Anal fissures

Anal fissures are tears in the delicate lining of the anal canal; they occur near its opening. An anal fissure may be superficial or deep. Fissures are thought to occur when a hard stool tears the lining of the anal canal. Anal fissures can affect people of any age. It is a very painful condition. There is a severe pain in anal and perianal area during bowel movement. Pain can last for several hours after defecation. A streak of blood may be noticed on the side of stool.

What are the symptoms of anal fissure?

  • Pain during defecation and after.
  • Bright red blood on stool or toilet paper after defecation.
  • A crack in skin of anus.
  • A swelling near the crack at anus.

What are the causes of anal fissure?

  • Constipation and straining at defecation.
  • Passage of hard stool.
  • Chronic diarrhea.

How to prevent anal fissure?

  • Prevent constipation or diarrhea.
  • Eat high fiber food and drink plenty of fluids to avoid straining during defecation.

What are the general measures to control haemorrhoids?

  • High fiber diet – 25 to 30 gms fiber per day.
  • Plenty of oral liquid intake – 8 glasses of water daily.
  • Elimination of constipating foods such as maida, white bread, cheese etc.
  • Respond quickly to the urge to defaecate and avoid straining on the toilet.
  • Keep the anal area clean by washing daily with soap and water and dry gently and completely.
  • SITZ bath – sitting in warm water for 15-20 minutes twice a day.

When to see the best doctor or when to visit the best clinic near you?

  • Failure to heal. An anal fissure should heal within 8 weeks.


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