An anal fissure is a cut occurring in the anus that extends upwards into the anal canal. Anal fissures are a common problem. They affect men and women equally and both old and young. In most cases, it occurs in children and young adults between the ages of 10 and 30.Anal fissure doesn’t lead to more serious problems. Most anal fissures heal with home treatment after a few days or few weeks. These fissures are called acute or short-term anal fissures. If you have an anal fissure that hasn’t healed after 8 to 12 weeks, it is considered a chronic or long-term fissure. A chronic fissure may want medical treatment.
Common causes of anal fissure include:
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- Passing large or hard stools
- Constipation and straining during bowel movements
- Chronic diarrhea
- Inflammation of the anorectal area caused by Crohn’s disease or another inflammatory bowel disease
Less common reasons of anal fissures include:
- Anal cancer
Symptoms of an anal fissure include:
- 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
- Irritation or itching around the anus
- A small lump or skin tag on the skin near the anal fissure
How is it treated?
Most of the anal fissures do not need surgery. In short-term or acute fissures, medical therapy is successful in the majority of patients. The majority of the anal fissures often heal on their own within a few weeks if the individual follows lifestyle habits and dietary to soften the stool. Further treatment is needed if the patients symptoms persist:
Will the problem return?
Fissures can recur simply, and it is quite common for a fully healed fissure to recur after a hard bowel movement. Even when the pain and bleeding have subsided, it is very important to continue good bowel habits and a diet high in fiber as a lifestyle change. If the problem returns without an obvious reason, further assessment is warranted.
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