Anal fissures are cracks or tears in the anus and anal canal. They may be acute or chronic. The crack in the skin exposes the muscle tissue underneath, causing severe pain and bleeding during and after bowel movements. An anal fissure may occur as a result of childbirth, straining during bowel movements, or long bouts of constipation or diarrhoea.
Symptoms & Causes
An anal fissure may cause one or more of the following symptoms:
• A visible tear in the skin around the anus
• A skin tag, or small lump of skin, next to the tear
• Sharp pain in the anal area during bowel movements
• Streaks of blood on stools or on tissue paper after wiping
• Burning or itching in the anal area
An anal fissure most often occurs when passing large or hard stools. Chronic constipation or frequent diarrhoea can also tear the skin around the anus. Other common causes include:
• Inflammatory bowel disease
• Straining during childbirth
• Decreased blood flow to the anorectal area
• Overly tight or spastic anal sphincter muscles
PELVINIC’S APPROACH TOWARDS YOUR FISSURE PROBLEM
The goal of treatment for anal fissures is to break the cycle of spasm of the anal sphincter and its repeated tearing of the anoderm. Majority of patients (70%) respond to medical management by Dr Banerjee. Remaining cases of chronic fissure requires a day care procedure called Internal Sphinterectomy/ fissurectomy.