Anal fissure or Fissure-in -Ano is nothing but a crack/injury in the soft and delicate lining of the anal canal. They are mostly commonly a result of passing a hard stool.
These can happen at any age and in both the sexes.
They have been classified as
- 1. Acute – early , less than a month +/- 15 days
- 2. Chronic – long standing, more than 2 months duration. Mostly have a skin covering like
This classification is very useful as most all Acute fissures can be treated without operation and surgery while most chronic fissure’s need some kind of surgical intervention.
How it occurs?
How to prevent the same?
Symptoms of Fissure?
Constipation- the cause in most cases. Hard stools cause the injury while passing.
Frequent bowel movements can cause the delicate anal lining to tear Rare causes of anal fissure are inflammatory bowel diseases like Crohn’s disease, tuberculosis, etc.
Pain: The pain in anal fissure during defecation is worse. In fact people tend to eat less so as to avoid going to toilets. The pain experienced is tremendous and can be a tearing type.
Burning : Post defecation, usually there is sever burning sensation in the bottom’s which may last from few minutes to hours or be there whole time.
Bleeding: There may be blood on the stools or it may occur after the motion has been passed.
Constipation: More often than not, fissure patients are constipated, adding to this is their tendency to avoid motions which further complicates things.
Swelling: One may simple feel a swelling in the bottom’s or one can feel a small swelling while washing the bottom’s.
Itching: These can be from mild to severe making a very embarrassing scene of scratching the bottom on and off.
A simple examination by a Colo-Rectal specialist will suffice in diagnosing this.