Anal Fissure
An anal fissure is a small tear in the lining of the anal canal. It often causes pain during bowel
movements and can sometimes lead to bleeding.
Fissures are very common and usually caused by passing hard or large stools.
Who is at Risk?
- Adults with chronic constipation
- Individuals who strain during bowel movements
- Those with chronic diarrhea
- Women after childbirth
- Individuals with poor dietary fiber intake
Symptoms
- Pain during and after bowel movements
- Bright red blood on stool or toilet paper
- Itching or irritation around the anus
- Visible crack or tear at the anal opening
Diagnosis
- Physical examination by a colorectal surgeon
- Proctoscopy if needed to rule out other conditions
Treatment
- Conservative care: High-fiber diet, increased water intake, warm sitz baths
- Medications: Topical ointments, stool softeners, pain relief creams
- Minimally invasive procedures: Botox injections or lateral internal
sphincterotomy for chronic fissures
Living with Anal Fissure
Most fissures heal with simple lifestyle modifications. Avoid straining during bowel movements,
maintain a balanced diet rich in fiber, and follow medical guidance. Persistent fissures should be
evaluated by a colorectal specialist for proper intervention.