Anal Fissures Lecture for USMLE

[@davidmaine]

I'm 67 years old and I can tell you that you don't know what real pain is like until you have an anal fissure. I had surgery in 1991 and when that failed had another surgery in 1992 that was successful. It was a year before I got a doctor who was able to help me. Doctor's are awesome.

[@oussamadjabali9306]

it didn’t come back sir ?

[@davidmaine]

@@oussamadjabali9306 It never came back.

[@gabemexx]

Suffering right now like mad guys. I know your pain. How you guys are dealing with it . Cicatridina twice at day and rectogesic. My problem is that I never was constipated. I was doing gym and having a diet with lots of fruit and vegetables. Going to the toilet doesn't give me any pain. Its the afterwards that kills me. A sharp pain and burning up to 10 hours. Also the muscles around-the- area tend to become so tense the pain is gets so bad. So the cream relaxes the muscles and the supportery should work on the cut. 7 days gone, 3 times went to the toilet. I love food and started to refusing it as the pain gets excruciating. Surviving on soup at lunch and a slice of bread at dinner. Sometimes I skip it. Especially now with the covid its impossible to stand in line at the supermarket.

[@RonnieHank2003]

have you bled alot in the toilet or just on wiping?

[@gabemexx]

@@RonnieHank2003 a tiny bit when wiping. Haven't bled for more then a couple of weeks now

[@timmyplayz1293]

Hey man, I’m having the exact same thing as you at the moment. Have there been any improvements for you? Does it continue to Hurt so bad that you Can’t even Think straight?

[@gabemexx]

@@timmyplayz1293 is improving really well. I'm using rectosegic ointment and cicatridina . Also have lots of hot bath every day. . Sitz bath didn't help me

[@gabemexx]

@@timmyplayz1293 kzbin.info/www/bejne/f4C3XqxtgduIb8k heres my story

[@TLEvilMel]

Why tf did mine bleed a fuck ton in 6 seconds then nothing happened besides me thinking im gonna die

[@tiffanymalley5387]

Mine used to bleed a horrendous amount as well

[@meelauramee]

Wow this video is GOLD 🙌 thanks for explaining so much and so well 👏

[@shirleyellinger]

Why do fissures cause skin tags?????

[@vp1247]

Beacuse once u have acute fissure your body tries to heal it ,so in subsequent attacks your body continues to heal by building up the damaged part. So the extra mass looks like a skin tag / sentinel tag.

[@theprovocateur24]

All of your videos are excellent. Never stop making them!

[@jonathanprin1998]

The difference between hemorroids and anal fissure is that you get also pain afew minutes after defecation, and that pain is high sensation of burn/nervous shocks at same time for a few hours sometimes. That is a huge difference.

[@manaykotari8197]

Sir mera 1 mahine pahale hi sharsutr ka operation huwa tha fir bhi moshan karte samay red calar ki skin bahar nikali he jo abi tak sukhi nhi he iske karn may chal bhi nhi pata hu ,abi doctor ke pass nhi jaskta fir mayne bohat pareshan tha fir mayne har jaga ye Pymol+Livcon capsule and manulax chruna ke bare me pada tha aur suna bhi tha to magawaliya aur cantineu kiya 3 mahine ab may bilkul thik hu acha he yar ye medicine isko mayne Amazon seagwaya tha•~~~

[@okokok6254]

@@manaykotari8197 are you serious? I am having the same issue... please help me🙏

[@nafiznasser968]

Fissurectomy is best compared to LIS and VY advancement flap. Fissurectomy pain is tolerable but loosing the holding power due to LIS can lead to damage to quality of life and person fails to go to outings due to fear and shame of incontinence or urgency. Kindly promote fissurectomy. I have done and its the best surgery and my spasm is gone.

[@murinejohnson2583]

Wow that was most informative and easy to understand thank you.

[@anthrop7998]

A doctor from NY Columbia University cauterizes fissures and has like a 90% healing rate. I read a paper where they did research and found pathology in many of the fissure in terms of an underlyng infection- so a doctor from india perscribed antibotics for 3 months topically put on along with cream and he had a 90% success rate. Why aren't more places advocating for those methods before cutting???!

