Learn which…. Got green poop? There are a few possible causes, from common foods to underlying conditions, such as anal fissures.
The jejunum is one of three sections that make up the small intestine. Learn about its function and anatomy, as well as the conditions that can affect…. Health Conditions Discover Plan Connect. Anal Fissure. Medically reviewed by Alana Biggers, M. What is an anal fissure? How is an anal fissure treated? What are the symptoms of an anal fissure? What causes an anal fissure?
How to heal an anal fissure. Images of anal fissures. Dietary fiber and home remedies. Pain management. How can an anal fissure be prevented? Read this next. Medically reviewed by Angelica Balingit, MD. Sometimes an anal fissure may be a painless wound that won't heal. It may bleed from time to time but cause no other symptoms. A doctor can diagnose an anal fissure based on your symptoms and a physical exam. The exam may include:. The doctor may wait until the fissure has started to heal before doing a rectal exam or anoscopy.
If an exam needs to be done right away, medicine can be used to numb the area. During an exam, a doctor can also find out whether another condition may be causing the fissure. Having several fissures or having one or more in an area of the anus where fissures usually don't occur can be a sign of a more serious problem, such as inflammatory bowel disease or a weakened immune system.
Most short-term anal fissures can heal with home treatment in 4 to 6 weeks. Pain during bowel movements usually goes away within a couple of days after the start of home treatment. Don't avoid having bowel movements. Knowing that it might hurt may make you anxious.
But trying not to have bowel movements will only make constipation worse and keep the fissure open and painful. About 9 out of 10 short-term fissures heal with home treatment—including using stool softeners or fiber supplements and taking regular sitz baths. And about 4 out of 10 long-term anal fissures will heal after home treatment is used. But not all fissures will heal with just home treatment.
If a fissure lasts more than 8 to 12 weeks, you may need prescription medicines. These may include nitroglycerin cream, high blood pressure medicines in pill or gel form, or injections of botulinum toxin Botox.
If medicines don't stop your symptoms, you may need to consider surgery. The most commonly used surgery is lateral internal sphincterotomy. In this procedure, a doctor cuts into part of the internal sphincter to relax the spasm that is causing the fissure. Author: Healthwise Staff. Medical Review: Anne C. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use.
Learn how we develop our content. To learn more about Healthwise, visit Healthwise. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Prevention of anal fissures Many cases of anal fissures are caused by chronic constipation.
Suggestions include: Eat a high-fibre diet. Drink plenty of water to help soften stools. Consider using a fibre supplement such as Metamucil. Make sure to wipe gently after going to the toilet. Where to get help Your doctor Pharmacist Things to remember Faeces is temporarily stored in the rectum and expelled from the body via the anus. The symptoms include pain and bright red blood from the anus.
Treatment options include laxatives and surgery. Self-help suggestions include switching to a high-fibre diet and drinking plenty of water. Cancer of the anus may mimic an anal fissure. More information here. Give feedback about this page. Was this page helpful?
Yes No. Related information. Content disclaimer Content on this website is provided for information purposes only. Reviewed on: Incontinence is a possible complication from this surgery, so it is only recommended to people whose symptoms have persisted despite medicine for at least one to three months. Anal fissure surgery recovery time varies from person to person. Complications of anal fissure may include: [15] [16].
Anal fissures can occur in children of any age, but are most common in toddlers. The infant may scream when defecating and have bright red blood in their feces. A common problem of anal fissure in children is that they will often deliberately avoid defecating, which may cause hardening of feces, leading to repeated re-tearing of the old fissure and preventing healing. Even once the fissure has healed, a child may still be fearful of defecating.
To break this cycle, it is important to give the baby or child both suitable feces-softening medication and laxatives, under medical supervision, to ensure regular defecation. The correct dose varies from child to child and may be gradually adjusted so that the child consistently produces large, soft stools. Good to know: Rarely, anal fissures in children could indicate sexual abuse, especially if other causes such as hard feces are not present.
Q: Are there home remedies for anal fissure? A: Yes, there are several measures for home treatment which may help. These include:. However, medical attention should always be sought where there is bleeding from the anus. It may indicate other conditions which must receive prompt treatment to ensure the best outcome, such as anal cancer.
Q: Anal fissure or herpes — how can one tell the difference? A: It is possible to get herpes , a sexually transmitted infection, in the anal area. This can bring about what feels like a fissure around the anus and may be mistaken for one. Anal fissure causes burning pain and bleeding during defecation.
Herpes causes blisters, itching and pain around the anus, but not especially while defecating, and lesions from herpes are unlikely to bleed. Herpes may also cause flu-like symptoms and other associated problems such as pain with urination. Anal herpes normally has a history of sexual exposure to the herpes virus. Q: Are anal fissures dangerous? However, they can be associated with more serious diseases. Also, cancer of the anus may mimic an anal fissure.
Complications of an anal fissure may include: [15] [16]. Q: Are anal fissures painful? A: Anal fissures usually cause pain during bowel movements that is often severe.
It has been described as feeling like passing broken glass. Painkillers and efforts to soften stool, such as through medication or a high-fiber diet, can improve this symptom. Q: Do anal fissures bleed? More significant bleeding is indicative of symptoms being caused by another condition. Q: How do you know if a fissure is healing? A: Most anal fissures heal with home treatment after a few days or a weeks.
These are known as acute anal fissures. Pain during bowel movements usually goes away within a couple of days after the start of treatment. If pain and blood in the stool persists longer than six weeks, then it is known as a chronic anal fissure, which may not heal with home treatment alone, and may need medical treatment. BMJ Best Practice. Accessed 29 June Accessed 5 January EMedicine by MedScape.
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