Normal anatomyThe anus is a sphincter at the end of the rectum through which passes stool during defecation. The anal sphincter is a critical mechanism for control of fecal continence. IndicationAnal fissures are tears in the skin overlying the anal sphincter, usually due to increased tone of the anal sphincter muscles, and a failure of these muscle to relax. Anal fissures cause pain during defecation and bleeding from the anus. IncisionMost anal fissures can be treated successfully with conservative measures, which include stool softeners and warm soaks. The goal is to relax the anal sphincter, which allows the fissure to heal. If these methods are ineffective, surgery is necessary. This is called an internal sphincterotomy, a procedure in which the anal sphincter is partially cut, thus allowing it to relax and permitting the fissure to heal. ProcedureSphincterotomy, when properly performed, is very effective in healing anal fissures. Todd Eisner, MD, Private practice specializing in Gastroenterology, Boca Raton, FL. Clinical Instructor, Florida Atlantic University School of Medicine. Review provided by VeriMed Healthcare Network.



Modern weddings require an extraordinary amount of work -- and it's not just the bride and her mother making all the plans. Members of the wedding party are expected to propose a toast, and a simple "To your health!" won't do. On a day when your closest friends or family members are getting married, you want to offer eloquence, wit and maybe just a touch of sage advice as you toast the happy couple. But not everyone has a way with words. Add in a healthy fear of public speaking, and it's easy to see why so many people struggle to compose a meaningful toast. This means that everyone from the best man to the bride herself may be struggling to put together the perfect wedding-day toast. Rather than trying to write an entirely original toast, why not build your speech around a quote from a noted figure? A timeless quote keeps guests engaged and staves off boredom, and you'll only need to add a few heartfelt words of your own to create the perfect toast.



Use one of our 10 favorite quotes to find the inspiration you need to toast your family and friends in style. My heart is ever at your service. Not only does it perfectly capture the love and optimism of your wedding day, but it also speaks volumes above what any love poem ever could about devotion and commitment. What could any newlywed want more than a well-worded declaration of service and commitment? Brides and grooms can use this quote to toast each other and offer a sweet, sincere alternative to the traditional rambling wedding toast. And because Shakespeare's name is almost universally recognized, this quote will help you grab your guests' attention after they've been sitting through a long round of toasts and speeches. It is written, when children find true love, parents find true joy. Here's to your joy and ours from this day forward. Weddings are a loaded time for moms and dads, who experience a wide range of emotions watching their children prepare for a new life.



This quote provides a way to toast the new couple and express joy for the choices a son or daughter has made and the person he or she has become. The words are full of warmth and love, but they're not so sentimental that guests will have to break out the tissues. Parents can combine this quote with a few favorite memories, or skip the reminiscing to keep the toast short and sweet. Marriage is a work in progress, and the feelings and attractions that brought you together early on in your relationship are unlikely to hold you together as you mature and your lifestyle changes. Parents or grandparents who incorporate this quote into a toast can offer a gentle reminder that marriage is about growing old together and developing common goals and dickinson college beliefs. Saint-Exupéry's famous quote also makes the perfect starting point for toasts between the bride and groom.



Promise that you'll build a future together, and that you'll always honor his or her needs and point of view. May she share everything with her husband, including the housework. The classic housewife role has fallen by the wayside as more women work outside of the home. Modern couples eschew traditional gender roles, and it's becoming more common for men and women to share financial burdens and household duties equally. This quote will elicit a laugh from your guests, but it also provides good advice for the newlyweds. It reminds the bride to ask her husband for help and lets the groom know that he shares responsibility for maintaining the home. Bridesmaids, parents and friends can use this quote to toast the bride, but you shouldn't use it as an excuse to pick on the groom. Keep the tone light, and end with a heartfelt sentiment to balance out your sense of humor.