[@jons5658]

Can you tell me that NY doctor’s name? I’m interested. I need to heal this thing. Thanks.

[@dhivyakrishma2176]

Very useful.. thank you doctor 😊✌️

[@jitterbug9595]

Sorry doc, but fiber caused my fissure! Fats (healthy animal fats) when increased, lubricated and made it much easier when combined with stool softeners.

[@antoniomora4607]

My fissure is such that it burns like hail and I cannot sleep its the first day omg have mercy!! This pain and burn are horrible!!!

[@mrrightright2750]

Antonio Mora Hello My name is Dorjan I’m 25 years old I’ve hemorraide for 9 years The last year I head fissures 1 year ago I was bleeding but not too much but every single week they getting worse and worse and bleeding every day I try every single cream but not helpful at all The doctor decided to do Botox injection Before to get e decision I was scared bcos I never was in hospital But I done Botox injection for 2days was a bit hard after going in toilet But now I’m very happy of Botox for me was helpful. First avoid alcohol Eating soup After toilet clean ur self with water Avoid constipation Avoid heavy lifting I’m working in construction but stop lifting Avoid chilly And u will be grate

[@itsjustkeily9322]

I be having trouble whipping on it it hurts /burns

[@ashokbharti1800]

Apply coconut oil thrice a day and before going to the bed. Make it routine of your life. You will be in heaven

[@jbugwatson8398]

How r u now how'd u heal

[@ursfav619]

Is fissure or skin tag harmful to our body ?

[@sushreesonali2410]

sir...i have fissure.... it's have a skin on my anal area... whenever I'm going to toilet its bleeding... I'm so worried please suggest me something

[@pikalink5676]

Mine were causing pain while walking, I was sore for more than a week I had to take several days using prepH and just lying down

[@haseebpataryali8088]

PrepH was useful in fissure??? Because one of my Dr didn't recommend me to use prepH.....

[@kyroking9934]

You maybe have hemorrhoids

[@Chris_8]

Kyro King wait what if you have bright red blood in stool, but there’s no pain when pooping or walking.

[@1776Rob2012]

I have a tendacy to spread, then sit on the toilet (which is designed to spread for us). That may have caused mine fissure. Also: I spent several days sitting for hours in a position that numbed my pelvic floor. Those are my coprits. Anal fissure with GERD sucks.

[@gloriaewans1123]

Hello Doc, that explanation was explicit, thank you very much. I noticed a pump near my anal and it's not painful, and no blood. In fact I hardly notice it only when I wipe or take my bath. I showed it to my Nurse Friend and she said it is snap fissure, and that it will go away on its own. Please what do I do, am worried.

[@anandsingh1157]

Same here....are u alright now??

[@213gully]

Dont worry about it if it doesnt cause pain or bleeding.

[@J-Cardozo]

and if you heal the fissure but still wih discomfort and spasms?

[@tiffanymalley5387]

He mentioned in the video that when it becomes chronic it’s less painful. FALSE! I’ve had mine since I was 16, I’m 38 now. It has become more painful in the last 5 years than at the beginning when I was just bleeding. Another thing he mentioned that it would just be blood on the tissue, also not necessarily true. Mine bled so bad that there would be a running stream of blood when I had a BM if I had to push a little, with no pushing it would be a drip drip drip...so much so the toilet bowl was a deep dark red of blood. So sure maybe for most people it’s a touch of blood and some slight discomfort but for me the sun rises and sets on me paying attention to my ruined anus. I went to a CRS he gave me cream! Cream! After me telling him that I’ve had it for years and years. He suggested I change my diet. I did. The damn thing would kind of heal but then split every time I had my period due to cramps/diarrhea. I still have it and it brings tears and panic. I’ve broken bones and dislocated my elbow that felt less painful than this. Chronic fissures being less painful my ass....do more research.

[@thestudyspot]

Sorry to hear that. Hope you find relief.

[@jacob5398]

I agree living with this is terrible. No one should go through this

[@GhostGrind]

I sometimes get a river of blood myself when I use the restroom and stool softeners and creams don't work for chronic fissures they do help alleviate pain.

