Anal fissure is a small cut or tear in the lining of the anus. Fissure is a crack in the skin that causes severe pain along with bright red bleeding during and after bowel movements. Mostly fissures are superficial but many a times they can be deep enough to expose the muscle tissue underneath.

Eventhough anal fissures are not a serious or life threatening condition, they can be very painful and messy to deal with.

The area around the anus can look red, swollen and inflamed. Tear can be seen near the anus which may be red or pink in colour. The tear can also bleed at touch.


Fissure can also be of bigger size with the presence of a skin tag next to it.

Anal fissures can develop and affect the lives of people of all ages. However, they are most commonly seen in infants and young children.They are less commonly seen in young adults and adults with improper diet and lifestyles. 

Infants and children are more prone to the problem of diarrhoea and constipation which puts them at a higher risk of developing anal fissures. 

If you are someone that is experiencing symptoms that indicate towards the possibility of an Anal fissure visit bottom’s up clinic, best clinic in bangalore to treat anal fissures. 

If your child is experiencing similar symptoms visit the best clinic in bangalore to diagnose and treat anal fissures.

In most cases, an anal fissure heals spontaneously on its own within four to six weeks. In cases where the fissure persists beyond eight weeks and doesn’t heal, it is considered a chronic case of anal fissure. 

Anal fissure is  tear that is usually superficial but it may extend into the ring of muscle that holds anus closed which is called the internal anal sphincter. At this stage this damage makes it more difficult for the anal fissure to heal.

Such an unhealed fissure can trigger a cycle of pain, bleeding and discomfort. At this stage anal fissure can require medications or surgery to reduce the pain and to repair or remove the fissure.

For treatment visit best clinic in Bangalore to treat fissures. Get a proper diagnosis made at Bangalore’s best clinic for treatment of anal fissure.

Anal fissure symptoms are easy to identify. There will be stinging pain and bleeding along with discomfort.

Here are a list of symptoms that indicate towards the possibility of having an anal fissure – 

  • Pain during bowel movements. 
  • Difficulty passing stools. 
  • Bleeding while passing stools. 
  • Presence of fresh red blood in pot. 
  • Blood dripping from the anal area. 
  • Burning sensation in anal area. 
  • Itching around the anal area. 
  • A visible thin tear in the skin around the anus. 
  • Presence of a skin tag 
  • Presence of a small lump of skin at the site of tear or next to the tear. 
  • Sharp pain in the anal area after passing stools. 
  • Fresh red blood stains on toilet paper after wiping. 

If you’re unable to understand the following symptoms and suspect you can have anal fissure, get a proper diagnosis made at bottom’s up clinic, best clinic in bangalore to diagnose anal fissures.

Anal fissures are formed mainly while passing large and hard stools. The resistance and the pressure over the anal area results in tearing or skin and bleeding.

Common causes of anal fissures are – 

  • Acute constipation. 
  • Chronic constipation. 
  • Acute diarrhoea. 
  • Chronic diarrhoea. 
  • Pregnancy. 
  • Inflammatory bowel syndromes. 
  • Spastic anal sphincter. 

Anal fissures are commonly seen after an episode of acute constipation, they are frequent in cases of chronic constipation. Even frequent diarrhea can also tear the skin around the anus causing fissure formation and bleeding Excessive strain while passing stools during pregnancy and strain over the anal area during childbirth can also form fissures. 

For a proper diagnosis and examination visit best clinic in bangalore 

Very rarely, anal fissures can develop because of – 

  • Anal cancer
  • Syphilis 
  • Tuberculosis
  • Herpes
  • Parasitic infections.
  • HIV
  • AIDS

Inflammatory bowel disease (IBD), such as Crohn’s disease and Ulcerative colitis can also cause anal fissures. Other causes can be decreased blood flow to the anorectal area, or an overly tight spastic anal spinchter could be the reason behind formation of anal fissure.

You can’t always avoid an anal fissure but you can surely prevent the chances of it happening to you by following a good diet and lifestyle and making small but necessary changes to your hygiene. 

To prevent an anal fissure, follow these rules – 

  • Keeping the anal area dry. 
  • Clean the anal area gently 
  • Use mild soap and warm water to clean the area.
  • Change infant’s diapers frequently. 
  • Drink plenty of fluids. 
  • Eat a good fibre rich diet. 
  • Exercise regularly. 
  • Avoid having constipation. 
  • Consult bottom’s up clinic if you are experiencing long standing constipation. 
  • Consult bottom’s up clinic if you have trouble passing stool.
  • Treat your diarrhoea as soon as possible. 
  • Consult bottom’s up clinic if you’re experiencing long term diarrhoea.

