An anal fissure is a small tear in the thin, moist tissue that lines the anus. An anal fissure may arise when you carry hard or large stools during a bowel movement. Anal fissures typically make the pain and bleeding with bowel movements. You also may feel spasms in the ring of muscle at the end of the anus. Anal fissures are very usual in young infants but can target people of any age. Most anal fissures get better with simple treatments like progressive fiber consume or sitz baths. Some people with anal fissures may require medication or, occasionally, surgery.
Symptoms of Anal Fissure
Signs and symptoms of an anal fissure consist:
1) Pain, sometimes chronic, during bowel movements
2) Pain after bowel movements that can last up to various hours
3) Bright red blood on the stool or toilet paper after a bowel movement
4) A visible crack in the skin around the anus
5) A small lump or skin tag on the surface near the anal fissure
When you should go to the doctor?
Consult your doctor if you have pain during bowel movements or observe blood on stools or toilet paper after a bowel movement.
Causes of Anal Fissure
The general purposes of Anal Fissure include
1) Moving large or hard stools
2) Constipation and straining during bowel movements
3) Chronic diarrhea
4) Anal intercourse
Some causes are less significant include
1) Crohn’s disease or another inflammatory bowel disease
2) Anal cancer
What are the risk factors related to Anal Fissure?
1) Constipation: Straining during bowel movements and forwarding hard stools promote the risk of tearing.
2) Childbirth: Anal fissures are more usual in women after they give birth.
3) Crohn’s disease: This inflammatory bowel disease makes chronic inflammation of the intestinal tract, which may cause the lining of the anal canal more difficult to tear.
4) Anal intercourse.
5) Age: Anal fissures can happen at any age, but are more general in infants and middle-aged adults.
What are the complications associated with Anal Fissure?
1) Failure to heal: An anal fissure that fails to heal within eight weeks is considered severe and may require further treatment.
2) Recurrence: Once you’ve felt an anal fissure, you are prone to having another one.
3) A tear that extends to surrounding muscles: An anal fissure may enlarge into the ring of muscle that keeps your anus closed, making it more robust for your anal fissure to heal. An unhealed crack can hit a cycle of discomfort that may need medications or surgery to decrease the pain and to repair or omit the fissure.
What is the prevention procedure for Anal Fissure?
You may be able to prevent an anal fissure by taking steps to avoid constipation or diarrhea. Eat high-fiber foods, drink fluids, and exercise daily to hold from having to strain during bowel movements.
Diagnosis procedure of Anal FissureÂ
Your doctor will likely ask about your medical history and does a physical exam, including a polite inspection of the anal area. Sometimes the tear is visible. Generally, this test is all that’s required to detect an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut. A chronic anal fissure likely has more profound damage and may have internal or external fleshy growths. A crack is treated chronic if it stays for more than eight weeks. The fissure’s location provides clues about its reason. A fissure that happens on the side of the anal opening, rather than the back or front, is more likely to be a mark of another disorder, like Crohn’s disease. Your doctor may suggest further examining if he or she thinks you have a below condition:
Anoscopy: An anoscope is a tubular device placed into the anus to help the doctor to be visible the rectum and anus.
Flexible sigmoidoscopy: The doctor will place a thin, flexible tube with a tiny video into the lower portion of the colon. This test may be carried if you’re younger than 50 and have no risk factors for intestinal diseases or colon cancer.
Colonoscopy: The doctor will place a flexible tube into the rectum to monitor the entire colon. This test may have happened if you are older than age 50 or you have risk factors for colon cancer, marks of other conditions, or other symptoms like abdominal pain or diarrhea.
Treatments of Anal Fissure:
Anal fissures sometimes heal within a few weeks if you take steps to stay your stool soft, like progressing your consume of fiber and fluids. Soaking in warm water for 10 to 20 minutes various times a day, particularly after bowel movements, can help relax the sphincter and develop healing. If your symptoms persist, you’ll definitely need further treatment.
1) Nonsurgical treatments
Lifestyle and home remediesÂ
1) Add fiber to your diet: Consuming about 25 to 30 grams of fiber a day can help to stay stools soft and develop fissure healing. Fiber-rich foods include fruits, vegetables, nuts, and whole grains. You also can intake a fiber supplement. Adding fiber may create gas and bloat, so increase your consume gradually.
2) Drink adequate fluids: Fluids help prevent constipation.
3) Avoid straining during bowel movements: Straining puts pressure, which can open a healing tear or make a new tear.