Almost all patients (greater than 95%) have rapid healing after surgery and no further trouble with an anal fissure. Most patients have a significant reduction in their discomfort immediately after the surgery, and many can go back to work and resume normal activities the following day. This decreases spasm in the muscle and allows the fissure to heal. During this procedure a few fibers of the internal anal sphincter muscle are cut. This procedure is usually done under anesthesia, takes a few minutes, and patients go home the same day as outpatients. Medications – Your doctor can prescribe creams or suppositories that help relieve pain, spasm, and inflammation.Ī chronic anal fissure does not heal despite the above measures should be treated with a small simple operation called a sphincterotomy.Warm Soaks – Sitting in warm-water 2-3 times a day for 15 minutes helps prevent spasm of the sphincter muscles and provides pain relief.Fluids – Drinking plenty of fluids helps soften bowel movements so they are easier to pass.Good sources of fiber include fresh fruit, raw or cooked vegetables, bran cereals, and whole grain breads. High-fiber Diet – Eating foods high in fiber prevents constipation and excessive straining.What is the treatment for an anal fissure?Īn acute anal fissure is managed with non-operatively and can usually be treated by: Inflammatory diseases of the anorectal area such as Crohn’s disease.Straining to have a bowel movement when constipated.This is sometimes confused with a hemorrhoid.Ī tear in the anal lining can occur with: An anal fissure may give rise to a “sentinel pile”, which is a skin tag along the edge of the anus next to the fissure.Spasm in the sphincter muscles of the anus, caused by irritation of the tear during a bowel movement.Bright red blood with bowel movements, which may be on the stool, in the toilet bowel, or on toilet paper you have used. If its not bothering you now and has no discharge, you should not. Sharp pain during and after bowel movements. It can be sentinel pile if you had pain previously there.They are among the most common causes of anal pathology, and subsequently are blamed for virtually any anorectal complaint by patients. What are the symptoms of an anal fissure? Hemorrhoids are swollen blood vessels in the lower rectum. Anal fissures can affect people of any age group, but are more common in people under age 50. Anal fissures are a common problem and may sometimes be confused with hemorrhoids. An anal fissure is a tear or cut in the lining of the anus.
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