Overview
Anal fissures are common and usually heal within a few weeks with simple treatment. Fissures lasting longer than six weeks are called chronic and may need more treatment.
Symptoms
- Sharp pain during and after passing stools
- Bright red blood on the toilet paper or stool
- Itching or irritation around the anus
- A small lump or skin tag near the tear
Causes and risk factors
Fissures are usually caused by passing hard or large stools, constipation or diarrhoea. They can also occur after childbirth or with Crohn's disease.
Diagnosis
A doctor can usually see the fissure during a gentle examination.
Treatment
Treatment includes a high-fibre diet, plenty of fluids, stool softeners, warm baths and ointments that relax the anal muscle. Chronic fissures may need Botox injections or a minor operation.
When to see a doctor
See a doctor if you have pain or bleeding when passing stools, or if symptoms do not improve within a few weeks. Rectal bleeding should always be checked.
This information is for general education and does not replace advice from a qualified doctor. For a medical emergency, call +92-51-8446666 or go to the nearest emergency department.