[@paidijyothi6703]

Avoid eating cooked food eat only fruits in breakfast, lunch ,dinner.drink vegetable, Aloe and greens juices.u can eat soaked nuts.do this for some days.when u feel better u can include millet meals in the lunch.do normal water sitz bath with a pinch of alum if bleeding is there.other wise hot water sitz bath,4 times a day.

[@paidijyothi6703]

Better u be ur own doctor

[@renu.6dec]

Thanks.. u explained it perfectly !!!!!

[@nafiznasser968]

I have chronic anal fissure - I used diltiazem gel and spasms went away but they return. I get side effect of dizziness so I stop diltiazem. I can't find tropical bethanechol anywhere. Please advice. This is the best video I have seen on anal fissures.

[@bomhayhay]

Wow I think your videos are awesome learning tool

[@j94-y5c]

Thank you for your videos. I am glad to find this channel. All your videos are very informative and helpful.

[@manaykotari8197]

Sir mera 1 mahine pahale hi sharsutr ka operation huwa tha fir bhi moshan karte samay red calar ki skin bahar nikali he jo abi tak sukhi nhi he iske karn may chal bhi nhi pata hu ,abi doctor ke pass nhi jaskta fir mayne bohat pareshan tha fir mayne har jaga ye Pymol+Livcon capsule and manulax chruna ke bare me pada tha aur suna bhi tha to magawaliya aur cantineu kiya 3 mahine ab may bilkul thik hu acha he yar ye medicine isko mayne Amazon seagwaya tha•""""

[@HafizahHoshni]

thank you thank you!!

[@grudgex.]

You have that it's pain full

[@PeachieP1e]

I know this is old but, how do the std's associate with anal fissures? I know I'm not in college yet but I really like learning about this stuff.

[@manaykotari8197]

Sir mera 1 mahine pahale hi sharsutr ka operation huwa tha fir bhi moshan karte samay red calar ki skin bahar nikali he jo abi tak sukhi nhi he iske karn may chal bhi nhi pata hu ,abi doctor ke pass nhi jaskta fir mayne bohat pareshan tha fir mayne har jaga ye Pymol+Livcon capsule and manulax chruna ke bare me pada tha aur suna bhi tha to magawaliya aur cantineu kiya 3 mahine ab may bilkul thik hu acha he yar ye medicine isko mayne Amazon seagwaya tha•~~~~

[@okokok6254]

@@manaykotari8197 saachi??

[@papichulo8658]

Surgery doesn't always work they come back .

[@mustafemohamed4879]

Thank you we appreciate you

[@mantashahbawany4350]

Okay idk if I have anal fissure but whenever I have to poop a lot of bloood comes out like if I’m on my period and most of the time I’m not even constipating it’s like I don’t even know I’m bleeding until I look down. After I wipe and stuff nothing burns idk why cuz most people who are dealing with this issue says that it burns afterwards but to me nothing happens .. I’m confused on what I have ...

[@hishammuhammed6900]

Same but i have only bleeded one time

[@youtubegoldmines]

If u have fissure, u would know. It hurts

[@HafizahHoshni]

thank you so much 😀!!!

[@jesy4687]

Ff

[@naznaz8278]

Wats funny girl

[@adezw.s.s2704]

ASC

[@jennyn5692]

Are anal fissures always extremely painful? I noticed a little blood on my stool a few weeks ago, and a couple days ago I noticed it again. It was a little more this time. I have problems with constipation because I've done opiates off and on for quite a few years. Just being honest. However, it's never caused a major problem before. It burned for a little while after defecating, and I read that's a symptom of an anal fissure...I went today and it burned afterward again, but there wasn't pain during defecation, and there was no blood this time. Could I possibly have a fissure or should I be worried about something more serious?

[@Mydaughtersaremylife]

Hi doctor please guid me .i have cronique fissure and doctor said that i need suegery😢😢 but i cant because i have 2 little kids and i am scered i live in scotland and all creams didnot help

[@thestudyspot]

Sorry to hear about the difficulties you are facing. Chronic fissures can be very difficult to treat at time. Unfortunatley, I am unable to provide medical recommendations over the internet. I would recommend you get a second opinion from a local physician in your area. Most surgeries to treat fissures are considered low risk.

