\n.ffb-id-2tf2geie *,\n.ffb-id-2tf2geie *:before,\n.ffb-id-2tf2geie *:after,\n.ffb-id-2tf2geie *:hover,\n.ffb-id-2tf2geie *:focus{ \ntext-transform: none !important;\n}\n.ffb-id-2tf2geie{ \nfont-weight: 400 !important;\ntext-align: left !important;\n}\n.ffb-id-2tf2geie ,\n.ffb-id-2tf2geie:before,\n.ffb-id-2tf2geie:after,\n.ffb-id-2tf2geie:hover,\n.ffb-id-2tf2geie:focus,\n.ffb-id-2tf2geie *,\n.ffb-id-2tf2geie *:before,\n.ffb-id-2tf2geie *:after,\n.ffb-id-2tf2geie *:hover,\n.ffb-id-2tf2geie *:focus{ \nfont-weight: 400 !important;\ntext-align: left !important;\n}\n.ffb-id-2ts298qb ,\n.ffb-id-2ts298qb:before,\n.ffb-id-2ts298qb:after,\n.ffb-id-2ts298qb *,\n.ffb-id-2ts298qb *:before,\n.ffb-id-2ts298qb *:after{ \ncolor: #ffffff !important;\n}\n.ffb-id-2ts298qb{ \ntext-transform: uppercase !important;\n}\n.ffb-id-2ts298qb:before,\n.ffb-id-2ts298qb:after,\n.ffb-id-2ts298qb:hover,\n.ffb-id-2ts298qb:focus,\n.ffb-id-2ts298qb *,\n.ffb-id-2ts298qb *:before,\n.ffb-id-2ts298qb *:after,\n.ffb-id-2ts298qb *:hover,\n.ffb-id-2ts298qb *:focus{ \ntext-transform: uppercase !important;\n}\n.ffb-id-2ts298qb{ \nline-height: 1 !important;\n}\n.ffb-id-2ts298qb ,\n.ffb-id-2ts298qb:before,\n.ffb-id-2ts298qb:after,\n.ffb-id-2ts298qb:hover,\n.ffb-id-2ts298qb:focus,\n.ffb-id-2ts298qb *,\n.ffb-id-2ts298qb *:before,\n.ffb-id-2ts298qb *:after,\n.ffb-id-2ts298qb *:hover,\n.ffb-id-2ts298qb *:focus{ \nline-height: 1 !important;\n}\n.ffb-id-32jtcomi{ padding-top: 40px;padding-bottom: 40px;}@media (min-width:768px) { .ffb-id-32jtcomi{ padding-right: 20px;padding-left: 20px;}}@media (min-width:992px) { .ffb-id-32jtcomi{ padding-right: 40px;padding-left: 40px;}}@media (min-width:1200px) { .ffb-id-32jtcomi{ padding-top: 80px;padding-bottom: 80px;}}.ffb-id-32jtcoml .ffb-h2-1 ,.ffb-id-32jtcoml .ffb-h2-1:before,.ffb-id-32jtcoml .ffb-h2-1:after,.ffb-id-32jtcoml .ffb-h2-1 *,.ffb-id-32jtcoml .ffb-h2-1 *:before,.ffb-id-32jtcoml .ffb-h2-1 *:after{ color: #24949e !important;}.ffb-id-32jtcoml{ margin-bottom: 0px;padding-top: 20px;padding-bottom: 20px;}@media (min-width:992px) { .ffb-id-32jtcoml{ padding-top: 0px;}}.ffb-id-32jtcoml{ text-transform: uppercase !important;}.ffb-id-32jtcoml:before,.ffb-id-32jtcoml:after,.ffb-id-32jtcoml:hover,.ffb-id-32jtcoml:focus,.ffb-id-32jtcoml *,.ffb-id-32jtcoml *:before,.ffb-id-32jtcoml *:after,.ffb-id-32jtcoml *:hover,.ffb-id-32jtcoml *:focus{ text-transform: uppercase !important;}.ffb-id-32jtcoml{ line-height: 1 !important;text-align: left !important;}.ffb-id-32jtcoml ,.ffb-id-32jtcoml:before,.ffb-id-32jtcoml:after,.ffb-id-32jtcoml:hover,.ffb-id-32jtcoml:focus,.ffb-id-32jtcoml *,.ffb-id-32jtcoml *:before,.ffb-id-32jtcoml *:after,.ffb-id-32jtcoml *:hover,.ffb-id-32jtcoml *:focus{ line-height: 1 !important;text-align: left !important;}@media (min-width:768px) { .ffb-id-32jtcoml{ text-align: