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Anal Fissures

At GastroDoxs in Jersey Village, our physicians specialize in diagnosing and treating anal fissures, delivering personalized treatment plans, compassionate support, and advanced minimally invasive therapies to help local patients find lasting relief, improve comfort, and maintain an active, pain-free lifestyle.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What Are Anal Fissures?

Anal fissures are small tears or cracks in the thin tissue lining the anus. They most often occur when hard or large stools stretch the anal canal beyond its normal capacity. While many fissures heal on their own, some become chronic and lead to ongoing pain and bleeding if not treated properly.

Common Symptoms

You may experience:

  • Sharp, stabbing pain during or after a bowel movement
  • Bright red blood on toilet paper or in the toilet bowl
  • Itching or burning sensation around the anus
  • A small lump or skin tag (sentinel pile) near the tear
  • A feeling of tightness or cramping in the anal area

Causes

Anal fissures can be triggered by:

  • Constipation and straining during bowel movements
  • Passing hard, dry stools
  • Frequent episodes of diarrhea
  • Trauma from childbirth or anal intercourse
  • Underlying inflammatory conditions such as Crohn's disease
Treatment

Treatment Options for Anal Fissures in Jersey Village

Treatment includes home remedies, prescription therapies, and surgical care:

  • Sitz baths: Warm water soaks 2-3 times daily to relax muscles, improve blood flow, and relieve pain.
  • High-fiber diet: Enjoy fruits, vegetables, and whole grains to soften stools and reduce straining.
  • Increased hydration: Drink plenty of water to ease bowel movements and prevent constipation.
  • Over-the-counter ointments: Use topical pain creams or lubricants (e.g., lidocaine) to soothe discomfort.
  • Natural remedies: Apply coconut oil or aloe vera for their anti-inflammatory and healing properties.
  • Prescription ointments: Nitroglycerin or calcium channel blocker creams to boost blood flow and promote healing.
  • Botox injections: Relax the anal sphincter, reduce spasms, and allow the fissure to heal more effectively.
  • Surgical intervention: Lateral internal sphincterotomy for chronic fissures that do not heal with conservative measures.

Why Choose GastroDoxs?

At GastroDoxs in Jersey Village, we combine state-of-the-art diagnostics with a patient-centered approach to deliver fast, lasting relief from anal fissures. Our team of local experts tailors every treatment plan ranging from conservative home therapies to advanced medical or surgical options to your unique needs. With compassionate support at every step and streamlined appointment scheduling, you'll get the comprehensive care you deserve. Don't let anal pain control your life book your appointment today and start your journey to comfort and healing.

498

Patients Treated

We've successfully treated more than 498 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

How can I treat an anal fissure at home?

Warm sitz baths, a high-fiber diet, adequate hydration, and over-the-counter pain creams or ointments can help soothe discomfort and promote natural healing of minor fissures.

Do anal fissures cause itching?

Yes. In addition to sharp pain and bleeding, anal fissures often lead to itching or burning sensations around the anus.

What's the difference between an anal fissure and hemorrhoids?

Anal fissures are small tears in the anal lining that cause sharp pain during bowel movements, whereas hemorrhoids are swollen veins in the anal area that may itch, ache, and bleed.

Can I use natural remedies?

Absolutely. Natural remedies such as coconut oil, aloe vera, and regular warm sitz baths can relieve discomfort and support the healing process when used alongside dietary and lifestyle changes.

When is surgery needed?

Surgery, typically lateral internal sphincterotomy, is recommended if an anal fissure fails to heal after 6-8 weeks of conservative treatment or if it keeps recurring and causes persistent symptoms.

Is Botox a safe treatment for fissures?

Yes. Botox injections safely relax the anal sphincter muscle, reduce pain, and help chronic fissures heal more effectively.

Can diet help heal fissures?

Definitely. A diet rich in fiber (fruits, vegetables, whole grains) combined with plenty of water softens stools, reduces straining, and promotes fissure healing.

Are fissures linked to Crohn's disease?

Yes. Chronic inflammation and frequent diarrhea in Crohn's disease increase the risk of developing anal fissures.

What is a sentinel pile?

A sentinel pile is a small skin tag or lump that forms at the edge of a chronic anal fissure due to prolonged irritation and attempts at healing.

When should I see a specialist?

If severe pain or bleeding persists beyond a few weeks despite home remedies, you should consult a gastroenterologist for a thorough evaluation and advanced treatment options.

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