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Last Updated: Oct 28, 2021
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Anal Fissure - Causes, Symptoms, Treatment And Home Remedies

About Frequency Causes Symptoms Diagnosis Treatment Risks Prevention Home remedies Recovery Diet

What is Anal Fissure?

Anal fissure occurs because of a tear or cuts 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 the 6-15 patient per cent visits to a colorectal surgeon. An anal fissure can happen to anyone. Both men and women, young and old are affected by 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 happen 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 until it ends and meets the demarcating line where the rectum starts, which is known as the dentate line.

How long do anal fissures last?

Anal fissures more often heal in around half a month without the requirement for the treatment. In any case, they are caused by constipation that was not treated. In certain individuals, manifestations from butt-centric gaps most recent a month and a half or more. It is advised to get treatment at an early stage to overcome the difficulty in a much easier way.

What causes anal fissure?

The causes of anal fissure are:

  • The most common cause of this trauma is a bowel movement
  • It can always be caused by repeated episodes of diarrhoea or hard stool (constipation)
  • Many times insertion of an enema tip, rectal thermometer, ultrasound probe (for the examination of the prostate), an endoscope can result in enough trauma for development of an anal fissure.
  • During childbirth, a trauma in the perineum tissue can also cause a tear that can extend into the anoderm.
  • Other causes for the development of this malady are infectious diseases are viral infections like herpes, gonorrhoea, syphilis, chancroid, chlamydia, tuberculosis and HIV.
  • Patients who suffer from Crohn’s disease, 4% of such patients develop anal fissures as the primary manifestation of their disease.

Why do Fissures itch at night?

Itching in the Fissures may take place due to some reasons related to hygiene, habits, diet, and some health. Some of those include:

  • Not maintaining hygiene around the anus after defecation - it should be done by using clean toilet paper.
  • Forcefully wiping or rubbing the area around the anus.
  • Use of soap, deodorant, medicated sprays, or powder in the region around the anus.
  • Consumption of food items that act as triggering factors such as more spicy foods, dairy products, carbonated drinks, chocolates, etc.

What are the signs and symptoms of anal fissures?

There are some signs and symptoms a person will experience at the initial stage of anal fissures. They are listed as getting blood while pooping, discomfort during urination, experiencing pain during solid excretion and feeling Itchy in the anal area. It is advised to consult a doctor if any of the symptoms are visible.

How are anal fissures diagnosed?

A specialist can analyze anal fissures just by looking at the region around the rear-end. they might also need to play out a rectal test to affirm the conclusion. During this test, the specialist may embed an anoscope into your rectum to make it simpler to see the tear. This therapeutic instrument is a thin cylinder that enables specialists to review the butt-centric waterway. Utilizing an anoscope may likewise enable your specialist to discover different reasons for butt-centric or rectal agony, for example, haemorrhoids. Now and again of rectal torment, you may require endoscopy for better assessment of your symptoms.

Do Anal Fissures go away?

An anal fissure is a common problem associated with the large intestine. It is not a serious concern and gets healed spontaneously with the application of home remedies. It usually takes a few days to weeks to recover from this health problem. However, in some cases, the condition is chronic or prolonged and needs to undergo treatment under the supervision of a doctor. The chronic cases take around eight to twelve weeks to heal.

How to treat anal fissure?

The treatments a doctor prescribes to heal anal fissure are applying nitroglycerin to increase blood circulation, using topical anaesthetic creams for pain relief, getting a Botox injection to paralyze the affected muscle and to take oral nifedipine or diltiazem for blood pressure.

Who is at risk for an anal fissure?

An anal fissure can occur to a person who has a bad digestive system, in most cases due to poor nutrition. Anyone who doesn’t drink sufficient amount of water and doesn’t eat fibrous food is most vulnerable to anal fissure. It is advised to add fibre to your food and drink as much water as you can, as it not only prevent the anal fissure but will improve your overall health as well.

What happens if a Fissure goes untreated?

Anal Fissures are a normal health condition that occurs commonly in men and women. In most cases, it gets healed spontaneously over a period of time or with the application of home remedies or self-care techniques. However, in some cases, it does need a consultation with a physician who can provide basic treatment. In case the condition is left untreated or treatment is delayed, it may be impairing and uncomfortable but it usually does not lead to any serious complications.

How can an anal fissure be prevented?

