Signs of anal fissure | Ada
An anal fissure is a tear in the lining of the anus, the backside opening where feces are excreted, with symptoms such as tearing, burning, and bleeding during and after a bowel movement. Treatment usually consists of softening the stool, avoiding constipation, and maintaining good hygiene.
Types of anal fissure
Anal fissures can be acute, chronic, or subcutaneous in nature.
Anal fissure symptoms include: a sharp, searing, or burning pain in or around the bottom; some bleeding, usually bright red on toilet paper or stool; itching and a tight feeling in the anus when feces is excreted; and itching and a tight feeling in the anus when feces is excreted.
An anal fissure occurs when the lining of the anal canal is overstretched, causing the lining to tear. Common causes include a large, hard, or traumatic bowel movement, or anal penetration. Postponing bowel movements to avoid the pain may exacerbate constipation.
Constipation is the most common cause of anal fissure, which can be caused by a variety of factors, the most common of which are not eating enough fiber or drinking enough fluids. Learn more about persistent constipation and possible treatments.
Anal fissure postpartum
The rectum is the last segment of the digestive system, and it stores feces until a person is ready to defecate. Women often experience constipation during pregnancy due to the increased weight of the baby, and about one in ten women suffers from anal fissure after childbirth.
Other anal fissure causes
Anal fissures are caused by tight anal sphincter muscles, though the cause is unknown; anal cancer can mimic benign anal fissure symptoms, and other cancers such as leukemia or ulcerative colitis can also cause them.
An anal fissure can be diagnosed by a doctor based on a description of the symptoms and a physical examination. Most fissures appear at 12 or 6 o’clock; those found elsewhere are likely to be associated with an underlying disorder, such as Crohn’s disease.
Endoscopy procedures to look inside the body may be recommended if there is a persistent or recurring problem with an anal fissure; these are avoided in cases of an acute anal fissure because they are not normally well tolerated; if necessary, procedures may include surgery to remove the offending part of the rectum or rectum.
It entails inserting a tube into the anal canal with a light and camera on the end, as well as using topical anesthetic to give the patient a general anesthetic prior to the procedure.
Anoscopy and sigmoidoscopy may be required for people who have a chronic or recurrent anal fissure after surgery.
Though medical attention should always be sought, the Ada app can help you check your symptoms. Read more about Preparing for a Colonoscopy here. Anal fissures are sometimes misdiagnosed as hemorrhoids, which can delay appropriate treatment and lead to an acute fissure becoming a chronic one.
Anal fissure treatment usually begins with a high-fiber diet and adequate fluid intake to soften feces and prevent further damage to the area. Surgery is sometimes recommended for chronic anal fissures.
Anesthetic cream or ointment
Prescription or over-the-counter anesthetic creams and ointments should be applied before going to the bathroom and for short periods of time, up to about five to seven days; if used too often, the skin around the anus may become irritated.
Steroid cream or ointment
To avoid side effects like skin thinning or enlarged blood vessels, steroids should not be used for more than one week at a time.
Ibuprofen and paracetamol can help relieve pain, but they should not be used as a substitute for painkillers.
How long do anal fissures last?
An acute anal fissure usually heals in 6 weeks with conservative treatment, and some disappear when constipation is addressed. Chronic anal fissures last longer than 6 weeks.
How painful is a fissure?
A fissure is a sharp, stinging, or burning pain that occurs during bowel movements. It can be mild or severe, and it can last for several hours after a bowel movement.
How do I know if I have a fissure or fistula?
Symptoms of fissure vs. symptoms of fistula There are usually visible cracks and tears around the anal region, and anal fistula is characterized by throbbing pain in the anal region that usually becomes more painful over time.
How do you check for anal fissures?
A doctor can usually diagnose an anal fissure by looking at the area around the anus, but they may want to do a rectal exam to be sure. During this exam, the doctor may insert an anoscope into your rectum to make the tear easier to see.
Why do I keep getting anal fissures?
Anal fissures are most commonly caused by trauma to the inner lining of the anus from a bowel movement or other stretching of the anal canal, which can be caused by hard, dry bowel movements or loose, frequent bowel movements. Patients with a tight anal sphincter muscle are more likely to develop anal fissures.
Why does it feel like razor blades when I poop?
Fissures are the most commonly misdiagnosed anal problem, as they are frequently mistaken for hemorrhoids. The pain is caused by spasms of the sphincter muscle, which is exposed to air by this tear. The pain with bowel movements has been described as passing razor blades.
Do fissures hurt when sitting?
With an anal fissure, sitting can be extremely painful, and you may notice a few drops of blood in the toilet bowel or while wiping.
What happens if fissure is not treated?
Persistent hard or loose bowel movements, scarring, or spasm of the internal anal muscle all contribute to delayed healing of a fissure that does not respond to conservative measures.
Is Vaseline good for fissures?
Take a warm sitz bath after bowel movements to help relax the sphincter and relieve pain. Vaseline ( petroleum jelly ) may also help. You may also want to try some medications. Topical nitroglycerin promotes healing by increasing blood flow to the area and reducing pressure in the anal sphincter.
What will happen if a fistula is left untreated?
Fistulas can cause a lot of pain and, if left untreated, can lead to serious complications, including sepsis, a dangerous condition that can cause low blood pressure, organ damage, and even death. Some fistulas can cause a bacteria infection, which can lead to sepsis, a dangerous condition that can cause low blood pressure, organ damage, and even death.
Can anal fissures heal on their own?
An anal fissure, like other small cuts or tears in the skin, will usually heal on its own in a few weeks, but you should see your doctor if you have one because they can provide you with advice and medications to help ease your symptoms and allow the fissure to heal more quickly.
How do you get rid of anal fissures without surgery?
Can anal fissures heal without surgery? The goal is to relax the anal sphincter muscle, which can be accomplished by taking stool softeners and eating a high-fiber diet, as well as exercising regularly.