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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

Sir I have an anal fissure every summer this problem coming doctor prescribed some medicines and ointments for this. After I had that medicine it will cure but again after some months again it's coming. Is there any homeopathy medicine for this problem permanently.

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Anal fissure can be completely treated without surgery by graded kshar karma treatment. In this treatment; graded kshar - a specialized ayurvedic medicine is applied in fissure region. This medicine debrides the fissure and induces healing. Usuall...

Hlo sir can we use smuth cream for fissure treatments? Ful cream name smuth (calcium dobesilate, lignocaine, hydrocortisone, acetate & zinc cream.

MS - General Surgery, MBBS, Fellowship in Laparoscopic & Advanced Laparoscopic surgical, Fellowship in Surgical Gastroenterology
Gastroenterologist, Hyderabad
These creams contain steroids. Good for short interval of one week. Longtime can cause infections. At your young age I encourage high fiber diet, water and avoid constipation by taking lot of fruits. You will require a proctoscopy to look for a fi...
1 person found this helpful

I am 24 years old female having anal fissure since 30 days before nd yes I succeeded in preventing constipation but that fissure is paining when I used to initiate my stool to pass it stinging nd after that my stool passes easily. I used to take sits bath 2 times daily but I dnt think its healing. Also sometimes my anal started to feel itchy I do not knw why. So please tell me how to heal my anal fissure as soon as possible plss help me out?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Anal fissure can be completely treated without surgery by graded kshar karma treatment. In this treatment; graded kshar - a specialized ayurvedic medicine is applied in fissure region. This medicine debrides the fissure and induces healing. Usuall...

Actually I have heard that sentinel piles are caused due to fissure which lasts for longer time but in my case I had fissure pain lasting for about 3-4 days & then too I have a sentinel pile .y is it so? Do size of sentinel piles keep increasing in size due to prolonged sitting (due to office work)? Will sentinel pile grows wherever fissure happened? Can one have multiple sentinel piles?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopathy Doctor, Hyderabad
Untreated fissures develop a hood like skin tag (sentinel piles) which cover the fissure and cause discomfort and pain. Multiple sentinel piles may be formed out of multiple fissures. Your problem has become chronic. Very effective treatment is av...
1 person found this helpful

Dear sir, thank you for your advise. I am sorry I am suffering from anal fistula. I wrongly mentioned as fissures. Please suggest a proper treatment and medicines for getting a permanent solution. Best regards sagar danait.

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Anal fistula can not be treated by oral medicine - homeopathic/ allopathic or ayurvedic so usually, surgery is advised to treat this problem. But surgery is not the right choice for the reason of the recurrence of fistula after surgery and other c...

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