[@ibnuabbas6649]

I have this condition for many years and I don't really trust the doctors we have here. After watching videos about risk factors of surgery am really confused on what to do. What will you advice me to do. I really need help and perhaps with your understanding of this condition I haven't seen any better presentation or explanation except yours. I wouldn't mind having you as my doctor. I really need your advice. Am in Cameroun really need help feeling frustrated I've this condition. Can I get your contact and perhaps if you have a hospital , where it is and other vital info for treatment. Thanks waiting to here from you.

[@ekta7652]

Does skin tag needs any surgery ???

[@darkknight798]

No, you may leave it as it is (provided that this is indeed a skin tag) Skin tags are benign skin growth that can be left untouched no surgery is required unless it bother you. removal of skin tag is done for cosmetic purposes only

[@sarahpatching3451]

Just curious as to why fissurectomy isn't mentioned as a treatment option? thanks!

[@unbornvii]

it was used in the past but I think they stopped using it due to high recurrence rates. I might be wrong though..

[@funvideoswithvivek5900]

Thanks.I had been diagnosed with anal fissure 2.5 months back and was suggested surgery.I ignored and tried conservative healing.Thereafter,I had ischiorectal abcess and it was operated by incision and drainage.I asked the surgeon about my condition of Anal fissure and the interrelationship in between fissure and abcess.He told,they aren't related and fissure is almost healed.But now,again after 2.5 months,fissure is hurting a lot.I have been devastated by these painful episodes.Doctor told,it may heal by own and surgery is not warranted,but its not healing and hurting tremendously.Kindly provide a solution,Sir!!😄😦😥😥😥

[@thestudyspot]

vivek kumar Very sorry to hear about your situation. My advice is to seek a second opinion from a local surgeon and only deal with doctors you feel comfortable with.

[@lokeshvishwakarma9565]

Same problem wt actually am facing but I have grade 1

[@bayannasseral-harrasi6089]

Sorry to hear that :((((, How are you doing now? I am a medical student from sultanate of Oman and I would like to know your progression. Hopefully you are better now.

[@bayannasseral-harrasi6089]

Anal fissures and perianal abscess can be related. The continuous irritation and trauma caused by the fissure can create an environment that promotes bacterial growth and infection, leading to the formation of an abscess. As well as both conditions share same risk factors such as constipation, chronic diarrhea, inflammatory bowel disease (Crohn's disease), and certain sexual practices. And it is important to check whether you have Perianal fistula. Fistula formed due to chronic abscess, Crohn's disease, chlamydia, radiation, Foreign body (like in case of trauma).

[@unnatikumar9074]

That was amazing thanks

[@arunsellappan6047]

Can you tell me the incontinence happens only if the surgery is not done exactly. Or Cutting involuntary muscles itself creates fecal incontinence

[@nazirmalik4621]

Take constrigon choorna of Maharshi badri for one year before sleep with warm water.....don't take non-veg and spicy food for one year.. I also do same thing and now i am fine...so i am prescribe it.you can contact me...+918006514786, watsup only. This problem is only related to constipation so need a long time medicine and care. In long time your fissure will cure by this.

[@Joshi7681]

Sanjay Kumar Hi Guys, I would like to write my true story....... I was suffering from fissure last 5 years and my life had been ruined I was not able to tell my parents regarding this disease even At first I felt I have piles without any check up I started taking piles medicine because symptoms were very similar to piles after a long period I come to know it's a fissure I tried to do treatment with medicine from 3 years but failed with some relief. At the last I broke the ice And told this to my elder brother he understood everything luckily I got a Good Dr after surgery I m enjoying in passing my stool his success rate is almost 100% his name is Dr Amrit Lal from ex surgeon from Sir Ganga Ram Hospital. Thousand of patient he has cured with 100%. I am not advertising him but I m feeling like heaven along confidence in my life. Personally I would tell you guys I was mentally and physically exploited with this critical diseas I understand your pain that's why I wrote it. Faridabad city Hospital Charges bhi jyada nahi h I m not able to share you the screenshot of report But I share you the contact address 5E/13 B.P.N.I.T. Faridabad (behind neelam chowk petrol pump), Tel: [phone] Dr.Name Amrit {MBBS} Timing 10to 2pm

[@nafiznasser968]

Tropical bethanechol is not available anywhere

[@sharingiscaring.2578]

V well explained... well done 👏🌟

[@paramvaidya]

Brilliant. Looking forward for more topics.