There are several factors that can put you at a risk of developing anal fissures. Some of these are as follows –


  1. ConstipationConstipation is when a person doesn’t pass stools as frequently as they should. When a person is constipated, stools often become bigger and harder. This causes straining during bowel movements. There is difficulty passing stools and the hard stools can cause tears in the anal canal causing formation of anal fissures. 
  2. PregnancyPregnant women are at a huge risk of developing anal fissures due to increased pressure and straining during the pregnancy.
  3. Childbirth – A pregnant woman’s body undergoes a lot of dress during and after childbirth. Chances of getting anal fissures increases after child birth. 
  4. Inflammatory bowel diseases – Chron’s disease is an inflammatory bowel disease which causes chronic inflammation of the intestinal tract. This inflammation can make the lining of the anal canal more susceptible to tearing. 
  5. Infancy and childhood Anal fissures can occur at any age, but are most common in infants and young adults as these ages are more prone to developing constipation and diarrhoea.


If you’re any of these people that are under risk, visit bottom’s up clinic the best clinic in Bangalore for a quick checkup by our team of doctors. 

Anal fissures do come majorly a few complications. They are listed below. 


  1. Failure to heal –  An anal fissure may fail to healA fissure should heal within eight weeks but if a fissure  fails to heal even after or within eight weeks, it is considered chronic and may need further treatment. Visit best clinic in Bangalore for anal fissure treatment. 
  2. Recurrence – The chances of recurrence of anal fissures is quite hight. Once you have experienced an anal fissure, you are prone to having another one.
  3. Anemia – Blood loss can lead to anemia, weakness and a feeling of dizziness. Get a proper examination done and treatment started to prevent anemia. 

Visit your doctor immediately to get an examination done if you have an anal fissure. Bottom’s up clinic is the best clinic in Bangalore for diagnosis and treatment of anal fissure.

Anal fissures can be treated in a number of ways, some of these are listed below – 

  • Stool softeners can be given to make passage of stools easy. 
  • Medication to treat constipation. 
  • Medications to treat diarrhoea. 
  • Pain relief medication. 
  • Protective ointments
  • Sitz baths
  • Nitroglycerin ointment. 
  • Botox  injection. 
  • Laser LIS

For a good treatment of anal fissure in Bangalore visit bottom’s up clinic, best clinic for the treatment of anal fissures.

FAQs about Anal fissures

Yes, an anal fissure can heal spontaneously on its own with a little care. However a proper examination should be done so there are no chances of further progression or complications.

A new anal fissure freshly formed is called a fresh anal fissure. It may go away on its own in a week by proper diagnosis and treatment with home remedies.

A long standing anal fissure that takes time to heal is called a chronic anal fissure. It may also have a skin tag around it.

You can prevent an anal fissure by eating a healthy diet, avoid constipation, drink lots of water and exercise.

Yes, laser treatment is a safe method. It is medically approved and tested. There is instant relief after treatment and the patient can go home happily with a day of surgery.

Yes, laser treatment is a safe method. It is medically approved and tested. There is instant relief after treatment and the patient can go home happily with a day of surgery.

Avoid oily and spicy food for a few weeks, drink lots of water. Eat normally but healthy even after the surgery.

No, there will be no pain while passing stools after the laser surgery. 

Why choose Bottom's Up Clinic?

Bottom’s up clinic is one stop clinic for the diagnosis, treatment and prevention of anal fissures all under one roof at Bangalore. 

  • At Bottom’s Up Clinic we use advanced techniques. 
  • Most of the treatments are painless and bloodless. 
  • In many cases, patients can be discharged in 1 day. 
  • The chronic fissure which fails to respond to conservative treatment is dealt with Laser Lateral Internal Sphincterotomy (Laser-LIS) 
  • LIS  is the least invasive and highly effective way of treatment of anal fissures. 
  • Complete team of Nutritionists and doctors for support. 
  • Proper diet and exercise advice are given. 

Our team of Nutritionists and doctors ensure that complete support, help and guidance is given before and after the treatment. For best treatment of anal fissure visit bottom’s up clinic in Bangalore for complete diagnosis, advice and hassle free treatment.

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