left !important;}}@media (min-width:768px) { .ffb-id-32jtcoml ,.ffb-id-32jtcoml:before,.ffb-id-32jtcoml:after,.ffb-id-32jtcoml:hover,.ffb-id-32jtcoml:focus,.ffb-id-32jtcoml *,.ffb-id-32jtcoml *:before,.ffb-id-32jtcoml *:after,.ffb-id-32jtcoml *:hover,.ffb-id-32jtcoml *:focus{ text-align: left !important;}}.ffb-id-32jt6jcn{ padding-top: 40px;padding-bottom: 40px;}@media (min-width:768px) { .ffb-id-32jt6jcn{ padding-left: 40px;}}@media (min-width:1200px) { .ffb-id-32jt6jcn{ padding-top: 80px;padding-bottom: 80px;padding-left: 80px;}}.ffb-id-32jt6jcq .ffb-h2-1 ,.ffb-id-32jt6jcq .ffb-h2-1:before,.ffb-id-32jt6jcq .ffb-h2-1:after,.ffb-id-32jt6jcq .ffb-h2-1 *,.ffb-id-32jt6jcq .ffb-h2-1 *:before,.ffb-id-32jt6jcq .ffb-h2-1 *:after{ color: #24949e !important;}.ffb-id-32jt6jcq{ margin-bottom: 0px;padding-top: 20px;padding-bottom: 20px;}@media (min-width:992px) { .ffb-id-32jt6jcq{ padding-top: 0px;}}.ffb-id-32jt6jcq{ text-transform: uppercase !important;}.ffb-id-32jt6jcq:before,.ffb-id-32jt6jcq:after,.ffb-id-32jt6jcq:hover,.ffb-id-32jt6jcq:focus,.ffb-id-32jt6jcq *,.ffb-id-32jt6jcq *:before,.ffb-id-32jt6jcq *:after,.ffb-id-32jt6jcq *:hover,.ffb-id-32jt6jcq *:focus{ text-transform: uppercase !important;}.ffb-id-32jt6jcq{ line-height: 1 !important;text-align: left !important;}.ffb-id-32jt6jcq ,.ffb-id-32jt6jcq:before,.ffb-id-32jt6jcq:after,.ffb-id-32jt6jcq:hover,.ffb-id-32jt6jcq:focus,.ffb-id-32jt6jcq *,.ffb-id-32jt6jcq *:before,.ffb-id-32jt6jcq *:after,.ffb-id-32jt6jcq *:hover,.ffb-id-32jt6jcq *:focus{ line-height: 1 !important;text-align: left !important;}@media (min-width:768px) { .ffb-id-32jt6jcq{ text-align: left !important;}}@media (min-width:768px) { .ffb-id-32jt6jcq ,.ffb-id-32jt6jcq:before,.ffb-id-32jt6jcq:after,.ffb-id-32jt6jcq:hover,.ffb-id-32jt6jcq:focus,.ffb-id-32jt6jcq *,.ffb-id-32jt6jcq *:before,.ffb-id-32jt6jcq *:after,.ffb-id-32jt6jcq *:hover,.ffb-id-32jt6jcq *:focus{ text-align: left !important;}}.ffb-id-32jt6jcm{ padding-top: 100px;padding-bottom: 100px;}@media (min-width:768px) { .ffb-id-32jt6jcm{ padding-top: 0px;padding-bottom: 0px;}}<\/style><script type=\"text\/javascript\"><\/script><section class=\"ffb-id-3d4mtl6p fg-section fg-text-dark\"><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row    \" ><section class=\"ffb-id-3mn3ei4q fg-section fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#ffffff&quot;}\" class=\"fg-bg-layer fg-bg-type-color \" style=\"opacity: 1; background-color: #ffffff;\"><\/span><\/span><div class=\"fg-container container fg-container-large fg-container-lvl--2 \"><div class=\"fg-row row    fg-row-match-cols\"  data-fg-match-cols=\"{&quot;1&quot;:&quot;0&quot;,&quot;2&quot;:&quot;0&quot;,&quot;3&quot;:&quot;1&quot;,&quot;4&quot;:&quot;1&quot;}\" ><div class=\"ffb-id-3mn3ei4r fg-col col-xs-12 col-md-12 fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#ffffff&quot;}\" class=\"fg-bg-layer fg-bg-type-color \" style=\"opacity: 1; background-color: #ffffff;\"><\/span><\/span><div class=\"fg-match-column-inside-wrapper\"><section class=\"ffb-id-3mn3ei4t call-to-action-v2 call-to-action-v2-3 text-center    fg-text-dark\"><div class=\"center-content-hor-wrap-sm\"><h2 class=\"call-to-action-v2-title fg-text-dark ffb-title-1\">BOOK A CONSULTATION<\/h2><div class=\"call-to-action-v2-text ff-richtext fg-text-dark ffb-description-2\"><\/p>\n<h5>For all enquiries&nbsp;call us on <strong><a href=\"tel:01213641600\">0121 364 1600<\/a><\/strong> (Option 2)<\/h5>\n<h5>or&nbsp;email us&nbsp;<a href=\"mailto:info@thebirminghamcolorectalclinic.com\">info@thebirminghamcolorectalclinic.com<\/a><\/h5>\n<p><\/div><div class=\"fg-text-dark ffb-buttons-3\"><a href=\"tel:01213641600\" class=\"ffb-block-button-1-0 ffb-btn ffb-btn-v1 ffb-btn-link  btn-base-brd-slide btn-slide radius-3 btn-base-lg  ff-button-block-margin-r  btn-w-auto fg-text-dark ffb-button1-3-1\" title=\"Telephone us\"><span class=\"btn-text\">CALL US<\/span><\/a><a href=\"http:\/\/www.thebirminghamcolorectalclinic.com\/contact\/\" class=\"ffb-block-button-1-1 ffb-btn ffb-btn-v1 ffb-btn-link  btn-base-brd-slide btn-slide radius-3 btn-base-lg  ff-button-block-margin-r  btn-w-auto fg-text-dark ffb-button1-3-2\"><span class=\"btn-text\">CONTACT US<\/span><\/a><\/div><\/div><\/section><\/div><\/div><\/div><\/div><\/section><div class=\"ffb-id-3d4mtl6q fg-col col-xs-12 col-md-12 fg-text-dark\"><\/div><\/div><\/div><\/section><style>.ffb-id-32jtcomi{ \npadding-top: 40px;\npadding-bottom: 40px;\n\n}\n@media (min-width:768px) { \n.ffb-id-32jtcomi{ \npadding-right: 20px;\npadding-left: 20px;\n\n}\n}@media (min-width:992px) { \n.ffb-id-32jtcomi{ \npadding-right: 40px;\npadding-left: 40px;\n\n}\n}@media (min-width:1200px) { \n.ffb-id-32jtcomi{ \npadding-top: 80px;\npadding-bottom: 80px;\n\n}\n}.ffb-id-32jtcoml .ffb-h2-1 ,\n.ffb-id-32jtcoml .ffb-h2-1:before,\n.ffb-id-32jtcoml .ffb-h2-1:after,\n.ffb-id-32jtcoml .ffb-h2-1 *,\n.ffb-id-32jtcoml .ffb-h2-1 *:before,\n.ffb-id-32jtcoml .ffb-h2-1 *:after{ \ncolor: #24949e !important;\n}\n.ffb-id-32jtcoml{ \nmargin-bottom: 0px;\npadding-top: 20px;\npadding-bottom: 20px;\n\n}\n@media (min-width:992px) { \n.ffb-id-32jtcoml{ \npadding-top: 0px;\n\n}\n}.ffb-id-32jtcoml{ \ntext-transform: uppercase !important;\n}\n.ffb-id-32jtcoml:before,\n.ffb-id-32jtcoml:after,\n.ffb-id-32jtcoml:hover,\n.ffb-id-32jtcoml:focus,\n.ffb-id-32jtcoml *,\n.ffb-id-32jtcoml *:before,\n.ffb-id-32jtcoml *:after,\n.ffb-id-32jtcoml *:hover,\n.ffb-id-32jtcoml *:focus{ \ntext-transform: uppercase !important;\n}\n.ffb-id-32jtcoml{ \nline-height: 1 !important;\ntext-align: left !important;\n}\n.ffb-id-32jtcoml ,\n.ffb-id-32jtcoml:before,\n.ffb-id-32jtcoml:after,\n.ffb-id-32jtcoml:hover,\n.ffb-id-32jtcoml:focus,\n.ffb-id-32jtcoml *,\n.ffb-id-32jtcoml *:before,\n.ffb-id-32jtcoml *:after,\n.ffb-id-32jtcoml *:hover,\n.ffb-id-32jtcoml *:focus{ \nline-height: 1 !important;\ntext-align: left !important;\n}\n@media (min-width:768px) { \n.ffb-id-32jtcoml{ \ntext-align: left !important;\n}\n}@media (min-width:768px) { \n.ffb-id-32jtcoml ,\n.ffb-id-32jtcoml:before,\n.ffb-id-32jtcoml:after,\n.ffb-id-32jtcoml:hover,\n.ffb-id-32jtcoml:focus,\n.ffb-id-32jtcoml *,\n.ffb-id-32jtcoml *:before,\n.ffb-id-32jtcoml *:after,\n.ffb-id-32jtcoml *:hover,\n.ffb-id-32jtcoml *:focus{ \ntext-align: left !important;\n}\n}.ffb-id-32jt6jcn{ \npadding-top: 40px;\npadding-bottom: 40px;\n\n}\n@media (min-width:768px) { \n.ffb-id-32jt6jcn{ \npadding-left: 40px;\n\n}\n}@media (min-width:1200px) { \n.ffb-id-32jt6jcn{ \npadding-top: 80px;\npadding-bottom: 80px;\npadding-left: 80px;\n\n}\n}.ffb-id-32jt6jcq .ffb-h2-1 ,\n.ffb-id-32jt6jcq .ffb-h2-1:before,\n.ffb-id-32jt6jcq .ffb-h2-1:after,\n.ffb-id-32jt6jcq .ffb-h2-1 *,\n.ffb-id-32jt6jcq .ffb-h2-1 *:before,\n.ffb-id-32jt6jcq .ffb-h2-1 *:after{ \ncolor: #24949e !important;\n}\n.ffb-id-32jt6jcq{ \nmargin-bottom: 0px;\npadding-top: 20px;\npadding-bottom: 20px;\n\n}\n@media (min-width:992px) { \n.ffb-id-32jt6jcq{ \npadding-top: 0px;\n\n}\n}.ffb-id-32jt6jcq{ \ntext-transform: uppercase !important;\n}\n.ffb-id-32jt6jcq:before,\n.ffb-id-32jt6jcq:after,\n.ffb-id-32jt6jcq:hover,\n.ffb-id-32jt6jcq:focus,\n.ffb-id-32jt6jcq *,\n.ffb-id-32jt6jcq *:before,\n.ffb-id-32jt6jcq *:after,\n.ffb-id-32jt6jcq *:hover,\n.ffb-id-32jt6jcq *:focus{ \ntext-transform: uppercase !important;\n}\n.ffb-id-32jt6jcq{ \nline-height: 1 !important;\ntext-align: left !important;\n}\n.ffb-id-32jt6jcq ,\n.ffb-id-32jt6jcq:before,\n.ffb-id-32jt6jcq:after,\n.ffb-id-32jt6jcq:hover,\n.ffb-id-32jt6jcq:focus,\n.ffb-id-32jt6jcq *,\n.ffb-id-32jt6jcq *:before,\n.ffb-id-32jt6jcq *:after,\n.ffb-id-32jt6jcq *:hover,\n.ffb-id-32jt6jcq *:focus{ \nline-height: 1 !important;\ntext-align: left !important;\n}\n@media (min-width:768px) { \n.ffb-id-32jt6jcq{ \ntext-align: left !important;\n}\n}@media (min-width:768px) { \n.ffb-id-32jt6jcq ,\n.ffb-id-32jt6jcq:before,\n.ffb-id-32jt6jcq:after,\n.ffb-id-32jt6jcq:hover,\n.ffb-id-32jt6jcq:focus,\n.ffb-id-32jt6jcq *,\n.ffb-id-32jt6jcq *:before,\n.ffb-id-32jt6jcq *:after,\n.ffb-id-32jt6jcq *:hover,\n.ffb-id-32jt6jcq *:focus{ \ntext-align: left !important;\n}\n}.ffb-id-32jt6jcm{ \npadding-top: 100px;\npadding-bottom: 100px;\n\n}\n@media (min-width:768px) { \n.ffb-id-32jt6jcm{ \npadding-top: 0px;\npadding-bottom: 0px;\n\n}\n}.ffb-id-3d4mtl6p .ffb-id-3mn3ei4q{ padding-top: 20px;padding-bottom: 20px;}@media (min-width:768px) { .ffb-id-3d4mtl6p .ffb-id-3mn3ei4q{ padding-top: 40px;padding-bottom: 40px;}}.ffb-id-3mn3ei4t .ffb-buttons-3 .ffb-button1-3-1.ffb-block-button-1-0.btn-base-brd-slide{ color:#24949e;}.ffb-id-3mn3ei4t .ffb-buttons-3 .ffb-button1-3-1.ffb-block-button-1-0.btn-base-brd-slide:hover{ color:#ffffff;}.ffb-id-3mn3ei4t .ffb-buttons-3 .ffb-button1-3-1.ffb-block-button-1-0.btn-base-brd-slide{ border-color:#24949e;}.ffb-id-3mn3ei4t .ffb-buttons-3 .ffb-button1-3-1.ffb-block-button-1-0.btn-base-brd-slide:hover{ border-color:#24949e;}.ffb-id-3mn3ei4t .ffb-buttons-3 .ffb-button1-3-1.ffb-block-button-1-0.btn-base-brd-slide:hover{ background-color:#24949e;}.ffb-id-3mn3ei4t .ffb-buttons-3 .ffb-button1-3-2.ffb-block-button-1-1.btn-base-brd-slide{ color:#ffffff;}.ffb-id-3mn3ei4t .ffb-buttons-3 .ffb-button1-3-2.ffb-block-button-1-1.btn-base-brd-slide:hover{ color:#ffffff;}.ffb-id-3mn3ei4t .ffb-buttons-3 .ffb-button1-3-2.ffb-block-button-1-1.btn-base-brd-slide{ border-color: transparent;}.ffb-id-3mn3ei4t .ffb-buttons-3 .ffb-button1-3-2.ffb-block-button-1-1.btn-base-brd-slide:hover{ border-color: transparent;}.ffb-id-3mn3ei4t .ffb-buttons-3 .ffb-button1-3-2.ffb-block-button-1-1.btn-base-brd-slide{ background-color:#24949e;}.ffb-id-3mn3ei4t .ffb-buttons-3 .ffb-button1-3-2.ffb-block-button-1-1.btn-base-brd-slide:hover{ background-color:#24949e;}<\/style><script type=\"text\/javascript\"><\/script><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":92,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Anal Fissure - The Birmingham Colorectal Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anal Fissure - The Birmingham Colorectal Clinic\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/\" \/>\n<meta property=\"og:site_name\" content=\"The Birmingham Colorectal Clinic\" \/>\n<meta property=\"article:modified_time\" content=\"2020-01-15T10:15:16+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"13 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/\",\"url\":\"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/\",\"name\":\"Anal Fissure - The Birmingham Colorectal Clinic\",\"isPartOf\":{\"@id\":\"https:\/\/www.thebirminghamcolorectalclinic.com\/#website\"},\"datePublished\":\"2019-05-03T12:12:15+00:00\",\"dateModified\":\"2020-01-15T10:15:16+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.thebirminghamcolorectalclinic.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Conditions\",\"item\":\"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Colorectal Conditions\",\"item\":\"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Anal Fissure\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.thebirminghamcolorectalclinic.com\/#website\",\"url\":\"https:\/\/www.thebirminghamcolorectalclinic.com\/\",\"name\":\"The Birmingham Colorectal Clinic\",\"description\":\"Delivering Excellence in Colorectal and general Surgical Care\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.thebirminghamcolorectalclinic.