Anal Fissure
What is Anal Fissure?
An anal fissure is a small tear or crack in the lining of the anus, the opening where stool passes out of the body. It can cause pain and bleeding during or after bowel movements. Anal fissures are commonly caused by the passage of hard or large stools, constipation, or straining during bowel movements.
How to diagnose Anal Fissure? When to consult a doctor?
You can suspect an anal fissure if you have these symptoms, especially if pain occurs during or after a bowel movement. The tear is usually associated with constipation or passing hard stools.
You should consult a doctor if:
Symptoms last longer than a few weeks (chronic fissure). You notice recurrent bleeding during bowel movements. There is persistent or worsening pain. Home remedies (e.g., stool softeners, fiber intake) and over-the-counter treatments do not improve symptoms. ou develop a fever or swelling, which could indicate an infection.
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Causes
- Constipation and hard stools
- Chronic diarrhea
- Straining during bowel movements
- Inflammatory bowel diseases (IBD)
- Anal trauma
- Poor blood flow to the anorectal area
- Muscle spasms
Symptoms
- Pain during or after bowel movements
- Bright red blood on the stool or toilet paper
- A visible tear near the anus
- Itching or irritation around the anus
- A small lump or skin tag near the tear
Frequently Asked Questions
Acute anal fissures typically heal within a few weeks with proper care. However, chronic fissures may take longer and may require more intensive treatments like Botox or surgery.
Yes, anal fissures can recur, especially if the underlying causes, such as constipation or straining, are not addressed. Preventative measures, such as a high-fiber diet and proper hydration, can reduce the risk of recurrence.
While anal fissures are painful, they are generally not dangerous. However, if left untreated, they can lead to complications such as infection, chronic pain, or the development of an anal fistula.
