Chronic Anal Fissure in Children Under 16 Years

Chronic anal fissure in a paediatric patient requires a distinct clinical approach. The treatment algorithm for children under 16 years differs from the adult pathway, and selecting the right initial strategy is important for successful management.

Clinical Scenario

Age < 16 years

This protocol applies to patients under 16 years of age presenting with a chronic anal fissure. A different treatment algorithm for children (under 16) with a chronic anal fissure is advisable.

Treatment Approach (Partial Overview)

Initial management in this age group involves the use of topical agents applied locally — the full protocol specifies which options are appropriate and under what circumstances.

Full regimen details, sequencing, and clinical decision points are available in the complete 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.

Topical agents described include local anaesthetics (e.g., lidocaine), GTN and diltiazem.

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