Fissure: Anal fissures are cracks or tears in the anus and anal canal. Fissure may be acute or chronic. Anal fissures are caused primarily by trauma, but several non-traumatic diseases are associated with anal fissures too. They usually cause bleeding and severe pain. Once you have an anal fissure, you’ll definitely want to avoid getting another one, so follow these simple steps.
Signs and 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.
- Itching or irritation around the anus.
- A visible crack in the skin around the anus.
- A small lump or skin tag on the skin near the anal fissure.
Common causes of anal fissure include:
- Passing 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
Anal fissures are seen more often with certain medical conditions, such as:
- Anal cancer
- STDs and HIV
Why Do People Get Anal Fissures?
They’re caused by trauma or injury that stretches your anal canal. Reasons for this can include:
- Constipation or passing large or hard stools.
- Explosive or ongoing diarrhea.
Factors that may increase your risk of developing an anal fissure include:
- Infancy:Many infants experience an anal fissure during their first year of life, experts aren’t sure.
- Aging: Older adults may develop an anal fissure partly due to slowed circulation, resulting in decreased blood flow to the rectal area.
- Constipation:Straining during bowel movements and passing hard stools increase the risk of tearing.
- Childbirth: Anal fissures are more common in women after they give birth.
- Crohn’s disease:This inflammatory bowel disease causes chronic inflammation of the intestinal tract, which may make the lining of the anal canal more vulnerable to tearing.
- Anal intercourse.
If your fissures are caused by constipation or diarrhea, you can change a few habits to help lessen the strain on the anal canal. These steps can help relieve symptoms and encourage healing in most cases.
- Stay hydrated: Drink plenty of fluids throughout the day. (Too much alcohol and caffeine can lead to dehydration.)
- Eat a fiber-rich diet: To avoid constipation, goal should be to get 20 to 35 grams of fiber every day. You can gradually increase the amount of fiber you eat by having more:
- Wheat bran.
- Oat bran.
- Whole grains, including brown rice, oatmeal, and whole-grain pastas,
cereals, and breads.
- Peas and beans.
- Citrus fruits.
- Prunes and prune juice.
- Try fiber supplements if a person can’t get enough fiber from food. They can help soften stools and make more regular. To avoid gas and cramping, gradually raise the amount of any fiber supplement.
- Over-the-counter laxatives may help if adding more fiber to diet does not, before taking any laxatives, ask doctor what he/she suggests.
- Don’t ignore your urge to go. Putting off bowel movements for later can lead to constipation; stools may become harder to pass and end up causing pain and tearing.
- Don’t strain or sit on the toilet too long. This can increase pressure in the anal canal.
- Gently clean and dry your anal area after each bowel movement.
- Avoid irritants to the skin, such as scented soaps or bubble baths.
- Get treatment for chronic constipation or ongoing diarrhea.
- Sitz baths, or hip baths, can promote healing of an anal fissure. By soaking the rectal area in a tub of warm water — two or three times a day. A person can clean the anus, improve blood flow, and relax the anal sphincter.
Home Care Treatment:
A best and effective home care treatment is Piles Relief Cryotherapy Device. It’s a drug free treatment and no medicine is required in it. This device is to be used for seven minutes twice a day. To use this device no prescription is required. This treatment is safe in Diabetic patients, pregnant ladies, heart patients, spinal cord injury patients Paralytic patients, Bed Ridden patients etc.
To prevent an anal fissure by taking measures to prevent constipation. Eat high-fiber foods, drink fluids and exercise regularly to keep from having to strain during bowel movements.