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Overview

Anal Fissure - Symptom, Treatment And Causes

Anal fissure occurs because of a tear or cut in the anus, that extends up into the anal canal. Anal fissures are a common condition that happens with many people across the globe and are responsible for 6-15 patient percent visits to a colorectal surgeon.

Anal fissure can happen to anyone. Both men and women, young and old are affected with this malady. Fissure in the anal tract causes severe pain during defecation and bowel movement. In fact fissure in the anus, is the most common cause of rectal bleeding during childhood and infancy. Anal fissures typically happens in the specialized tissue that lines the anal canal and anus, known as anoderm. Unlike skin, anoderm do not have sweat glands, hairs or sebaceous glands. But it has a plethora of sensory nerves that can even sense light touch and pain. This abundance of nerves in the anoderm tissue is what makes anal fissures so painful. This most sensitive anoderm moves up for the entire length of the anal canal till it ends and meets the demarcating line where the rectum starts, which is known as the dentate line.

Anal fissures are caused owing to trauma in the anal canal or in the anus. The most common cause for this trauma is bowel movement. So anal fissures can always be caused by repeated episodes or diarrhea or hard stool (constipation). Many a time insertion of an enema tip, rectal thermometer, ultrasound probe (for examination of the prostate), and endoscope can result in enough trauma for development of an anal fissure. During childbirths, trauma in the perineum tissue, can also cause a tear that can extend into the anoderm. The most common location where this disease is diagnosed is the part of the anus, which is closest to the spine.

Other causes for development of this malady are infectious diseases are viral infections like herpes, gonorrhea, syphilis, chancroid, chlamydia, tuberculosis and HIV. Also patients who suffer from Crohn’s disease, 4% of such patients develop anal fissures as the primary manifestation of their disease. Anal fissures are diagnosed by physical examination of the patients. In case rectal bleeding is present sigmoidoscopy and colonoscopy are done at times to confirm the diagnosis. Even in the case of acute fissures, non-operative therapies proves successful in majority of the patients. Initial treatment of this painful colorectal disease involves prescribing stool softening medications, followed by increase in liquid intake and sitz bath.

Sitz bath increases the flow of blood to the anus, which relaxes the rectal spasm and cleans the anus without irritating the anoderm, if done particularly after passing of the stool.

Treatable by medical professional Require medical diagnosis Lab test required Short-term: resolves within days to weeks Non communicable
Symptoms
Blood in stool Constipation Itchiness around the anus

Popular Health Tips

In Continuation With Constipation- Going Twice Daily

B.A.M.S
Ayurveda, Gorakhpur
In Continuation With Constipation- Going Twice Daily
In the last topic constipation causing fissures, we learned about having fool diet during this condition, our situation will be better faster. Now one other point in fissures is, increasing water intake, specially before defecation and other point is to go twice daily for defecation. So that stool do not find time to be dried. Because rectum is a place where water is absorbed from body so we need to have fool diet and water and go twice for defecation.
1 person found this helpful

Piles - How Homeopathy Can Resolve It For You?

Dr. (Prof) Ravpreet 87% (135 ratings)
BHMS, MD - Homeopathy
Homeopath, Delhi
Piles - How Homeopathy Can Resolve It For You?
Homeopathy is the best alternative to avoid surgery specially, in the cases of piles, fissure, fistula. There are many cases that were recommended operation but with homeopathy not only they were treated successfully but the surgery was also not done. Piles or haemorrhoids cause severe bleeding in the anal region due to an abnormal enlargement of the rectal veins. The bleeding occurs as a result of a sudden increase in pressure in the rectal area. The haemorrhoids which tend to grow in the exterior part of the anus tends to be severe painful as compared to the internal haemorrhoids (which are invisible and grows in the interior portion of the rectal area). The major causes of haemorrhoids are genetic factors, pelvic tumours, excessive alcohol consumption, obesity, lack of regular physical exercise, undiagnosed and chronic gastric disorders like dysentery, diarrhoea or constipation and a significant increase in the weight of the uterus during pregnancy. The sign of piles might include intense pain and irritation in the rectal area along with the presence of blood in the faeces and abnormal swelling of the affected area. If taken in a prescribed dosage, homeopathy can be very effective in curing piles. The most beneficial homeopathic preparations for piles are: Nux vomica: This homeopathic preparation is useful in curing piles which display symptoms of extreme aggressiveness and intolerance to cold weather. If piles are caused due to excessive intake of spicy foods and alcohol or cigarettes, this homeopathic preparation can work as an effective cure. Hamamelis: This preparation is useful to cure piles which show symptoms of blood in the faeces along with a sensation of discomfort and contusion. Ratanhia: This preparation provides a remedy for severely painful hemorrhoids (which causes complications during excretion). Symptoms include severe pain which stays for several hours after excretion along with a burning sensation. It may be relieved with the help of cold water. Graphites: If you suffer from the symptoms of chronic constipation, frequent skin eruptions and recurrent instances of menstrual anomalies in females along with piles, this homeopathic medication can provide effective cure to you. Aesculus Hippocastanum: This homeopathic preparation provides an effective remedy for non-bleeding hemorrhoids along with the symptoms of severe back pain and pain in the anal regions. Arsenic Album: This homeopathic preparation can prove effective in curing piles with the symptoms of a burning sensation during any forms of physical movement. If the hemorrhoids bleed extensively and are bluish in color, this homeopathic preparation can be beneficial in such cases.
1 person found this helpful