[@oikawadafinalboss1361]

this iss soo painfull 🥺 i am 17 and i am having this one, the chronic one and i have it for the span of 3 months. Looking forward for some surgical process. Whooooo

[@ArcticAirUltraPro]

Are you going through with surgery?

[@nora06646]

Hey. I am 20 and I'm suffering since over 6 months. Have you recovered? What did you do?

[@whatsup_viral]

Can I apply salt or turmeric on fisure wound

[@ywubnesh421]

Thanks more

[@romankrisjuan3724]

My problem is long time I have small wounds in my butt near in the hole the few month come good and like pretty good but suddenly I clean again and I spread it and the wound open again what shoul I do to make it heal clear please help me

[@jaswindersinghananmd8411]

Kris Man .

[@udaypratap6391]

Hey is it ok now? If yes then pls help me to

[@romankrisjuan3724]

Uday pratap I try to visit doctor before they said its not fissure that one it’s getting heal yes it’s heal is own brother you need to go surgeon doctor first then they recommend you ointments to use then after that just continue to use it then after eat a lot of fiber it’s help you too

[@udaypratap6391]

@@romankrisjuan3724 so, its not fissure which you have suffer? And what type ointments you use can you pls tell them

[@udaypratap6391]

Actualy its second time i am suffering from this, first time it heals after some days but now it don't cause pain. Only blood comes

[@mukesh_soni_professional_dj]

Very nicely explained 🙌

[@thestudyspot]

Glad you liked it

[@drthurayawahid]

Dude that was perfect 🤘🏾🤘🏾🤘🏾🤘🏾🤘🏾thanx

[@thestudyspot]

+dr.thuraya thuraya Glad you liked it!

[@drthurayawahid]

+the study spot actually i did well in the exam and two questions came from this subject & because of you it pass it well 😎😎thanx 🤗

[@Edutainment360]

Great videos sir thank you

[@ABDULRAZZAK-kj3vf]

excellent bro thank you

[@nafiznasser968]

What about fissurectomy ?

[@vikas9saraswat]

Best....In india we say gaagar (water pot) mae (in) sagar (sea)....Sea like knowledge in little pot. 🤗 😃🙏 Respect from india.

[@Joshi7681]

Sanjay Kumar Hi Guys, I would like to write my true story....... I was suffering from fissure last 5 years and my life had been ruined I was not able to tell my parents regarding this disease even At first I felt I have piles without any check up I started taking piles medicine because symptoms were very similar to piles after a long period I come to know it's a fissure I tried to do treatment with medicine from 3 years but failed with some relief. At the last I broke the ice And told this to my elder brother he understood everything luckily I got a Good Dr after surgery I m enjoying in passing my stool his success rate is almost 100% his name is Dr Amrit Lal from ex surgeon from Sir Ganga Ram Hospital. Thousand of patient he has cured with 100%. I am not advertising him but I m feeling like heaven along confidence in my life. Personally I would tell you guys I was mentally and physically exploited with this critical diseas I understand your pain that's why I wrote it. Faridabad city Hospital Charges bhi jyada nahi h I m not able to share you the screenshot of report But I share you the contact address 5E/13 B.P.N.I.T. Faridabad (behind neelam chowk petrol pump), Tel: [phone] Dr.Name Amrit {MBBS} Timing 10to 2pm

[@derejedemelash4644]

that very useful sir..thanks

[@Ruqaya_pearl]

Thank you Please make surgical video about pancreas

[@doctoryaash4150]

Thank you for your made easy

[@manaykotari8197]

Sir mera 1 mahine pahale hi sharsutr ka operation huwa tha fir bhi moshan karte samay red calar ki skin bahar nikali he jo abi tak sukhi nhi he iske karn may chal bhi nhi pata hu ,abi doctor ke pass nhi jaskta fir mayne bohat pareshan tha fir mayne har jaga ye Pymol+Livcon capsule and manulax chruna ke bare me pada tha aur suna bhi tha to magawaliya aur cantineu kiya 3 mahine ab may bilkul thik hu acha he yar ye medicine isko mayne Amazon seagwaya tha• ••••

[@nora06646]

Kya aapko bawasir tha ya anal fissure. Aur please ye batao ki ye dawai aapne doctor se puche bina li thi? Mujhe anal fissure hai aur doc ke rha hai ki surgery krwani padegi lekin mujhe in par bharosa nhi hai. Please mujhe is dawai ke baare mein aur bataye.

