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All About
Anal Fissure
Symptoms
An anal fissure may cause one or more of the following symptoms:
- a visible tear in the skin around your anus
- a skin tag, or small lump of skin, next to the tear
- sharp pain in the anal area during bowel movements
- streaks of blood on stools or on toilet paper after wiping
- burning or itching in the anal area
Causes
An anal fissure most often occurs when passing large or hard stools. Chronic constipation or frequent diarrhea can also tear the skin around your anus. Other common causes include:
- straining during childbirth or bowel movements
- inflammatory bowel disease (IBD), such as Crohn’s disease
- decreased blood flow to the anorectal area
- overly tight or spastic anal sphincter muscles
In rare cases, an anal fissure may develop due to:
More about Treatment
An anal fissure is a small cut or tear in the lining of the anus. The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements. At times, the fissure can be deep enough to expose the muscle tissue underneath.
An anal fissure usually isn’t a serious condition. It can affect people of all ages, and it’s often seen in infants and young children since constipation is a common problem in these age groups.
In most cases, the tear heals on its own within four to six weeks. In cases where the fissure persists beyond eight weeks, it’s considered chronic.
Certain treatments can promote healing and help relieve discomfort, including stool softeners and topical pain relievers.
If an anal fissure doesn’t improve with these treatments, you may need surgery. Or your doctor may need to look for other underlying disorders that can cause anal fissures.
FAQ on this Treatment
What are long term complication of this disease?
It can lead to development of Anal abscess formation(which is infected ulcer) and subsequent fistula formation. Chronic cases are usually associated with anal tags which further adds to discomfort and can cause collection of blood.
What are sentinel piles?
Sentinel pile is the skin in lower part of fissure which enlarge and guards the fissure. It generally causes discomfort and get infect and collect blood in it.It is generally removed while removing fissure.
How is this disease diagnosed?
The disease is diagnosed on rectal examination. Examination includes examining with finger under torch light or proctoscopy examination.
When should I undergo treatment?
One should not hesitate to see General Surgeon
1)If the pain and discomfort isn’t getting better after taking general measures.
2)Pain or discomfort gets worse or if your poo contains blood
3)Condition isn’t getting better even after 6 weeks of treatment.
What is treatment done?
Conservative treatment is aimed to eliminate the cause that is to soften the stools which include adequate water intake, stool softener, fiber rich diet. One can practice Sitz bath which include sitting in warm water 2-3 times in a day to relax spincter or to increase blood flow and hasten healing.
What is the medical treatment done?
Local application of lignocaine which numbs the area , relaxes the spincter and decreses pain. Your Doctor may prescribe drugs like Diltiazem(two times day) or other Calcium channel blocker ,Glyceryltrinitrate two or three times a day. Self medication is harmful.