To anal fissure occurs due to constipation. In order to prevent anal fissure, you have to counteract constipation. Eating plenty of fibre and staying hydrated makes the stool softer and easier to excrete. Moreover, doing regular exercise helps to improve the digestive functioning and in the case of infants, changing their diapers as soon as possible after their bowel movement is also necessary.

What natural home remedies to treat anal fissures?

There are plenty of home remedies to treat anal fissures. The main motive to treat anal fissures is basically to provide lubrication at the region around the rear-end and to stop constipation. Essential oils such as coconut oil and olive oil are used as a lubricant. Applying them to the affected area makes it easier to pass the stool. In order to ease constipation, flax seeds and apple cider vinegar are consumed orally. Lastly, applying aloe vera gel to the affected area helps to heal the anal fissures.

Can Anal Fissures heal on their own?

Anal Fissures are a normal health condition that occurs commonly in both men or women. Most of the cases of Anal Fissures are not severe and have the tendency to get healed spontaneously over a period of some weeks. It is not a serious concern and is just like other cuts and tears on the skin in our body. It is recurrent in nature and needs to be treated if it does not subside itself.

What should not eat in Fissure?

Some of the food items that act as triggering factors and need to be avoided in the conditions of an anal Fissure include the following:

  • Hot and spicy foods.
  • Carbonated beverages such as coca-cola, cold drinks.
  • Caffeinated beverages such as coffee, tea.
  • Dairy or milk products.
  • Chocolates, popcorn, etc.
  • Fruits such as citrus fruits like tomatoes.

Which fruit is good for Fissure?

Fruits are important for maintaining good health. Some of the fruits which are preferred to be consumed in case of an anal Fissure include papaya, grapefruit, oranges, cantaloupe, and pear. Whole raw fresh fruits rather than fruit juices are more preferred. These fruits are enriched with antioxidants as well as fibers and also act as laxatives.

Summary: An anal fissure is a common problem associated with the large intestine, affecting both men as well as women. The treatment methods include the application of home remedies as well as self-care techniques, which results in healing over a few days to weeks. Some food items which are preferred to be consumed include papaya, grapefruit, oranges, cantaloupe, and pear. In case of chronic or prolonged conditions, it needs to undergo treatment under the supervision of a doctor who executes a proper treatment plan.

Popular Questions & Answers

I have external hemerroids after defecation mujhe pain hota hai and masse ka size bhi kafi bada hai how can I cure this.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
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According to doctor (gastro neurologist) I have fissure 6 o clock position and little internal hemorrhoids since 9 months. Now a days after passing stool then mild pain and itching around the anus. Doc. Gave me constipation tab and cream gel and sucral ano. But still I have mild pain and itching in anus area. please suggest me to complete cure for this discomfort ness. Age 37. Male.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Hi Mr. lybrate-user, the medications you were prescribed are meant to control your symptoms. But the primary cause if any anorectal disease is mainly constipation followed by straining. So any thing you apply, problem may come back if you can't re...

Mujhe kaffi time se piles ki problem h masse bhi bhar aa rkhe h kya kru. Kbhi kbhi bhut jyda prblm ho jati h masse kse khtm hoge.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Dear lybrate-user, you are suffering from either grade 2 or 3 piles which will need medical attention. I will suggest you kindly to visit a surgeon nearby and get the diagnosis correctly. In the treatment part, you need to avoid constipation and s...

I am suffering from piles. I have already the piles operation in 2019 and again it is started now in 2022 but its paining a lot of it I don't know what do to now if you have any ideas please let me know. My mother told me the idea of in hot water if we mix dettol and sit for sometime it will be removed of it by automatically. So please suggest me.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Hi lybrate-user, please understand that in all piles case, the route cause is either constipation or straining. So avoid these two, your problem will be 50% sorted. Also,hot sits bath (ur mother is recommending this to you already) is often very h...

I have developed piles or haemorrhoids after taking antibiotics or flagyl 500 three times a day for a few days. My stool is very hard and causing pain during bowel movement. How and why this happened? How can I treat this condition?

M.S GENERAL SURGERY, Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.), Medicine
General Surgeon, Hooghly
Hello. This pain during defecation is likely due to anal fissure. For the time being, avoid hot, spicy and non veg food. Drink plenty of water. The treatment involves using laxative syrup, using local anti-inflammatory cream, pain relievers and si...

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