Anal fissures arereferred to as a small cut or a tear in the lining of the anus. The cut or crack on the skin is the main cause of the severe pain. The person might observe bright red bleeding during and after passing bowel movements. Sometimes, when the fissure goes deep it exposes the muscle tissue underneath of the anus. An anal fissure might occur due to labor, i.e. during childbirth, straining or pushing during bowel movements, constipation, diarrhea, or certain medical conditions such as inflammatory bowel disease, cancer, and infection.
Individuals of all ages can be affected by anal fissure, including infants and young children. The common cause being constipation. This condition is not a serious issue. The tear can be treated or it might get heal on its own within a month or so. However, if it persists above two months, then it is considered a chronic or long-term fissure.
The symptoms of an anal fissure include:
Mostly an anal fissure occurs while passing very hard or large stools. This could be due to chronic constipation or frequent diarrhoeal episodes that can lead to tearing of the skin around the anus. Other causes of occurrence of an anal fissure are Crohn’s disease or inflammatory bowel disease, straining during labor, over tight or spastic anal sphincter muscles, or decreased blood flow to the anorectal area.
A fissure might also occur due to anal cancer, HIV AIDS, tuberculosis, syphilis, and herpes.
Mostly anal fissure does not require extensive treatment. Some of the home remedies can help treat anal fissure and relieve the discomfort caused. The home remedies used for treatment are:
An anal fissure can be prevented by taking following preventive measures:
If you think fissure and fistula are the same, you are mistaken. While the term fissure refers to the tear of the skin, fistula refers to the abnormal tube-like passages or connections between organs. Fissures get cured with or without treatment in a few days to few weeks, and do not lead to complications. On the contrary, fistulas when left untreated may lead to complications.
So, read on further to know about the distinction, how to recognize the symptoms and avail treatment.
What is anal fissure?
An anal fissure can occur due to various reason, such as prolonged diarrhea, anal sex, vaginal childbirth, rectum cancer, etc. For majority of the cases, it is usually due to constant constipation or strained bowel movements, that tear down the muscles controlling the sphincters to the inner rectum or the anal canal.
What is anal fistula?
Anal fistulas are not tears but abnormal abscesses near the anus, filled with pus. In fistula, a tunnel is formed under the skin which connects these abscesses to the infected glands. Fistulas are usually the results of present or previous abscesses. If ignored or left untreated, one single fistula can lead to the development of a more complex fistula, where the single fistula tract ends up creating multiple openings.
Symptoms of anal fissure and anal fistula
Some of the common symptoms of an anal fissure are excruciating pain in the anal area every time the bowel movement occurs, constant itching or burning sensation in and around the anus, bloody stool and visible tears and cracks around the anus.
For anal fistula, some of the very common symptoms are a throbbing pain in the anus, which continues to increase, difficulty in sitting down for longer period, swelling and redness around the anus, accompanied by skin irritation, discharge of blood and pus, and at times fever.
To completely cure anal fissure and fistula, it is the various surgical options that are the most effective ones. However, when diagnosed in its earliest form, medications like antibiotics, analgesics, and antipyretics can often help. It is solely depending on the location, type, and size or severity of the fistula or fissure, the treatments may vary from person to person and so does the recovery time.
Though, these conditions cannot be cured with dietary changes or exercise, following a healthy diet can boost healthy bowel movement, reducing chances of constipation or diarrhea that results in fissures.
Prevention is always better than cure. Therefore, it is essential that you visit the nearest medical facilities once you notice any signs of fissure or fistula , to avail the right treatment and get relief from the symptoms quickly. In case you have a concern or query you can always consult an expert & get answers to your questions!
An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.
Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.
Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place.
Whatever the surgical technique, one can experience minor changes in continence. Patients usually don’t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation. If you wish to discuss about any specific problem, you can consult a General surgeon.
Anal fissures are the small tears formed in the anal lining. They are also known as anal ulcers. An anal fissure causes a lot of pain and bleeding during your bowel movements. Usually a fissure heals automatically in a few days time. It can be treated with simple home remedies as well.
Individuals of all age groups can suffer from anal fissures. It is not a very serious problem and heals on its own in a few weeks. Although it can heal itself, there are certain treatments which can help relieve the pain you get from an anal fissure.
An anal fissure has quite a lot of symptoms for you to understand what you are suffering from:
Although most fissures do not require treatment, there are a few remedies that will help cure them faster:
Related Tip: "What Are Anal Fissures and How Can You Deal With Them?"
Piles or fistula are two very severe problems which men can face at any point of thei life. These two medical conditions affect one of the main part of a men's system, i.e. the anus. But many a times people confuse one of these disorder with the other one.
What Are Piles?
Piles are the inflamed or swollen set of tissues which are present in the sensitive anal area. These can range from different sizes and can also be present in various areas i.e. internal or external. Internal piles are usually present between 2-4 cms above the anus opening whereas the external piles are present on the outside.
There are different symptoms for Piles
The causes of Piles can be of different reasons
Treatment and Diagnosis
Homeopathy can be effectively used to treat piles. Most of the time, piles are caused due unhealthy lifestyle and food habits. So homeopathy can be easily treated with help of homeopathic methods which can be used to change one's food habits and keep them healthy.
What is Fistula?
The anus is like an exit point in the body for wastes and semen. Inside this anus, many small glands are present. If due to some reason, these glands or a single gland is blocked, then an abscess is formed which infects the anus and causes severe pain or abnormalities. This condition is known as Anus fistula.
There is no exact cause of fistula. Usually these are caused due to some severe accident or injury which affects the anus. It can also be caused due to some other disease which affects the anus like STDs, Crohn’s Disease, tuberculosis etc.
Here are some important symptoms
Treatment and Diagnosis
Homeopathy can be a very important and efficient way by which fistula can be relived from. Homeopathy has a very high chance of solving fistula because homeopathic medicines and methods can cure the abscess completely. Due to the complete removal of the abscess, the normal tissues appear once again with time.