Anal Fissures

What are Anal Fissures?

Anal fissures are small tears or cracks in the lining of the anus, often resulting in pain and bleeding during bowel movements. They can be acute (short-term) or chronic (long-lasting) and are usually caused by trauma to the anal canal.

Common Causes of Anal Fissures

• Constipation: Hard stools stretching the anal skin.
• Diarrhea: Frequent bowel movements causing irritation.
• Childbirth: Pressure and stretching during delivery.
• Anal Intercourse: Can cause tears in the anal lining.
• Inflammatory Bowel Disease: Such as Crohn's disease.
• Tight Anal Sphincter: Increased muscle tension can lead to fissures.

When to Seek Medical Help?

Seek immediate medical attention if you experience severe symptoms such as:

• Persistent pain during and after bowel movements
• Noticeable blood on toilet paper or in the stool
• A visible crack or tear around the anus
• Swelling or a small lump near the fissure
• Chronic constipation or diarrhea

Our Comprehensive Diagnostic Approach

Detailed Symptom Review:

• Discussing your symptoms, including pain intensity, bleeding, and triggers.
• Identifying associated conditions such as rectal bleeding or anal itching.

Medical History Evaluation:

• Reviewing any previous treatments for anal fissures or related conditions.
• Assessing lifestyle factors such as bowel habits, diet, and fluid intake.

Advanced Diagnostic Tests:

• Anoscopy: Examining the anal canal using a small, tubular instrument.
• Proctoscopy: A comprehensive view of the rectum.
• Colonoscopy: To rule out other gastrointestinal conditions.
• Blood Tests: Checking for underlying inflammatory conditions.

Personalized Treatment Plans For You

Based on your diagnosis, our team will develop a personalized treatment plan aimed at alleviating your symptoms and preventing recurrence. Treatment options may include:

Dietary Changes:

• Increasing fiber intake to ensure soft stools.
• Staying hydrated by drinking plenty of fluids.

Medication:

• Topical Nitrates or Calcium Channel Blockers: To relax the anal sphincter.
• Botox Injections: To reduce muscle spasms.
• Pain Relief: Including topical anesthetics or oral pain medications.

Non-Surgical Procedures:

• Sitz Baths: Warm water baths to soothe and promote healing.
• Anal Dilation: Gentle stretching of the anal canal.

Surgical Options:

• Lateral Internal Sphincterotomy: Reducing muscle tension to promote healing.
• Fissurectomy: Removing the fissure for chronic cases.