Volume : 13, Issue : 04, April – 2026
Title:
CASE REPORT: LIFESTYLE -ASSOCIATED CHRONIC ANAL FISSURE.
Authors :
Dongri . Swetha *, Rathod . Rajeshwari, Khethavath . Divya, P.Soma Sekhar
Abstract :
Chronic anal fissure is a painful but treatable anorectal condition that significantly affects a patient’s daily comfort and quality of life[¹,²]. It commonly presents with severe pain during bowel movements and bright red rectal bleeding, often resulting from long-standing constipation, inadequate dietary fiber intake, and a sedentary lifestyle[¹,²,¹³]
In this case report, a 32-year-old male presented with persistent anal pain, bleeding per rectum, and difficulty passing stools for three months. Clinical evaluation revealed a posterior midline chronic anal fissure with a sentinel pile[¹,¹³] The patient was initially prescribed topical glyceryl trinitrate; however, he developed severe headaches, which affected his adherence to treatment[⁶,⁷,¹⁰]. Based on clinical response and tolerability, therapy was modified to topical diltiazem along with fiber supplementation and structured lifestyle changes, including improved hydration and physical activity[⁴,⁸,⁹]
Within six weeks, the patient experienced marked symptomatic relief and improved bowel habits[⁴,⁵]. Continuous counseling by the clinical pharmacist regarding medication use, diet, and lifestyle modification played a crucial role in enhancing adherence and overall recovery[¹⁵].
Keywords: Chronic anal fissure, Constipation, Diltiazem, Glyceryl trinitrate, Clinical pharmacist, Chronic anal fissure, Constipation-related anorectal disorder, Sedentary lifestyle, Low dietary fiber intake, Sphincter hypertonia, Rectal pain and bleeding, Diltiazem therapy, Glyceryl trinitrate intolerance, Lifestyle modification, Clinical pharmacist intervention, Patient counseling, Conservative management
Cite This Article:
Please cite this article in press Dongri .Swetha et al., Case Report: Lifestyle -Associated Chronic Anal Fissure, Indo Am. J. P. Sci, 2026; 13(04).
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