Study of Cause and Position of Fissure in Ano in Post Partum Females

Abstract

Lifestyle has a significant collision with anorectal diseases and poor dietary habits. Therefore to find out any relation between pregnancy and fissure-in-ano, the present study was conducted. There is no literature available for the prevalence of fissure in ano In terms of cause and position of the fissure in postpartum females. This was a cross-sectional observational study conducted from January to December 2017, all-female patients visiting OPD were screened. Female patients more than 18 years of age with complaints of a fissure in ano and associated complaints were studied detail history taken in the form of the framed questioner. The diagnosis of enrolled patients was based on clinical findings of anorectal evaluation by digital rectal examination and proctoscopy. Overall, 50 patients were enrolled in the study. Mixed dietary habits and history of constipation were found to be associated with the prevalence of fissure. Similarly, patients with no exercise or physical activity had more prevalence of fissure than patients who exercised regularly (19.87% versus 11.54%). The majority of patients had bleeding and pain (n=326); out of these patients, 89 (27.30%) had an anal fissure. After an assessment of 50 subjects, the chi-square test value is 4.20 (p<0.05), which indicates that the incidence of a fissure in ano among the postpartum women is significant. The observational study was conducted to find out the position and the cause of postpartum fissure in married women. The result suggested that the incidence of postpartum fissure in women is significant. The factors associated with this high incidence include the age, parity, sleeping and dietary habits.