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Last Updated: May 21, 2020
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Fissure - Symptom, Treatment And Causes

About Symptoms Causes Diagnosis Treatment Side effects Creams Home remedies

What is Fissure?

A lining tear in the lower part of the rectum results in pain while passing stools. Anal fissures usually don’t result in grave problems. Anal fissures generally heal at home with proper treatment after some time.

They are termed as acute or short term fissures. If your anal fissure doesn’t heal after 12 weeks, then it may be a chronic fissure. A long term fissure might require medical treatment. It is quite a normal and treatable problem. All age groups of people may be affected, even otherwise healthy and young people.

What are the early symptoms of fissure?

If a person is suffering from the condition of anal fissure then he/she might experience the following symptoms:

  • A person suffering from anal fissure might experience pain during the bowel movements.
  • A person who is suffering from the condition of the fissure will have a visible crack in the skin around the anus.
  • There might be a skin tag or a little bump on the skin close to the butt-centric crevice.
  • An individual may see brilliant red-hued blood in the stool or on the tissue after the solid discharge.

What are the common causes of fissure?

Trauma or injury in the anal cavity may cause an anal fissure. Injury might happen when:

  • You pass large stools.
  • You have constipation and find it hard to pass stools
  • You repeatedly have diarrhea
  • You give birth to a child
  • Rectal exams, anal intercourse or foreign object insertion can cause fissures as well.
  • Crohn’s disease might cause a fissure.

Few doctors believe that the sphincter tension might cause fissures. The inner anal sphincter isn’t controllable whereas the outer sphincter can be controlled at will. Thus this muscle has a lot of tension. If the pressure builds up too much, it may cause a spasm and reduce the blood flow causing a fissure. This pressure might slow the healing process for an existing fissure.

How is a fissure diagnosed?

Your doctor can help in diagnosing anal fissures depending on a physical exam and the symptoms.

  • Separating the buttocks and examining the fissure
  • A digitalized rectal exam. The doctor glove fingers the anal cavity
  • Anoscopy – A lighted short scope is used to observe the anal cavity

The doctor might wait for the fissure to heal before proceeding with anoscopy or rectal exams. If the exam is critical, local anesthetics may be used for numbing the area. A doctor may also look into any other conditions that may cause the fissure. Having more than one fissures or having it in a region where they don’t usually happen might indicate a graver problem, like an immunocompromised system or IBS.

How to treat a fissure?

90% of all short term fissures heal on their own or with Home Remedies. These include the use of fiber supplements and stool softeners and periodic sitz baths. 40% of chronic anal fissures heal with home treatment. Not all home treatments are effective in treating fissures. If the fissure lasts longer than 12 weeks then prescription medicines may be needed. These include high BP medicines, nitroglycerin cream and Botox injections.

What are the side effects of fissure?

Some of the side effects of the fissures include the following:

  • There may be bleeding from the fissures which can lead to a person feeling anemic.
  • The severe pain due to fissure may lead to difficulty while sitting.
  • Once a person suffers from the condition of anal fissure then he/she is prone to its recurrence.
  • There is also a possibility that it might extend into the ring of the muscles which are responsible for holding the anus closed. This makes the healing even more difficult.

What is the best cream for fissures?

The best cream for fissures is the nitroglycerin ointment. It is a 0.2% nitroglycerin ointment and it helps in the healing for long-term treatment of the tear, in the fissure or tears in the anus. This cream is rubbed by taking a pea-sized dot on the fissure twice in a day. While applying the cream it is a very good idea to wear gloves.

The cream is to be applied twice a day. If the cream gets absorbed in the skin there are chances that side effects may increase. When there is an expansion in the muscle strain it prompts resting pressure consequently, it prompts crevices. The blood flow gets reduced to the anus due to the anus and it may occur due to the rise in pressure. It leads to stopping the healing of the existing fissures. Many studies have revealed that this cream works better in the conditions which are conservative.

What are the home remedies for fissure?

Some of the home remedies which can be used for the treatment of the fissures are given below:

  • Olive oil: this oil is loaded with monounsaturated fats which is very healthy. It also has anti-inflammatory properties that provide a much-needed relief from the pain arising due to anal fissure. According to a study home remedy prepared by honey beeswax, and olive oil can provide essential relief in the problem of fissures.
  • Aloe Vera: the entire world knows the pain-relieving and healing properties of aloe vera. According to a study aloe vera can also be used for the treatment of anal fissure as it helps in repairing the damaged tissue of the skin. The topical application of aloe vera can provide the necessary relief from the condition.
  • Coconut oil for anal fissures: it is one of the most common home remedies for the treatment of anal fissures as coconut oil is loaded with medium-chain triglycerides which easily pass through the skin and the area properly lubricated.

Popular Questions & Answers

I'm suffering form anal fissure from 4 months. I using anobliss ont and cremaffin syrup regularly. There is no improvement. surgeon suggested me better go surgery because your anal area is very tight. Im not interested take surgery because some body told me after surgery anal area become loos motion is not our control. What should I do to cure permanently please suggest me sir/mam.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Two things must be controlled or better avoided to cure anal fissure .1. Constipation and 2. Straining. .to avoid constipation you are having cremaffin which you should continue. To avaoid strainibg you need to train yourself. Also ointment applic...
1 person found this helpful

Hello .i m shilpa from delhi. Could you please tell from where I can get the facility of botox injection for anal fissure in delhi.

MS
General Surgeon, Lucknow
Anal fissure is very mild disease. Can be easily treated. Don't need to take botox injection. You can get yourself prescribed from nearby hospital. Take sitz bath regularly. And laxative.

Hello. I'm 26. Previous year my motion was way too hard which resulted in cuts in my anal from inside (multiple places). Doctor diagnosed it as 'anal fisher'(if m not wrong) and duphalac plus avoiding certain foods n change in lifestyle was the treatment. So, fast forward now almost after a year, I workout 6 days, eating nothing but homemade. No tea, no coffee. Lots of curd, chach in my diet, no ginger (as many suggested), no maida, oily or anything with water intake 4-5ltr everyday. I'm vegetarian n prefer home food than junk. Lifestyle pretty good rn. Now I do not find reason on why I still am having this (it kept on happening throughout the year with gap of month or two). Its painful (pain may be 14 hrs long, painkillers does not help, ice helps for time being). One of my family Dr. (who is orthopedic) and knows my eating habits n routines, asked me to not take stress. I do went through depression but healed, suffer anxiety, panic attacks here n there. But I don't see the connection of stress with anal fresher. Stress is something which is part of life idk if that can even be avoided. Any kind of help please as Dr. suggesting small operation, but I have exams to give n also family problems, idk what exactly I should do.

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
General Surgeon, Delhi
Anal fissure can be conveniently treated without surgery by graded kshar karma treatment. In this treatment; specialized ayurvedic medicine namely graded kshar is applied in the fissure region which debrides teh fissure and helps in healing of ana...

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