The most dramatic thing about anal fissures is the pain. This is usually intense and severe. It is often described as burning or searing. The pain after bowel movements can last for a few hours.
Acute anal fissures usually heal on their own, or require simple treatment, medication and occasionally surgery.
A fissure is considered chronic if it persists beyond 6 weeks. These are sometimes associated with inflammatory bowel disease.
The diagnosis is confirmed by a careful examination of the anus.
Surgery known as lateral sphincterotomy may be performed if the above measures fail. A small cut is made to the anal muscles to release the tight muscles.
Avoiding standing still for long periods will reduce the pressure in the veins in the legs. For people who need to stand for long periods at work, wearing compression stockings will reduce the pressure build up in the legs.
The ultrasound will be done of the legs from the thigh to the calves. Please wear or bring along a pair of shorts to change into for the scan.