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-GB\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Anal Fissure - The Birmingham Colorectal Clinic","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/","og_locale":"en_GB","og_type":"article","og_title":"Anal Fissure - The Birmingham Colorectal Clinic","og_url":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/","og_site_name":"The Birmingham Colorectal Clinic","article_modified_time":"2020-01-15T10:15:16+00:00","twitter_card":"summary_large_image","twitter_misc":{"Estimated reading time":"13 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/","url":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/","name":"Anal Fissure - The Birmingham Colorectal Clinic","isPartOf":{"@id":"https:\/\/www.thebirminghamcolorectalclinic.com\/#website"},"datePublished":"2019-05-03T12:12:15+00:00","dateModified":"2020-01-15T10:15:16+00:00","breadcrumb":{"@id":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/anal-fissure\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.thebirminghamcolorectalclinic.com\/"},{"@type":"ListItem","position":2,"name":"Conditions","item":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/"},{"@type":"ListItem","position":3,"name":"Colorectal Conditions","item":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/"},{"@type":"ListItem","position":4,"name":"Anal Fissure"}]},{"@type":"WebSite","@id":"https:\/\/www.thebirminghamcolorectalclinic.com\/#website","url":"https:\/\/www.thebirminghamcolorectalclinic.com\/","name":"The Birmingham Colorectal Clinic","description":"Delivering Excellence in Colorectal and general Surgical Care","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.thebirminghamcolorectalclinic.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-GB"}]}},"_links":{"self":[{"href":"https:\/\/www.thebirminghamcolorectalclinic.com\/wp-json\/wp\/v2\/pages\/139"}],"collection":[{"href":"https:\/\/www.thebirminghamcolorectalclinic.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.thebirminghamcolorectalclinic.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.thebirminghamcolorectalclinic.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.thebirminghamcolorectalclinic.com\/wp-json\/wp\/v2\/comments?post=139"}],"version-history":[{"count":10,"href":"https:\/\/www.thebirminghamcolorectalclinic.com\/wp-json\/wp\/v2\/pages\/139\/revisions"}],"predecessor-version":[{"id":1401,"href":"https:\/\/www.thebirminghamcolorectalclinic.com\/wp-json\/wp\/v2\/pages\/139\/revisions\/1401"}],"up":[{"embeddable":true,"href":"https:\/\/www.thebirminghamcolorectalclinic.com\/wp-json\/wp\/v2\/pages\/92"}],"wp:attachment":[{"href":"https:\/\/www.thebirminghamcolorectalclinic.com\/wp-json\/wp\/v2\/media?parent=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}