{"id":1004,"date":"2021-09-13T11:33:09","date_gmt":"2021-09-13T06:03:09","guid":{"rendered":"https:\/\/www.yashodahealthcare.com\/blogs\/?p=1004"},"modified":"2023-11-23T17:49:53","modified_gmt":"2023-11-23T12:19:53","slug":"anal-fissures-signs-symptoms-causes-and-diagnosis","status":"publish","type":"post","link":"https:\/\/www.yashodahealthcare.com\/blogs\/anal-fissures-signs-symptoms-causes-and-diagnosis\/","title":{"rendered":"Anal Fissures: Signs, Symptoms, Causes &#038; Diagnosis"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p><span style=\"font-weight: 400;\">An <a href=\"https:\/\/www.yashodahealthcare.com\/fissures\/surgery\/general-surgery\">anal fissure<\/a> is a tiny cut or tears in the mucosal lining of the anus which causes pain and bleeding during and after bowel movements. Sometimes, the fissure can expose the muscle tissue under the mucosal lining in the anus.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Generally, an anal fissure is not a serious medical condition, and in most cases, it heals on its own within a few weeks. However, if it doesn\u2019t heal, it is considered chronic and needs treatment.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are several treatments to heal fissures and relieve discomfort. However, if an anal fissure is persistent, one may need surgery to treat it completely. <\/span><\/p>\n<h2>Signs &amp; symptoms of anal fissure<\/h2>\n<p><span style=\"font-weight: 400;\">An anal fissure involves tearing or cracking of the inner lining of the anus. The following may be the symptoms of this condition:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inflammation or itching in the anus\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood in faeces or stools\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Small lump of skin beside the crack or tear<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain during bowel movements\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A visible crack in the anus\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trouble in urinating\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Foul-smelling discharge <\/span><\/li>\n<\/ul>\n<h2>Causes<\/h2>\n<p><span style=\"font-weight: 400;\">Trauma or tear to the anus can lead to anal fissures and such traumas could be caused by the following:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Chronic or long-term constipation:<\/b><span style=\"font-weight: 400;\"> When the stools are hard, they can damage or tear the inner lining of the anus.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prolonged diarrhoea\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anal sex\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insertion of foreign objects into the anus\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Forced bowel movement especially when the stool is large, hard and dry.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">There are some other causes of anal fissures which are as follows:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poor bowel habits\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Extremely tight anal sphincter muscles\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Certain diseases like Crohn\u2019s disease, ulcerative colitis, anal cancer, leukaemia, STDs, etc.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreased blood flow to the anorectal area<\/span><\/li>\n<\/ul>\n<h2>Diagnosis<\/h2>\n<p><span style=\"font-weight: 400;\">Your doctor can diagnose an anal fissure just from the symptoms. However, it becomes important to examine the area for the presence of a fissure, either by visual inspection or by feeling the skin cracks with the fingertip by the doctor.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In some cases, the following tests may be prescribed to determine the underlying cause of the fissure:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Sigmoidoscopy:<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<\/ul>\n<p style=\"text-align: left;\"><span style=\"font-weight: 400;\">This test is used to find any abnormality in the lower part of the colon or sigmoid colon.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Colonoscopy:<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The large intestine is examined in the test.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Both these tests are done using a flexible, lighted tube that is inserted in the intestine through the anus to visually inspect the affected areas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">They are highly advanced and specialised diagnostic methods used by the doctors at Yashoda Hospital and Research Centre, Nehru Nagar, Ghaziabad, if the situation is critical. Our advanced facilities and experienced doctors will cater to your every need with utmost sincerity while maintaining your comfort and privacy. <\/span><\/p>\n<h2>Treatment<\/h2>\n<p><span style=\"font-weight: 400;\">The objective of treatment of an anal fissure is to lower the pressure on the anal tract by making the stools softer and easing the discomfort by stopping bleeding. To accomplish this, traditional treatments are tried first which may include the following:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Balanced food and drinks:<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Your doctor may advise you to eat fibrous foods, drink more fluids, and avoid caffeine products and take some stool softeners to prevent constipation.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Sitz Bath<\/b><span style=\"font-weight: 400;\">:\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">You may be asked to sit in warm water for 10-20 minutes several times a day for relaxing the anal muscles.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gentle cleansing of the anus and rectum.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid prolonged sitting on the toilet.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using lubricants like petroleum jelly to lubricate the anorectal area.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In most cases, anal fissures heal after these practices. However, if the fissure is still present, the following prescriptions may be given by the doctors:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anti-inflammatory creams\/gels: Suppositories, foams, or creams containing hydrocortisone may be given to reduce inflammation.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Botox or Botulinum toxin type A may be injected into the anal sphincter to temporarily paralyze it. This will aid in healing and pain relief.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Creams and ointments: One or more of the following may be given to treat the condition:\u00a0<\/span><\/li>\n<\/ul>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medicated cream to heal the fissure\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Topical muscle relaxant to relax the anal muscles\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anaesthetic ointment to reduce the pain\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nitrogen or calcium channel blocker ointments to relax the anal muscles and increase blood flow to the affected area thereby, promoting healing.\u00a0<\/span><\/li>\n<\/ol>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Surgery: If the fissure does not heal from the treatments because of scarring or muscle spasms of the anal sphincter, your doctor may suggest surgery.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In the surgical method, a small cut is made on the sphincter muscle to reduce pain and spasms. This allows the fissure to heal. The surgery can be on an outpatient basis under which you can go home the same day after it is done.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To help you find the best doctors for the treatment of anal fissures we have jotted down some of the best doctors at Yashoda Hospital and Research Centre, Nehru Nagar, Ghaziabad:\u00a0<\/span><\/p>\n<p><b>Dr. Ashish Gautam<\/b> <span style=\"font-weight: 400;\">is a renowned and extremely experienced gastrointestinal, bariatric, and trauma surgeon \u2013 the <a href=\"https:\/\/www.yashodahealthcare.com\/doctor\/ashish-gautam\">best GI surgeon in the entire Delhi NCR<\/a>. An expert in all kinds of abdominal surgeries, his vast experience comes from having performed over 20,000 laparoscopic procedures such as lap colorectal, lap bariatric, laparoscopic common bile duct surgeries and video-assisted thoracoscopic surgeries.\u00a0<\/span><\/p>\n<p><b>Dr. Gautam<\/b><span style=\"font-weight: 400;\"> received extensive surgical training at S.N. Medical College, Maulana Azad Medical College, Lok Nayak Hospital and Sushruta Trauma Centre.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After this training, he pursued his fellowship in minimal access and bariatric surgery. Apart from the previously mentioned achievements, Dr Gautam is famous for his expertise in serious trauma and gunshot injury surgeries along with treating breast disease and cancer surgeries.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">He also has experience in thyroid and parathyroid surgeries through an advanced minimal access approach.<\/span><\/p>\n<p><a href=\"https:\/\/www.yashodahealthcare.com\/book-an-appointment\/\">Book your appointment at Yashoda Hospital<\/a> and get the best treatment for anal fissures.<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>An anal fissure is a tiny cut or tears in the mucosal lining of the<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":1,"featured_media":1005,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[73],"tags":[81],"class_list":["post-1004","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general-minimally-invasive-surgery","tag-dr-ashish-gautam"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.5 (Yoast SEO v21.2) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Anal Fissures: Signs, Symptoms, Causes &amp; Diagnosis<\/title>\n<meta name=\"description\" content=\"An anal fissure is a tiny cut or tears in the mucosal lining of the anus which causes pain and bleeding during and after bowel movements. 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