Treatment options include laxatives and surgery.The symptoms include pain and bright red blood from the anus.An anal fissure is a tear or split in the lining of the anus (anal mucosa).Faeces is temporarily stored in the rectum and expelled from the body via the anus.Make sure to wipe gently after going to the toilet.Consider using a fibre supplement (such as Metamucil).Drink plenty of water to help soften stools.Many cases of anal fissures are caused by chronic constipation. Drink six to eight glasses of water every day.Shower or bathe after every bowel motion.Use baby wipes instead of toilet paper.Take regular sitz (salt bath) baths, which involves sitting in a shallow bath of warm water for around 20 minutes.See your chemist for advice on ointments specific for anal pain.Around nine out of 10 people will never experience another anal fissure.īe guided by your health care professional, but general suggestions include: (Cutting and suturing this muscle doesn’t interfere with the patient’s sphincter control.) The operation, called a lateral internal sphincterotomy, can be performed under local anaesthetic. Sometimes, a thin slice of muscle from the anal sphincter is also removed, as this helps the wound to better heal. The fissure and associated scar tissue is removed. Severe anal fissures need to be surgically corrected. nitroglycerin creams or Botox injections to relax the associated muscle spasm.Medical treatment for an anal fissure may include: inspection of the anus and rectum with a slender instrument (anoscope).Anal stenosis – the anal canal becomes abnormally narrowed either due to spasm of the anal sphincter or contraction of the resultant scar tissue.Īn anal fissure is diagnosed using a number of tests including:.Anal fistulas – abnormal ‘tunnels’ join the anal canal to surrounding organs, usually other parts of the bowel.Over time, this can cause extensive scar tissue at the site of the fissure (sentinel pile). Chronic anal fissure – the tear fails to heal.Some of the possible complications of an anal fissure include: scratching (as a reaction to pinworm infection, for example)Īnal fissures aren’t associated with more serious diseases, such as bowel cancer, although cancer of the anus may mimic an anal fissure.rough or excessive wiping of the anus after passing a motion.An anal fissure is a tear in the anal mucosa. ![]() The membranous lining of the anus is called the anal mucosa. The rectum joins to the anus, which is a short tube containing a muscular ring (sphincter) that can be opened at will to allow the expulsion of faeces (poo). Once the excess water is removed, the waste is temporarily stored in the rectum. Waste is massaged down the length of the large intestine by waves of muscular contractions (peristalsis). The anus permits bowel continence, which is voluntary control over the passage of bowel motions. pain when passing a motion and for some time afterwards.The symptoms and signs of an anal fissure may include: However, healing can be a problem if the pressure of passing bowel motions constantly reopens the fissure. Common causes in adults include constipation and trauma to the anus (such as a difficult childbirth).Īround half of cases heal by themselves with proper self-care and avoidance of constipation. A person’s susceptibility to anal fissures tends to decline with age. The problem is common in children younger than one year, and affects around eight out of 10 babies. The symptoms and signs include pain when passing a bowel motion and bright red blood from the anus. An anal fissure is a tear or split in the lining of the anus (anal mucosa). Faeces (poo) is temporarily stored in the rectum and expelled from the body via the anus.
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