Anal Fissure

What is Anal Fissure?

Anal fissure is a small tear in the mucosa of the anal region. It causes pain and occasional bleeding during passing stools.

How does fissure happen?

A fissure happens when the anus is injured due to hard stools or large volume stools or straining.

Signs and symptoms

What are signs and symptoms of Anal Fissure?

Severe, unbearable pain during defecation. Above pain lasting several hours thereafter. Fresh, bright blood noted in the toilet or on toilet paper.

Itching and irritation near the anus. Visible crack around the anus. A visible skin tag in relation to the cut.





Treatment & Prevention

How to treat Anal Fissure?



Ample amount of dietary fibre.



Plenty of oral fluids.



Do not strain or force during defecation.



Do not forcefully hold or suppress urge for defecation.



Cut down your toilet time.



Exercise on regular basis.

Include Fibre rich foods into your diet

  • Salads (cucumber, carrot, radish, beetroot etc.)
  • Green leafy vegetables
  • Sprouts
  • Oats, corn flakes, muesli
  • Nuts
  • Fruits


How to take sitz bath?

Take a tub in which you can sit. Add enough lukewarm water to immerse your anal area and sit for about 10-15 minutes while constantly contracting and relaxing your anus. Do this especially after defecation, totally at least 3 times a day. Follow up sitz bath with ointment application.



How to apply ointment?

Apply the prescribed ointment using a gloved fingertip ONLY EXTERNALLY otherwise you may cause additional trauma.



Is surgery essential for fissure?

Very rarely, in extreme circumstances, surgery could be required.

Can fissure recur after surgery?

Yes, for the same reason that it happened for the first time, fissure can recur. Prevention is the best remedy.

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