An anal fissure is generally a small cut or tear present in the lining of the anus that causes severe pain and bleeding during or after having bowel movements. Sometimes, the cut is deep enough that it expose the muscle tissue present underneath too. An anal fissure can occur in people of all ages, and it is sometimes seen in young children and infants too. Constipation is one of a common problem that causes an anal fissure
Common symptoms of anal fissure
A person with anal fissure may experience the following symptoms
- Visible tear in your skin near the anus.
- Skin tag next to the tear or a small lump.
- Pain in your anal area while passing stools.
- Streaks of blood on your toilet paper after wiping.
- Burning sensation or itching around the anal area.
What are the causes anal fissure?
Constipation is the root cause of most of the health problems including anal fissure too. Here are some other causes as well that are listed here
- Passing of hard or large stools
- Chronic diarrhea
- Straining during bowel movements
- Crohn’s disease and another inflammatory bowel disease that causes inflammation of the anal area
Treatment for anal fissure
- Anal fissures can be healed within a few weeks to keep your stool soft by taking more of fiber rich foods and fluids or by soaking your lower part of the body in warm water for 10 to 20 minutes especially after bowel movements.
- Applying suppositories, creams, or foams that contain hydrocortisone to reduce inflammation around the anal area.
- Applying medicated cream or ointment, a topical muscle relaxant that is used to provide relaxation to the anal muscles. An anesthetic ointment can also be used to reduce pain that occurs during bowel movements.
- Injecting Botox (botulinum toxin type A) into the anal sphincter. This injection promotes healing by paralyzing anal sphincter muscle and offering relief from pain.
- Using Nitroglycerin ointment or those that acts as calcium channel blocker to provide relaxation to the anal muscles as well as to increase the blood flow to the affected area.
- You are suffering from severe symptoms that are resistant to other treatment options then your doctor may recommend surgery.
- Surgical procedure usually involves cutting a small portion of the anal sphincter muscle that promotes healing by reducing the muscle spasm and pain.