This content explains the difference between acute and chronic anal fissures, emphasizing that while the distinction is based on duration and visual cues, the treatment approach should focus on identifying and resolving the underlying causes of non-healing, regardless of the fissure's chronicity.
Mind Map
Click to expand
Click to explore the full interactive mind map • Zoom, pan, and navigate
hi there i'm dr albert chung and welcome
to your friendly proctologist i wanted
to put some umph into the intro today
because i want to give you power
and strength and
really knowledge regarding your body and
issues thank you so much for subscribing
and liking the video it really helps
this channel to grow and we want to help
each other through these things right if
you're interested in a video
consultation with me to get another opinion
opinion
you can always contact me my email your friendlyproctologist
friendlyproctologist gmail.com
gmail.com so
so
let's talk about today's question and
today is a really good one the first one
is what is a chronic anal fissure and
how do you diagnose it how do you tell between
between
an acute anal fissure or a chronic anal
fissure okay so this is a great question because
because
for some reason in the name is acute and
chronic and it seems to have a very bad
connotation if you were to have the
chronic version of an anal fissure right
so let's explain all this
the first thing is what is acute acute
means it's referring to the time frame
of when things happen you know was it like
like
two minutes ago two seconds ago two
weeks ago
that's what that's referring to how long
has it been there isn't another way in
other words
so acute is up to six weeks that's when
the doctor
you know
when they're putting the diagnosis into
your computer giving to your insurance
company whatever is going to write acute
if it's been within six weeks
if it's been six weeks or longer that's
when you're going to be piled into the
chronic anal fissures okay
and really is there any difference
between the two okay there are some
differences which may give some doctors
some clues as whether it's acute or chronic
chronic
because honestly you know when the
doctors ask you how long has it been
there some people you know you may not
even know like maybe it's been there for
a year
maybe it's been there for a week i'm not
sure when it actually started right you
just know you've been struggling with it
for whatever amount of time
so when you a doctor looks at your
bottom end
hopefully they're not using a scope to
look inside your body i think with an
anal fissure
there it's going to hurt really bad
i mean putting a scope inside your
bottom end is
in the same way like you passing a bomb
movement with an active fissure okay
it's not pretty and i think it's kind of
not nice to be honest with you i'm able
to look inside your bottom end pulling
the skin open and to see i can see these
things and not have to
will really cause additional discomfort
but the acute anal fissures look like a
fresh cut okay and hence the acute has
been tagged with that
when you have a chronic anal fissure
sometimes it looks you have got some
signs of a wound trying to heal
but it's struggling to do so so you may
have some healing tissue that's kind of
overgrowing in there
you may also have what's called a
sentinel pile or a sentinel skin tag
which is often mistaken for an external
hemorrhoid again it's important to look
deeper inside so that an accurate
diagnosis can be made and
and
in my opinion what's what's my
impression of an acute or a chronic okay
because what i've just told you is
what's in the textbooks okay
what's my impression of acute and
chronic to me it makes absolutely no
difference if it's acute or chronic
i treat
all anal fissure patients exactly the
same and i've got a huge recipe i've got
like five videos a series of how i treat
anal fissures creams
creams
relaxation sits best pain medication etc
right you can look up the video series
but the biggest thing is your individual story
story
because there are always things that are
not going to be in textbooks because
this is dependent on your own lifestyle
the stressors in your life how you live
your life what's your diet like what's
going on with the stool textures that's
not so easy to solve is just saying well
just throw fiber at the problem and then
you'll get better and then the fissure
will go away no it's actually quite
it's it can be quite insidious okay so
whether a patient comes into me and says
i've had this fissure for one month
i've had this fissure for one or two years
years
i have been able to
heal these things with patients okay and
it has to do
with them with the person learning about
their bottom end
learning about how things are connected
with the brain and
bowel movement and everything how the
relationships are put together
and then
getting your way on to recovery okay
so in order to diagnosis it's really
you know in the office setting it's
really all about what you told the
doctor if you told a doctor it's been
there for
two months so eight weeks the doctor's
gonna write down chronic anal fissure if
you don't know but they see a sentinel
skin pile or a sentinel tag they're
going to put probably a chronic anal
fissure if it just looks like a regular
cut you have no idea they're probably
put acute or he said just started last
weekend after i had five stakes
right and i had a huge constipated poop
that like saturday night right
so those are the main differences
between acute and chronic and the diagnosis
diagnosis
perspective the
doctor diagnosis perspective and then my
perspective is you know what i don't
think it matters one bit whether it's
acute or chronic
in the end it's about figuring out the
problems and the
what's preventing that fissure from
healing and then getting all these
wounds to heal you know just because a
wound has been there for a year or more
does not mean you can you cannot heal it
you can heal every single one of these
in my opinion and the other thing is i
do not advocate surgery just because
it's now a chronic anal fissure okay
no no no that is not my perspective now
you have to work with the doctors in
your area there's one person that's been
going kind of back and forth with me in
the comments and keeps saying well i've
got a chronic anal fissure
why are you not offering surgery and
i will get that get to that another
video because i think it's a little bit
off topic here but i will tell you that
my methods have been very successful i
have not done the anal fissure surgery
in five years
you heard me right i haven't done it because
because
my methods are very very successful
and so again i leave you with that i
hope that this [Music]
[Music]
question video both helps you with your understanding
understanding
Click on any text or timestamp to jump to that moment in the video
Share:
Most transcripts ready in under 5 seconds
One-Click Copy125+ LanguagesSearch ContentJump to Timestamps
Paste YouTube URL
Enter any YouTube video link to get the full transcript
Transcript Extraction Form
Most transcripts ready in under 5 seconds
Get Our Chrome Extension
Get transcripts instantly without leaving YouTube. Install our Chrome extension for one-click access to any video's transcript directly on the watch page.