[@belindachin3124]

Thank you so mucH!!

[@naomifavor2887]

The letters and figures are too small to be seen

[@manaykotari8197]

Sir mera 1 mahine pahale hi sharsutr ka operation huwa tha fir bhi moshan karte samay red calar ki skin bahar nikali he jo abi tak sukhi nhi he iske karn may chal bhi nhi pata hu ,abi doctor ke pass nhi jaskta fir mayne bohat pareshan tha fir mayne har jaga ye Pymol+Livcon capsule and manulax chruna ke bare me pada tha aur suna bhi tha to magawaliya aur cantineu kiya 3 mahine ab may bilkul thik hu acha he yar ye medicine isko mayne Amazon seagwaya tha•~~~~

[@KD-sz5bx]

I bleed because of this.

[@bilawalabbasjanjua7043]

Best

[@drmathias9248]

excellent

[@nafiznasser968]

I think Drs go wrong while diagnosing anal fissures so please add this in your next video. External anal fissures on anal verge can be diagnosed by visual inspection. Internal anal fissures on anterior side, posterior side or within any part of the inner circumference of the anal sphincter muscle can be diagnosed with Chelsea Eaton anal speculum (slit proctoscope) , Smith anal retractor, or by Digital rectal examination with finger inside the anal sphincter muscle. But sometimes narrow fissures are not felt due to glove and are undiagnosed. Note that colonoscopy, sigmoidoscopy or normal proctoscopy is for diagnosing internal hemorrhoids and other internal rectal diseases and not for diagnosing anal fissures

[@makhan99991]

great

[@ankitaupar4296]

Thank u

[@ttrdf]

you got it!

[@Flo-rl6mb]

Mines started by feeling a little bump whenever i would wipe or shower but it would go away and come back i came to the beach for my honeymoon and it got bad within 3 days to a point where it’s painful to sit down and stand up i have no bleeding and haven’t had a hard time using the bathroom until now but its just so painful to stand and sit is this normal?

[@manaykotari8197]

Sir mera 1 mahine pahale hi sharsutr ka operation huwa tha fir bhi moshan karte samay red calar ki skin bahar nikali he jo abi tak sukhi nhi he iske karn may chal bhi nhi pata hu ,abi doctor ke pass nhi jaskta fir mayne bohat pareshan tha fir mayne har jaga ye Pymol+Livcon capsule and manulax chruna ke bare me pada tha aur suna bhi tha to magawaliya aur cantineu kiya 3 mahine ab may bilkul thik hu acha he yar ye medicine isko mayne Amazon seagwaya tha• ;;;

[@IMSBGrace]

I want to share how I got rid of my fissures. I done so much research on this and after trying many different methods this is what helped me to be pain free. Go online and buy a 3oz ear bulb syringe for you will need this for cleaning the fissures. Go to the supermarket and buy a tube of Tenactin yes that's right the foot cream. When you feel a bowel movement fill a large cup with water and fill your bulb and give yourself an enema, it will sting like crazy the first few times you do this but you have to clean yourself out and also clean any crap that's in the fissure. No open wound will heal if there's poop in it. Once you're done take some Tenactin on your finger and put it in your canal where your fissure is and in about a week they will heal to where they won't be painful anymore. I remember crying at night knowing I'm fixing to have a bowel movement and the pain that I was going to experience because I know once I poop the lingering pain will be there for many hours and as you know you can't sit or lie down so I end up pacing around until the pain goes away enough to go to sleep. Once they are healed if you have a bowel movement that opens the fissures up then get your Tenactin and it will be healed by the next day, no joke, this is how I did it. I started doing this back in 2007 and I'm still doing it today, I believe this is a good practice to do because it gets that poop out of you and it don't sit there for hours or days which makes a healthier you. I haven't been sick since I started this, you are always clean inside which I believe makes a difference. Hope this helps you for I for one know how painful fissures are. Since it only takes a few minutes every time I go to the bathroom it has shrunk my hemorrhoids to where they no longer bother me so it's good for hemorrhoids too.

