Understanding Anal Fissures: Causes, Symptoms, and Treatment Options

Anal fissures are small tears within the skin lining of the anus that may cause extreme discomfort, pain, and bleeding. They’re a common problem that affects people of all ages and could be caused by quite a lot of factors. In this article, we will discuss the causes, symptoms, and treatment options for anal fissures.


Anal fissures are often caused by trauma to the anal area, comparable to passing hard stools or constipation. Different common causes of anal fissures embody:

Diarrhea – frequent diarrhea can irritate the anal space and cause fissures to develop.

Anal sex – anal intercourse can cause small tears in the anal lining, which can lead to anal fissures.

Crohn’s illness – this inflammatory bowel illness can cause inflammation and ulceration of the digestive tract, together with the anus, leading to anal fissures.

Childbirth – during delivery, the anus and surrounding tissue might change into stretched and damaged, leading to anal fissures.

Chronic constipation – straining to have bowel movements regularly can cause anal fissures.


The symptoms of anal fissures can range from person to person, but the most typical signs embody:

Ache during bowel movements – anal fissures can cause intense pain and discomfort when passing stools.

Bleeding – small quantities of shiny red blood could also be visible on the surface of stools or rest room paper after wiping.

Itching – the anal space might develop into itchy and sore because of the presence of the fissure.

Discomfort and soreness – the anal space may feel sore and tender, making it uncomfortable to sit down.


The deal withment of anal fissures will depend on the severity of the condition and the undermendacity cause. In most cases, conservative deal withment measures can assist to alleviate the signs and promote healing. Among the commonest deal withment options for anal fissures include:

Topical medications – creams and ointments containing topical anesthetics, corticosteroids, and nitroglycerin can assist to reduce pain and inflammation in the anal area.

Warm baths – soaking in a warm tub for 10-quarter-hour can help to assuage the anal space and reduce discomfort.

Fiber supplements – adding fiber supplements, such as psyllium, to your food regimen might help to soften stools and forestall constipation, which can exacerbate anal fissures.

Stool softeners – these medications assist to soften stools, making them simpler to pass without straining.

Surgery – in extreme cases, surgery may be necessary to repair the fissure and promote healing. This could involve cutting the internal anal sphincter muscle to reduce pressure on the fissure or using a particular glue to seal the tear.


Stopping anal fissures entails making lifestyle adjustments that can reduce your risk of growing the condition. Some effective prevention strategies embrace:

Eating a high-fiber food regimen – consuming loads of fiber-rich foods can help to keep stools soft and stop constipation.

Drinking plenty of fluids – staying hydrated will help to forestall constipation and make stools easier to pass.

Exercising often – common physical activity can assist to improve bowel perform and prevent constipation.

Avoiding straining throughout bowel movements – taking your time when passing stools and avoiding extreme straining can reduce your risk of developing anal fissures.


Anal fissures generally is a painful and uncomfortable condition, however they’re treatable with conservative measures in most cases. If you’re experiencing signs of anal fissures, it is important to see a healthcare provider for an accurate diagnosis and deal withment plan. By making lifestyle changes and following your healthcare provider’s recommendations, you possibly can stop anal fissures from recurring and enjoy higher anal health

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