Fissure

What Is a Fissure?
An anal fissure is a small tear or cut in the lining of the anus, often caused by passing hard or large stools. This condition can be extremely painful and may result in bleeding during bowel movements. Fissures are common in people of all ages and can occur due to various factors related to bowel habits and health.

Causes of a Fissure

• Chronic constipation or straining during bowel movements.
• Passing hard or large stools.
• Chronic diarrhea.
• Childbirth (due to pressure during delivery).
• Anal trauma or injury.
• Underlying conditions like Crohn’s disease or inflammatory bowel disease.

Symptoms of a Fissure

• Sharp, intense pain during and after bowel movements.
• Bright red blood on the stool or toilet paper.
• Visible tear or crack near the anus.
• Itching or irritation around the anus.
• A small lump or skin tag near the fissure.

Types of Fissures

1. Acute Fissures: Short-term fissures that often heal within a few weeks with proper care.
2. Chronic Fissures: Long-lasting fissures that may require medical intervention to heal.

How Is a Fissure Diagnosed?
A fissure is typically diagnosed through:

1. Physical Examination: The doctor inspects the anal area for visible tears or cracks.
2. Medical History: A discussion about symptoms and bowel habits.
3. Additional Tests: In rare cases, further tests like colonoscopy may be required if an underlying condition is suspected.

Treatment for Fissures
Treatment options vary depending on the severity of the fissure:

1. Home Remedies:

   • Increase fiber intake and drink plenty of water to soften stools.
   • Take warm sitz baths to relax the anal muscles and promote healing.
   • Avoid straining during bowel movements.

2. Medications:

   • Topical anesthetic creams to reduce pain.
   • Nitrate ointments or calcium channel blockers to improve blood flow to the area and relax anal muscles.
   • Laxatives to ease bowel movements.

3. Surgical Treatments:

   • Lateral Internal Sphincterotomy (LIS): A procedure to relieve pressure and allow the fissure to heal.
   • Botox Injections: Temporarily relax the anal muscles to aid healing.

Complications of Untreated Fissures

• Chronic pain and discomfort.
• Formation of anal skin tags or sentinel piles.
• Risk of infection in the fissure area.
• Reduced quality of life due to persistent symptoms.

Preventing Fissures

• Maintain a high-fiber diet to prevent constipation.
• Stay hydrated by drinking plenty of water.
• Avoid straining or sitting on the toilet for long periods.
• Exercise regularly to support healthy digestion.
• Practice good anal hygiene to prevent irritation.

When to Seek Medical Help
If you experience severe pain, bleeding, or recurring fissures despite home care, consult a specialist for proper diagnosis and treatment. Early intervention can prevent complications and ensure faster healing.

For expert care and advanced treatments for anal fissures, contact Janta Piles Clinic today at 9904266955. Our skilled doctors are here to provide compassionate and effective care for a pain-free life!