About Anal Fissure
Usually, anal fissure is only about one centimeter across, but the pain caused by it can be very intense as the anus is a very sensitive body part. Even a small tear can be very discomforting.
An anal fissure usually heals within 4-6 weeks, but if a fissure persists for more than 7-8 weeks, seeking a specialist doctor immediately is mandatory.
A recent study suggests that anal fissure is quite a common anorectal problem which ranks third after chronic constipation in terms of prevalence. Unhealthy eating habits causing constipation and a sedentary lifestyle are the risk factors leading to anal fissure.
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Facts on Anal Fissure
Fissures are usually caused by trauma to the inner lining of the anus from a bowel movement or other stretching of the anal canal. This can be due to a hard, dry bowel movement or loose, frequent bowel movements.
Some of the common facts of fissure are:
- There are chances of fissure recurring even after using home remedies. Proper medical treatment is necessary to get rid of it.
- Pregnant women have a higher probability of getting an anal fissure in their later pregnancy and during childbirth.
- STDs such as Syphilis, HIV, HPV, and herpes are the infections that are associated with a higher risk of having anal fissures.
- If a fissure is left untreated for a long time, it has the potential to turn into hemorrhoids.
Causes of Anal Fissure
Patients with a tight anal sphincter muscle are more likely to develop anal fissures. Less common causes of fissures include inflammatory bowel disease, anal infections, trauma or tumors.
Some of the common causes of fissure are:
- Passing irregularly hard, large stool during bowel movements
- Constipation, irregular or unusual bowel movements especially the ones causing pain or irritation in the anus or anal opening at the time of passing stool or after the bowel movements.
- A severe case of chronic diarrhea
- Unhealthy anal intercourse
- Overstretching of the opening of the anus at the time of childbirth
- Anal Cancer, HIV AIDS, Syphilis and Inflammatory Bowel Disease are also the fiber potential causes of developing an anal fissure
Signs and Symptoms
Signs and symptoms of an anal fissure include:
- Severely painful bowel movements
- Feeling of full bowel even after passing of stools many times
- Blood stained stools or blood on the toilet paper after the bowel movement
- A visible cut or tear in the skin of the anus
- Forming of a lump (skin tag) near the anal fissure
Prevention from Anal Fissure
- Have high dietary fibers to keep conditions like constipation and diarrhea at bay. High diet makes the stools soft and bulky for easy passage of stools. When constipation and diarrhea keep recurring, the person becomes more prone to develop a fissure. Drinking 7-8 glasses of water is the simplest preventive measure for fissures.
- In case you are already suffering from fissure, you must be very cautious to prevent it from getting severe. Avoid straining while passing stools. Always keep the anal region clean and gently wipe yourself after every bowel movement. Do not use scented toilet wipes as it may lead to inflammation.
- Get rid of the inactive or sedentary lifestyle. Go for a walk, do yoga and perform light exercises that do not put much strain on the pelvic region. Refrain from lifting heavyweight as it might worsen the condition of Fissure and the person may develop multiple fissures.
- Avoid consuming processed meat, caffeinated beverages, polished rice, spicy and fried food. All of these are low in fiber and can even cause dehydration in the body by ultimately leading to constipation or diarrhea.
Diagnosis of Anal Fissure
- Anoscopy – An anoscope is a tube-like equipment that is inserted into the anus so that the doctor can clearly visualize the rectum as well as the anus
- The doctor can also ask to get the flexible sigmoidoscopy done, a thin tube is inserted in the bottom part of the colon in this procedure. This test is performed when the patient is younger than 50 and has no chances of colon cancer.
- Colonoscopy can also be performed to confirm the fissure. A thin tube is inserted in the rectum to examine the entire colon.
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If hemorrhoid symptoms persist after 1 week or complications occur, a person may need medical treatment. A person should call a doctor if certain symptoms appear, particularly heavy bleeding, severe pain, or fever. You can visit us at the following cities:
Treatments of Fissure
In most cases, simple measures will alleviate symptoms while hemorrhoids heal on their own. However, medication or surgery may be necessary in certain cases.
Homeopathy
- Aloe Vera – It is the most simple and effective home remedy for fissure and other skin conditions. Use the gel only in pure form to avoid any side effects. Refrain from mixing anything to it for immediate relief. It soothes the burning sensation. But, do not forget to check for any signs of allergy from aloe vera. To confirm, apply a bit of aloe vera gel on your elbow and observe for 24 hours. Only when sure about it, use this home remedy regularly.
- Witch Hazel – It reduces the inflammation and immediately reduces the irritability, pain and subsides the swelling as well. It is easily available in different forms in the market. You can use witch hazel in liquid form as well as in the form of wipes.
- Sitz Bath – Sitting in a tub of warm water for 15-20 minutes daily increases the blood flow and offers relief after painful bowel movements. Dip only the hip or pelvis in the water and make sure that the water is not too hot. Mild temperature is apt for soothing purposes and cleaning the anal region. After taking a sitz bath, gently pat it dry and avoid rubbing the anus roughly as it may cause bleeding from the fissure.
Surgical Procedure
Medication
- Allen A69 Anal Fissure Drop
- Osil Cream
- Secalia Cream
- Thank god Cream
- SbIratanhia Dilution 1000 Ch
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