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Anal Fissure - Symptom, Treatment And Causes

What is Anal Fissure?

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.

Causes :

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

Don't Confuse Fissure With Fistula!

Don't Confuse Fissure With Fistula!
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 i...
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Fistula-in-Ano or Anal Fistula - How It Can Be Treated?

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All About Anal Fissures

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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 tre...
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Anal fissure (Fissure-In-Ano) - What Should You Know?

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Anal fissure (fissure-in-ano): An anal fissure is a tear or open wound at the terminal part of anal lining. It is a very painful condition. Pain is felt more on passing stool and worsens if hard stool is passed. What causes anal fissure? Acute or ...
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Popular Questions & Answers

Sir, or madam I am sathish 24 age I used sucral ano cream for my anal fissure since 15 days but now I am fine. All is well. But now facing new problem my anas is burning slightly is that cream is affected my anas. please give me solution. Plz.

if you have a diagnosed Anal fissure, then the oint with nifedepine will give better result . try with Anorelief ointment. also as suggested, take sitz bath with betadine solution.
1 person found this helpful

After lateral internal sphincterotomy still anal fissure come back after another hard bowel. But yet colorectal surgeon preferred sphincterotomy to botox injection. Why? Though botox injection is less costly than sphincterotomy.

Sphincterotomy is the recommended method of treatment , if conservative treatment failed or fissure is chronic , yes recurrence is high until dietary habits are changed , strictly avoid alcohol, smoking, tobacco , spicy food ..sitz bath regularly ...

I was operated on for thrombosis piles in 2005 and have been suffering occasionally with fissure, severe pain, constipation. I am using topical creams (diltiazem/osil/haemamelus etc) and sits bath twice a day. Very cautious in eating. Please suggest remedies for immediate relief as pain is unbearable. I have been avoiding pain killers.

I think most important aspect is avoiding hard stool, so take plenty of free vegetables, fruits, salads and drink plenty of fluid. Avoid spicy stuff. Next important thing is correct application of the cream. It has to be applied both before and af...
1 person found this helpful

I am 24 years I had anal fissure after my delivery and I took cremaffin syrup and smooth ointment it is healing but I always urge to go for toilet and my stool are narrow not pencil thin and incomplete is the cause of syrup.

Its possible to have loose stool if you are taking laxatives, fissure is very painful condition if you can do sitz bath regularly and avoid constiaption for 6-8 wks then surgery can be avoided.

Table of Content

What is Anal Fissure?

Causes :

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Fissure And Piles
Hi! I am Dr. Jiten Chowdhry. I am a surgeon by profession. My area of expertise is a painless correction of the anorectal problems. Today I am going to talk to you about the very prevalent conditions like fissures and piles and that too non-surgic...
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Anal Fissure
Hi, I am Dr Ashok Gupta, practising since last 37 years as a general surgeon, Laparoscopic surgeon and Gastroenderoscopist. Today we are going to discuss the most common problem that is Anal Fissure. Anal Fissure is such a problem which is very pr...
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Benign Anorectal
Hello friends, I am Dr. Sandip Banerjee, and I am a consultant laparoscopic surgeon, bariatric and colorectal surgeon. I am practicing in my clinic, named as Pelvinic. I am also a head surgeon in Apollo Spectra Kailash Colony. Today I am going to ...
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Anal Fissure
Hi, I am Dr. S K Singh, Ayurveda. Aaj hum baat krenge anal fissure ke bare me. Ye ek injury ke roop me dikhta hai. Iska main symptom pain hai. Anal fissure me 2 states hain - acute and chronic. Chronic me pain hota and khtam ho jata hai. Hum baat ...
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Anal Fistula And Ayurveda
Hi, I am Dr. SK Singh. I did my post graduation in ayurvedic surgery that is MS Ayurveda from institute of medical sciences Banaras University, BHU .So today I am going to talk about anal fistula. Anal fistula is a very now it is very commonly see...
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