[@manaykotari8197]

Sir mera 1 mahine pahale hi sharsutr ka operation huwa tha fir bhi moshan karte samay red calar ki skin bahar nikali he jo abi tak sukhi nhi he iske karn may chal bhi nhi pata hu ,abi doctor ke pass nhi jaskta fir mayne bohat pareshan tha fir mayne har jaga ye Pymol+Livcon capsule and manulax chruna ke bare me pada tha aur suna bhi tha to magawaliya aur cantineu kiya 3 mahine ab may bilkul thik hu acha he yar ye medicine isko mayne Amazon seagwaya tha•***

[@irenelivy]

What is skin tag?! And what is cronns?

[@thestudyspot]

Skin tag is a tiny outpouching of the skin that is connected to the underlying skin. Crohn's is a autoimmune disease of the GIT system. I know these are very brief descriptions, I will make videos on them soon.

[@lillsjul]

That was stupid. 80% success rate vs. what? What is the rate of incontinence? Having math problems in high school, are we? Where is the complete information?

[@thestudyspot]

Lateral Internal Sphincterotomy has up to a 100% success rate. Patients who have undergone lateral internal sphincterotomy experience an overall anal incontinence rate of 14% at 2 years. Flatus incontinence 9% and soilage/seepage incontinence was 6%. I don't ever remember receiving less than an A in math during my high school years. I was briefly a math teacher and I was able to pay my whole through medical school simply by tutoring math. So, overall I think my math is pretty solid. By no means is this complete information. There are many different types of procedures, opinions, controversies and studies which I didn't mention. I am merely presenting the information that I feel is important for the USMLE exam. But if there is any other specific information that you would like to know I can try and see if I can find it for you.

[@lillsjul]

Thanks, that's better. Can you do another lecture, with more information?

[@thestudyspot]

Lills Jul For the purposes of the USMLE this is more than enough so I am not planning on making another video. I recommend going through Bailey and Love or UpToDate for a more thorough discussion. But again if you have a specific question I can try and answer it for you.

[@lillsjul]

After having one unsuccessful LIS, I had to have another. After that one, I got anal stenosis. My doctor did not tell me that could happen. Even though I don't have to work anymore because I won the lawsuit against her for not telling me about it, I would rather have had the 100% success rate that was promised.

[@DrShariq.A]

Lills Jul : you are pretty much fucked despite of winning lawsuit 😂

[@nanirima2090]

Wow.. brilliantly explained .🤟🏻

[@thestudyspot]

Thanks a lot 😊

[@irenelivy]

Could u write in bigger text next time?

[@najamjamshaid7790]

thank informative. please tell GtN ointment is applied externally or inserted in

[@nawrassabah5291]

Perfiction ...thank you

[@thestudyspot]

+Nawras Sabah Thank you for the kind word!

[@Press2GetTheCookie]

What about fissurectomy?

[@J-Cardozo]

have you done?

[@Press2GetTheCookie]

j. cardoso yes I did 2 months ago

[@J-Cardozo]

@@Press2GetTheCookie me too 2 months ago , how you fee? i dont feel 100%yet. but less pain

[@Press2GetTheCookie]

j. cardoso I feel great! It was totally worth the hassle and pain of the after surgery. I only felt at 100% 6/7 weeks after... I’d say it depends on how you were before surgery, as maybe they needed to do something extra (like sphincteroctomy), which at the end in my case wasn’t needed. I’m sure you’ll feel better soon. After 6 weeks I was so sad that I still didn’t feel like a normal person and then suddenly I’m a couple of days I felt perfect!

[@J-Cardozo]

@@Press2GetTheCookie my doctor said that i only need fissurectomy. I had the fissure 3 or more years ...thee first week pos surgery was so bad..now i only feel a little pain after bowel movement ,im glad you are pain free