What is anal fissure?
A small cut or tear on the lining of the anal canal is known as anal fissure. Severe pain and/or bright red bleeding during or after bowel movements are caused due to this. Underneath muscle tissue is sometimes damaged due to deep anal fissures. An anal fissure is also known as an anal ulcer.
What are the symptoms of an anal fissure?
A visible tear around the skin of the anus
A skin tag or a lump of the skin around the tear
Sharp pain during the movement of the bowel
Blood streaks of blood on stools or on the toilet paper
Burning or itching near the anal area
What are the causes of an anal fissure?
Straining at the time of childbirth or bowel movement
When blood flow is decreased to the anorectal region
Too tight anal sphincter or muscle
If an individual is suffering from inflammatory bowel disease
Rarely it can also develop due to HIV, Syphilis, TB, Herpes, Anal cancer, etc.,
What are the specialists for treating anal fissure?
A certified and well experienced Primary Care Provider or Colon-Rectal Surgeon or Gastroenterologist can treat anal fissures.
What are the different nonsurgical treatment approaches for anal fissure?
OTC (over the counter) stool softeners Consuming more fluids and fibrous foods
Sitz bath helps in relaxing the anal muscle, relieve irritation and helps in increasing blood flow to the affected area
Applying ointment or creams such as nitroglycerin (for blood flow) or hydrocortisone (for inflammation) or lidocaine (to ease discomfort)
What is the difference between hemorrhoids (piles) and anal fissure?
Anal fissures are small tears or cuts on the skin inside the anus. Whereas, piles, also known as hemorrhoids are swollen veins and surrounding tissue around the anus or anal canal.
Is anal fissure treatment painful?
Anal fissures are painful but whereas, the treatment provides symptomatic relief. However, some mild discomfort can be experienced by the patient undergoing the treatment.
What are the lifestyle modifications to be made after anal fissure treatment?
Several lifestyle changes help in preventing future development of anal fissure:
Consuming 20-30 gms of fiber in the diet daily can soften the stools. Increasing fiber intake may cause gas and bloating so increase the intake gradually.
Drink an adequate amount of liquids
Avoid applying pressure during bowel movements
What are the risk factors of anal fissures?
What are the complications after anal fissure treatment?
If the fissure fails to heal
If the fissure reoccurs
If the tear extends to the surrounding tissues and muscles
How can anal fissure be prevented after treatment?
Keeping the affected area clean
Using mild soap and warm water to clean
Consuming fibrous food and plenty of water
Regular exercises to avoid constipation
Treating diarrhea or constipation immediately