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A fissure refers to a small tear or cut in the lining of the anus. In some cases, it can be deep enough to expose the underlying muscle tissue. Anal fissures can be very painful and may cause bleeding during bowel movements. However, it is not considered a very serious condition. In most cases, it heals within a month or two. If it persists for longer than that, it may be called a chronic fissure. In rare cases, surgery may be needed.
Anal fissures usually occur as a result of constipation or frequent diarrhoea. When passing stool that is hard and bulky, the lining of the anal passage may get irritated. This can cause cuts and tears. Similarly, passing stool frequently while suffering from diarrhoea can also irritate the tissue and result in a fissure. Other factors that may cause a fissure include:
Other less common causes include:
You could be at risk of developing fissure if:
This is commonly seen amongst infants and young children as they often suffer from constipation.
The symptoms of fissure include:
A physical examination of the anal area along with a rectal exam is usually used to confirm a diagnosis of fissures. This may include inserting an anoscope into the rectum to allow the doctor to inspect the anal canal as long as the patient is not in too much pain. In some cases, an endoscopy may be required. If the doctor believes that the fissure is caused by an underlying condition, he may also ask for a colonoscopy and a flexible sigmoidoscopy.
Some of the complications caused by fissures include:
Medication and simple lifestyle remedies are usually all that is needed to treat fissures. Medication is usually prescribed to relieve the pain and itchiness associated with the fissure and to improve blood flow to the rectal area. A high-fibre diet and drinking plenty of fluids are advised to relieve constipation and soften stool. In some cases, stool softeners and laxatives may be temporarily prescribed.
In some cases, Botox injections may be prescribed to temporarily paralyse the rectal muscles to prevent new fissures from developing while the existing fissures heal. In rare cases of chronic fissures, surgery may be needed to relax the sphincter muscles.
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I can understand your concern.
Let me clear one thing, norflox-oz didn't cause the fissures.
Fissures ten to worsen if you have a sitting job or if you are overweight.
There is a solution.
If it is severe and cannot be controlled by medicines then surgery is an aption.
Consult a general surgeon in person for further evaluation and management.