What are the similarities between fissure in ano and achalasia cardia?
Achalasia cardia Fissure in ano - Absence of relaxation of LES - Spasm of internal anal sphincter - LES - Smooth muscle - IAS - Smooth muscle - Nitrates & CCB'S are used - 0.2 % Nitroglycerin; 2 % Diltiazem local application - Botox injection - | Ach - Relax sphincter -Botox injection - TOC - Laparoscopic Heller's myotomy|Circular fibers divided TOC- Notaras lateral sphincterotomy
Smooth muscle involvement
Use of Botox
Use of nitrates & calcium channel blockers
All of the above
Rectum and anal canal