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Anal Fissures

At GastroDoxs in Katy, our compassionate anal fissures treatment combines advanced diagnostics, personalized care plans, and minimally invasive therapies to provide swift relief and lasting healing for residents of our community, ensuring comfort, privacy, and expert support right here in town.

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Harris County Medical Society
American College of Gastroenterology
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Bharat Pothuri
Symptoms

What Are Anal Fissures?

Anal fissures are small cuts or tears in the skin lining of the anus. They often occur when you pass hard or large stools, leading to sharp pain and sometimes bleeding during bowel movements. Early care can help relieve discomfort and promote faster healing.

Common Symptoms

Look out for these signs of an anal fissure:

  • Sharp pain during or after bowel movements
  • Bright red blood on the stool or toilet paper
  • Itching or burning around the anus
  • A small bump or skin tag near the tear
  • Muscle spasms in the anal area

Causes

Anal fissures can develop from a variety of factors:

  • Constipation and straining during bowel movements
  • Chronic diarrhea
  • Trauma during childbirth
  • A diet low in fiber
  • Inflammatory bowel diseases (e.g., Crohn's disease)
Treatment

Treatment Options for Anal Fissures in Katy

Treatment includes self-care, prescription therapies, and minimally invasive surgery:

  • Sitz baths: Soaking in warm water 2-3 times daily to relax the anal muscles and promote healing.
  • Fiber supplements: Adding bulk and softening stool to reduce straining during bowel movements.
  • Over-the-counter ointments: Applying barrier creams to soothe pain and protect the anal lining.
  • Lidocaine cream: Topical anesthetic to relieve sharp pain during and after bowel movements.
  • Nitroglycerin or nifedipine creams: Prescription vasodilators that increase blood flow and relax sphincter muscles.
  • Botox injections: Botulinum toxin to temporarily relax the anal sphincter, reduce spasms, and speed healing.
  • Minimally invasive surgery: Lateral internal sphincterotomy to lower sphincter pressure and allow fissure closure with a fast recovery.

Take the Next Step

Don't let anal pain control your day. Book an appointment today with our board-certified gastroenterologist in Katy at GastroDoxs. Our specialists provide personalized, compassionate care to help you heal quickly and get back to living comfortably.

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

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

An anal fissure is a small tear in the lining of the anus, while hemorrhoids are swollen blood vessels in or around the anal canal. Both can cause pain and bleeding but require different treatments.

Do fiber supplements help with anal fissures?

Yes. Fiber supplements soften stool and promote regular bowel movements, reducing the strain that can worsen or cause fissures.

Can anal fissures become infected?

Infection is uncommon but possible. Watch for increasing redness, swelling, pus, or fever, and seek medical attention if these occur.

How long is recovery after anal fissure surgery?

Most patients recover fully within 1-2 weeks. Post-operative care, including sitz baths and stool softeners, helps speed healing.

Do anal fissures cause itching?

Yes. In addition to pain and bleeding, many people experience itching or burning around the anus.

Is lidocaine cream safe for treating anal fissure pain?

Yes. When used as directed, lidocaine cream provides local numbing to relieve pain during bowel movements.

How does Botox help heal anal fissures?

Botox injections relax the anal sphincter muscle, reduce spasm, and improve blood flow to the fissure, promoting faster healing.

What topical ointment works best for anal fissures?

Nitroglycerin and nifedipine ointments are commonly prescribed to increase blood flow and relax the sphincter. Your doctor will help you choose the right option.

Can anal fissures and hemorrhoids occur at the same time?

Yes. It's possible to have both conditions simultaneously. A thorough examination ensures accurate diagnosis and appropriate treatment for each.

When should I see a doctor for an anal fissure?

If pain or bleeding persists for more than two weeks despite home care, or if you notice signs of infection, schedule an evaluation with our gastroenterologist in Katy.

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