Signs and symptoms of an anal fissure include:
- Pain, sometimes severe, during bowel movements
- Pain after bowel movements that can last up to several hours
- Bright red blood on the stool or toilet paper after a bowel movement
- Itching or irritation around the anus
- A visible crack in the skin around the anus
- A small lump or skin tag on the skin near the anal fissure
Common causes of anal fissure include:
- Passing large or hard stools
- Constipation and straining during bowel movements
- Chronic diarrhea
- Inflammation of the anorectal area, caused by Crohn’s disease or another inflammatory bowel disease
Less common causes of anal fissures include:
- Anal cancer
Factors that may increase your risk of developing an anal fissure include:
- Infancy. Many infants experience an anal fissure during their first year of life; experts aren’t sure why.
- Aging. Older adults may develop an anal fissure partly due to slowed circulation, resulting in decreased blood flow to the rectal area.
- Constipation. Straining during bowel movements and passing hard stools increase the risk of tearing.
- Childbirth. Anal fissures are more common in women after they give birth.
- Crohn’s disease. This inflammatory bowel disease causes chronic inflammation of the intestinal tract, which may make the lining of the anal canal more vulnerable to tearing.
The goal of treatment for anal fissure is to release the
spasm of anal muscle and cure the anal tear.
Jyoti Nursing Hospital Proctology dept. offered the both conservative and laser
treatment for anal fissure.
Jyoti Nursing Hospital proctology team treated the acute and chronic anal fissure with the self-researched
Ayurveda medicine ( Anoac, Anoac Tablet, Constac Powder ) cream powder anal tablet for the acute fissure. )
For chronic fissure, we offered the best-advanced laser treatment for release the spasm and heal the anal tear with the power of laser
If you have an anal fissure, you may be referred to a doctor who specializes in digestive diseases (gastroenterologist) or a colon and rectal surgeon.
Here’s some information to help you get ready for your appointment, and what to expect from your doctor.
A fistula in ano is an abnormal tract or cavity with an external opening in the perianal area that is communicating with the rectum or anal canal by an identifiable internal opening.Most fistula are thought to arise as a result of cryptoglandular infection with resultant perirectal abscess.
Anal fissures often heal within a few weeks if you take steps to keep your stool soft, such as increasing your intake of fiber and fluids. Soaking in warm water for 10 to 20 minutes several times a day, especially after bowel movements, can help relax the sphincter and promote healing.
If your symptoms persist, you’ll likely need further treatment.
Your doctor may recommend:
- Externally applied nitrogylcerin, to help increase blood flow to the fissure and promote healing, and to help relax the anal sphincter. Nitroglycerin is generally considered the medical treatment of choice when other conservative measures fail. Side effects may include headache.
- Steroid creams, to help relieve discomfort.
- Botulin toxin type A (Botox) injection, to paralyze the anal sphincter muscle and relax spasms.
- Blood pressure medications, which can help relax the anal sphincter. These medications may be taken by mouth or applied externally and may be used when nitroglycerin in not effective or causes significant side effects.
If you have a chronic anal fissure that is resistant to other treatments, or if your symptoms are severe, your doctor may recommend surgery. Surgery usually involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain and promote healing. Surgery has a small risk of causing incontinence.
Several lifestyle changes may help relieve discomfort and promote healing of an anal fissure, as well as prevent recurrences:
- Add fiber to your diet. Eating about 25 to 30 grams of fiber a day can help keep stools soft and improve fissure healing. Fiber-rich foods include fruits, vegetables, nuts and whole grains. You also can take a fiber supplement. Adding fiber may cause gas and bloating, so increase your intake gradually.
- Drink adequate fluids. Fluids help prevent constipation.
- Exercise regularly. Engage in 30 minutes or more of moderate physical activity, such as walking, most days of the week. Exercise promotes regular bowel movements and increases blood flow to all parts of your body, which may promote healing of an anal fissure.
- Avoid straining during bowel movements. Straining creates pressure, which can open a healing tear or cause a new tear.
If your infant has an anal fissure, be sure to change diapers frequently, wash the area gently and discuss the problem with your infant’s doctor.