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Last Updated: Feb 05, 2020
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Anal Fissure - Causes, Symptoms, Treatment And Home Remedies

About Frequency Causes Symptoms Diagnosis Treatment Risks Prevention Home remedies

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.

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.

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.

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.

Popular Questions & Answers

Hello doctor, my husband has been taking pilex tabs for last 20 days 2 tabs three times a day. His piles condition has improved, should he continue these tabs and for how long? Thank you!

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Hello. It's nice to know that your husband is improving with conservative treatment for piles. He may continue the medicines for at least 4 to 8 wks. If he is in grade 1 and 2, he will definitely get benefitted. For follow up, it is advisable to v...

Mujhe piles ki problem hai main specialist se treatment karwa rahi thi but covid k wajha se abhi ja nahi sakti to unki medicine continue kar rahi hu ciplox, seroz- d, flamheal fort tablet etc. But problem is that ki ye mujhe medicine leti hu thik lagta hai baad me phirse same problem. Please tell me kya karu.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Hi madam. Will it be possible for you to send a pic of the area for visual examination. Normally, we treat piles with laxatives, hot sitz bath nad application of ointment. I will suggest you to avoid two things. One. Is constipation and the other ...

As you say for endoscopy I do and the report is as I have no piles no ulcer abd fissure in ano so kindly suggest me what I do my doctor says for botox injections does it safe.

MBBS, MS general surgery
General Surgeon, Hyderabad
Botox injection is temporary treatment and highly recurrent and you need to take it life long so better go with permanent cure. As your young .myself a general surgeon contact me for best cure.

Dear, sir. I want to ask for the doxium 500 mg. I have hemorrhoids long time but nothing help for internal hemorrhoids and decide to use doxium caps. Is that god medicine or not and what you propose to use different medicine to get results and final healing.

MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS), Diploma in Advanced Laparoscopic surgery, Training in Laparoscopy, Advanced training in laparoscopic hernia surgery
General Surgeon, Srinagar
The only definitive treatment for hemorrhoids is surgical. Either traditional hemorrhoidectomy, or stapler , or laser hemorrhoidopexy. Medications will help you decrease the symptoms but won't cure the disease.. regards..

I have piles and using oxerute cd tablets for 1 week. The pain is still there in rectum. Will doctor be consulting for such problems.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Yes, you can consult a surgeon in person to get examined and get your diagnosis confirmed. For any ano rectal problems ,avoid two things. Constipation and straining. Also add hot sitz bath and application of ointment before going to pass stool. Th...

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