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Fissure - Symptoms & Diagnosis

What is an anal fissure?

An anal fissure is a small tear or cut in the lining of the anus, which can cause pain and discomfort during bowel movements. It can be caused by constipation, diarrhea, childbirth, or other trauma to the area. Generally heals by itself but sometimes persists when the anus fails to relax, choking off blood supply … no blood no healing. Some natural treatments that may help alleviate symptoms include increasing fiber intake, staying hydrated, and using sitz baths. Medical treatments may include ointments, creams, or medications to relax the anal sphincter (Nifedipine or Diltiazem and rarely Nitroglycerin). In severe cases, surgery may be necessary. Laser treatment is a newer option for treating anal fissures, in which a small, low-level laser is used to painlessly stimulate healing in the affected area. Overall, it is important to seek medical attention for anal fissures to ensure proper diagnosis and treatment.

What causes anal fissures?

An anal fissure is typically the result of passing a firm, possibly dry stool with excessive straining.

What are the symptoms of an anal fissure?

Most people who have an anal fissure feel a tearing, ripping, or burning pain when they have a bowel movement. This pain can last for hours. Some people also bleed slightly when they have a bowel movement. They might see bright red blood on the toilet paper or on the surface of the bowel movement. Some people with an anal fissure also have itching or irritation around the anus.

Here is what an anal fissure looks causing pain and bleeding. Laser fissuroplasty is a possible option. Dilating and numbing medicine is the mainstay of treatment.

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