title: Risk factors special to eastern culture for the development of anal fissure.
abstract: OBJECTIVE
  To reveal the effect of diet, bowel functions and toilet habits on the development of anal fissure.
  
  
  METHODS
  One hundred patients complaining of anal fissure were included to the case group; and one hundred age- and gender-matched patients referred for other reasons except for anorectal complaints were included to the control group. The information was obtained by face to face interviews using questionnaires.
  
  
  RESULTS
  Statistically significant differences were found in coffee, fruit, and meat consumption between the groups. The patients suffering from anal fissure avoided paprika consumption. The rate of anal fissure incidence was higher in squat toilet users.
  
  
  CONCLUSIONS
  This study is the first study which evaluates the risk factors such as paprika consumption and squat toilet usage that are specific to Eastern culture. Further studies including large numbers of population are needed to evaluate different risk factors for anal fissure development (Tab. 2, Ref. 11). Full Text (Free, PDF) www.bmj.sk.
authors.affiliation: Ankara Training and Research Hospital, Family Medicine Department, MOH, Ankara, Turkey. erelserap@yahoo.com
authors.forename: Serap
authors.initials: S
authors.lastname: Erel
authors.forename: Didem
authors.initials: D
authors.lastname: Adahan
authors.forename: Kemal
authors.initials: K
authors.lastname: Kismet
authors.forename: Ayse
authors.initials: A
authors.lastname: Caylan
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Tanrikulu
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Akkus
mesh_terms: D003469:Culture; D004032:Diet; D005260:Female; D005401:Fissure in Ano / Q000209:etiology*; D006801:Humans; D008297:Male; D008877:Middle East; D012307:Risk Factors; D014038:Toilet Facilities