Constipation Causing Fissures

B.A.M.S
Ayurveda, Gorakhpur
Constipation Causing Fissures
While consulting a patient of fissure due to constipation, which condition getting worse day by day and he is being weaker and depressed. Before giving him stool softener or purgative luxative or pain killers. We should first think or ask about his food amount. Because of fear of pain while defecation sometimes the patient withdraws his food or limit it and this habit never help him to be cured, and he will be weaker and weaker. So first medicine is tell him to have full diet specially fibre roti etc then recommend for any medicine. Wl work faster.
3 people found this helpful

How to avoid Anal disorders?

Dr. Srushti Bhujbale. 90% (10 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), Certificate Course In Ksharasutra Therapy
Ayurveda, Mumbai
How to avoid Anal disorders?
Anal disorders mostly include piles, fissures and fistulas. To avoid them, its most important, not to avoid the urge of passing stools, not to get constipated and avoid forceful evacuation of the stools. Matrabasti, one of the panchakarma treatments, is the best solution on the almost all issues regarding passing stools. So, to avoid anal disorders, one should keep these things in mind and choose matrabasti as a good option.

Anorectal Surgeries

Dr. Ashish Ganatra 92% (57 ratings)
M.S
General Surgeon, Rajkot
Anorectal Surgeries
Never be afraid of surgeries for piles, fistula or fissure as now minimally invasive surgeries are available without any cuts, sutures or dressings. No fear of loss of control. Day care surgeries with faster recovery.
1 person found this helpful

Popular Questions & Answers

Hello, I am having Anal fissure. After passing stool the pain in lower abdomen persists for an hour or 2. Why does this happen? How do I get rid of this pain?

Dr. Dnyanesh Chavan 91% (57 ratings)
M.S. (proctology)
Proctologist, Navi Mumbai
Hi dear Lybrate user In fissure there is severe pain during passing stool especially in acute anal fissure. This is due to spasm in anal sphicter muscle. If it is not responding to medication then it requires anal stretching or sphincterotomy which will relieve your pain. Consult surgeon nearby you. It is very minor procedure.
1 person found this helpful

I have anal fistula from past 3 months so I want to know is surgery can be cure it completely or if I take homeopathic medicine then it take how much time to cure it completely.

Dr. Dnyanesh Chavan 91% (57 ratings)
M.S. (proctology)
Proctologist, Navi Mumbai
Hi dear Lybrate user it read your query from my point of view fistula is difficult to cure with medine of any pathy. Lt requires special treatment like laser, ksharsutra, surgery.
1 person found this helpful

Doctor I am taking ayurvedic medicine tanvi products from 28th jan. Now 7 days still now pus is coming from my anus it's fistula or fissure. Please tell me. Doctor told ne to come on 28th Feb.

Dr. Dnyanesh Chavan 91% (57 ratings)
M.S. (proctology)
Proctologist, Navi Mumbai
It is fistula in ano and is not curable by medicine it requires special treatment like ksharsutra technique or laser surgery and minor routine surgery can cure it.

Hi doctor thanx for my previous question. Now I want to Know that if surgery of fissure will be done then after surgery can this problem will be occurs again like piles.

Dr. Adnan Mattoo 92% (120 ratings)
General Surgeon, Srinagar
Well. Fissure doesn't usually recur if a sphincterotomy is done properly. However you will always need to avoid constipation as it may cause some discomfort and trauma. Regards.
1 person found this helpful

I am suffering from fissure for last 3 months. Please help me to get rid of this.

Dr. Srishail Chiniwalar 90% (80 ratings)
DNB ( Surgical Gastroenterology), Membership of The Royal College of Surgeons (MRCS), MBBS, MS - General Surgery
Gastroenterologist, Hubli-Dharwad
If you have taken proper treatment for fissure in last 3 months and not resolved then Surgery (sphincterotomy) is the last option. Consult a surgeon.

Health Quizzes

Anal Fissure & Fistula - What Should You Know?

Dr. Tarun Agarwal 86% (10 ratings)
MBBS, MS - General Surgery
General Surgeon, Lucknow
Anal fissure is associated with constipation only. True or False? Find out by taking the quiz.
Start Quiz
178 people took this quiz

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