Chronic Anal Fissure in Children Under 16 Years

Clinical scenario

This protocol applies to chronic anal fissure in paediatric patients aged under 16 years. Evidence supports a distinct treatment algorithm for this age group — the approach recommended here differs from standard adult management.

Treatment approach — partial overview

First-line management centres on agents that regulate stool consistency. The complete structured regimen — including the full set of options, sequencing, and escalation steps — is available in the full protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1111/codi.167

A different treatment algorithm for children (U16) with a chronic anal fissure is advisable.
First-line treatment on acute anal fissures in children is the use of stool softeners and/or stimulant laxatives; followed by topical agents or intrasphincteric injection of botulinum toxin.

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