Diseases And Treatments

Anal Fissure - What It Is, Causes and Treatments


Anal Fissure - What It Is, Causes and Treatmentswhich we should not ignore. In additionAnal fissureis a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure can occur when you pass strong or large stools during a bowel movement. AtAnal Fissuresusually cause pain and bleed with bowel movements. You may also experience spasms in the muscle ring at the end of your anus (anal sphincter).

AtAnal Fissuresare very common in young children, but can affect people of any age. Most of theAnal Fissuresimprove with simple treatments such as increased fiber intake or seat baths. Some people withAnal Fissuresmay need medication or, occasionally, surgery. So check it out nowAnal Fissure - What It Is, Causes and Treatments:

The Main Causes:The common causes ofAnal fissureinclude:



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  • Passing large or hard stools:
  • Constipation and exertion during bowel movements:
  • Chronic Diarrhea:
  • Inflammation of the anorectal area, caused by Crohn's disease or other inflammatory bowel disease:
  • Childbirth:

Less common causes of anal fissures include:

  • Anal Cancer:
  • HIV:
  • Tuberculosis:
  • Syphilis:
  • Herpes:

The Main Symptoms:The signs and symptoms of aAnal fissureinclude:

  • Pain, sometimes severe, during bowel movements:
  • Pain after bowel movements that can last up to several hours:
  • Bright red blood in 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 mark of nodules or skin on the skinAnal fissure:

When to see a doctor:Consult your doctor if you have pain during bowel movements or notice blood in the stool or toilet paper after a bowel movement.



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Non-Surgical Treatments:Your doctor may recommend:

  • Externally applied nitroglycerin (Rectiv), to help increase blood flow to theAnal fissureand 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, which can be serious.
  • Topical anesthetic creams such as lidocaine hydrochloride (Xylocaine) may be helpful for pain relief.
  • Injection of botulinum toxin type A (Botox), to paralyze the anal sphincter muscle and relax spasms.
  • Blood pressure medications, such as oral nifedipine (Procardia) or diltiazem (Cardizem) may helpAnal fissure. These drugs can be taken orally or externally and can be used when nitroglycerin is not effective or causes significant side effects.