- Do you feel you are passing through broken glass while passing out a stool?
- Are there any blood spots in your stool?
- Do you feel a burning pain which may stay for hours after defecation?
Well, if you nodded at these questions, chances are high that you are having an Anal Fissure.
What is Anal Fissure
An anal fissure is a small cut or a tear in the lining of your anus. This tiny cut causes severe pain and bright red blood during and after passing a stool. The cut or tear is mostly visible around the anus and is often accompanied with a skin tag (a lump of skin) near it.
Anal fissure is mostly caused due to chronic constipation. However, other causes of anal fissure include extremely tight anal sphincter muscles, straining during childbirth, Crohn’s disease or any other Inflammatory Bowel Disease. Even though anal fissure is not usually considered a serious condition but if it persists for more than 6 weeks, it is considered chronic. The tear usually heals on its own by making simple lifestyle changes like increasing water and fibre intake.
But if the problem still persists, your doctor might suggest topical pain reliever and stool softeners.
You might need a small surgery if it is a chronic anal fissure with a deeper tear which may also have internal or external fleshy growth. Anal Fissure surgery is the best way to get rid off the anal fissure and to lead a normal life with bloodless and painless stools. Without any further ado, let’s take you through everything you need to know about Anal Fissure Treatment.
What are the Symptoms?
- Sharp pain in the anal during bowel movements is one of the most prominent Anal Fissure symptoms.
- Seeing blood on stool or on the toilet paper on wiping
- A lump of skin next to the tear
- Itching or burning pain in or around the anal
How to Diagnosis:
- Physical examination of the area around the anal
- A rectal exam with an anoscope which is a thin tube-like device inserted into the anus for detailed diagnosis.
- A colonoscopy can also be done if you are older than 50 or have symptoms of colon cancer.
What are the Treatment options?
Honestly, you must first try certain home remedies and make a few lifestyle changes like:
- Drink more water
- Avoid alcohol and caffeinated drinks, they dehydrate your body
- Eat more fibre-rich food items
- Try hot water hip bath
- Don’t strain too much or sit on the toilet seat for longer. It can further aggravate the condition.
- Don’t try to control your urge to pass the motion.
- Try fibre supplements.
Practice the above-mentioned points for 2 weeks. If the anal fissure symptoms go, you did a great job! But if they still persist, you must immediately see a doctor, preferably an experienced surgeon who will thoroughly diagnose the problem. Here are the treatment options you might be suggested:
- Nitrate ointment
- Calcium channel blockers
- Botox injection
Anal Fissure Surgery
Studies have shown that surgery is the most effective treatment for chronic fissure. If you have severe symptoms of fissure, the surgeon will perform a lateral internal sphincterotomy (LIS), simple surgery which pains lesser than the fissure itself. During this surgery, the doctor will cut a small portion of your anal sphincter muscle which eventually reduces the spasm and pain and further promotes healing.