What are the anal fissure?

    An anal fissure is a tear in the tissue lining the anal canal. Such a break can cause severe pain and result in bleeding when you have a bowel movement. You may see bright red blood in your toilet or on your toilet paper. Anal fissures are not uncommon and can occur at any age.

What is Acute Anal Fissure?

   Anal fissures are categorized as either acute or chronic. Acute anal fissures tend to be superficial and heal relatively quickly, without the need for medical intervention. Chronic fissures are those that have not healed within six weeks. Chronic anal fissures tend to be deeper than those that are acute.


The photo above shows where the anal fissure is.

 Note:  Any sign of bleeding from the rectum or anus should be reported to your doctor for an accurate diagnosis

Anal fissures are typically the result of some form of trauma to the anus. This trauma has been associated with a variety of causes, but most often is simply the result of a hard stool. Surprisingly, it is estimated that only a quarter of anal fissures are caused by constipation. (This is not a contradiction as it is possible to experience a hard stool without being constipated.) The associated trauma to the anus can also be the result of diarrhea episodes.Anal fissures are also thought to be more likely when there is excessive tension in the internal sphincter of the anus.


Complications of anal fissure can include:

  • Failure to heal.  An anal fissure that fails to heal within eight weeks is considered chronic and may need further treatment.

  • Recurrence.  Once you've experienced an anal fissure, you are prone to having another one.

  • A tear that extends to surrounding muscles.  An anal fissure may extend into the ring of muscle that holds your anus closed (internal anal sphincter), making it more difficult for your anal fissure to heal. An unhealed fissure can trigger a cycle of discomfort that may require medications or surgery to reduce the pain and to repair or remove the fissure.

There are some health conditions that are thought to increase the risk of experiencing an anal fissure: The Chronic Constipation, Hypothyrodism, too much cholesterol or Obesity and localized tumors.

The photo above shows where the anal fissure is

   To prevent having anal fissure, The self-care tips for preventing anal fissures are similar to those for preventing hemorrhoids. Try to keep your stool soft by taking in plenty of dietary fiber and drinking lots of water. Be sure to cleanse the area gently. 

     When it comes to treatments , 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, A visible crack in the skin around the anus and a small lump or skin tag on the skin near the anal fissure. If you are experiencing an anal fissure, you may find relief and encourage healing through the use of a sitz bath. Keeping your stool soft and being gentle when cleansing the area will also help. Don't try to avoid or postpone bowel movements; this will only serve to harden the stool and further exacerbate the problem.

   Should your symptoms persist, make an appointment with your doctor. There are several medical treatments that are available: Surgery for a procedure is known as lateral internal sphincterotomy, The Medications either topical or injected or Botox injections. 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.
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 child's doctor.

mail  If you can see all of this signs in your anal, We would like you to have our consultation here In Heng Kang Diagnostics And Medical Clinic. Or visit us here in  517-519 Quintin Paredes St., Brgy.289, Binondo, City of Manila.




Note: Treatment results may vary depending on the condition of each patient. Therefore, patients need to go to a specialized clinic for a direct consultation with a doctor. Do not take any medicine unless prescribed by a doctor.

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