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Understanding Anal Fissures: Causes and Symptoms

Anal fissures are caused by a deep or persistent hole or cracks in the anal area.  An anal fissure is a small tear or cut in the lining of the anus This condition can cause pain, bleeding during bowel movements, and discomfort especially When releasing stool, these breaks cause excruciating pain. Anal fissures are quite common and can result from various factors, including constipation, passing hard stools, or prolonged diarrhoea. Other potential causes include childbirth, inflammatory bowel disease, and certain medical conditions.

It is prevalent in both sexes and primarily affects the anoderm of the anus and anal canal. The midline behind the anal canal is the most prominent location for an anal fissure. It develops in women and men of all ages equally. Rectal bleeding in infancy is primarily caused by an anal fissure.

You can find the answers to many health problems at Dr. Kamthe’s Piles Clinic, Surgical Hospital & Research Centre. The most advanced fissure clinic in Pune is Dr. Kamthe’s Piles Clinic, Surgical Hospital & Research Centre. Our hospital expertly administers the treatment to stop the fissure from recurring in the future.

In this blog we will explore the various aspects of understanding anal fissure. With the guidance of Dr. Kamthe’s piles clinic you can dignose this disease with effective ways. 

Anal fissures can be caused by various factors. Here are some common causes:

  • Constipation: One of the most frequent causes of anal fissures is constipation, where hard and dry stools put pressure on the anus during bowel movements, leading to tears in the anal lining. Straining during bowel movements: Excessive straining during bowel movements, even if not related to constipation, can contribute to the development of anal fissures.
  • Diarrhoea: Chronic diarrhoea can irritate and weaken the lining of the anus, making it more susceptible to fissures.Childbirth: Women may develop anal fissures as a result of trauma during childbirth.
  • Anal Trauma: Injuries or trauma to the anal area, such as from aggressive wiping, insertion of foreign objects, or anal intercourse, can cause fissures. Inflammatory bowel diseases (IBD): Conditions like Crohn’s disease or ulcerative colitis can increase the risk of developing anal fissures due to chronic inflammation in the gastrointestinal tract.
  • Anal infections: Infections in the anal area can lead to inflammation and fissures.
  • Spasm of the anal sphincter muscles: Persistent spasm of the muscles around the anus can prevent proper blood flow to the area, hindering the healing of fissures.
  • Reduced blood flow to the anal area: Conditions that reduce blood flow to the anus, such as vascular diseases, may contribute to the development of fissures.

Anal fissures can cause various symptoms and these may include:

  • Pain during bowel movements: The most common symptom is sharp or burning pain while passing stools. The pain can be severe and may last for a variable amount of time after the bowel movement.
  • Bright red blood: Anal fissures often cause bleeding, and you may notice bright red blood on toilet paper, in the toilet bowl, or on the surface of stools.
  • Spasms of the anal sphincter muscles: Some individuals may experience involuntary muscle spasms (called anal sphincter spasm) after a bowel movement. These spasms can exacerbate pain.
  • Itching or irritation: The anal area may become itchy or irritated due to the presence of the fissure and the exposure to stool.
  • Tenderness or swelling: The skin around the anus may be tender or swollen.
  • Visible tear or crack: In some cases, a healthcare professional may be able to see a tear or crack in the skin around the anus during a physical examination.

Operational treatment:

  • Laser treatment – Laser treatment is opted for when a patient suffers from chronic fissure. The treatment with lasers for fissure is sought-after due to its advantages over open surgery as a traditional procedure.
  • Sphincterotomy – This is a choice of treatment. Lateral internal sphincterotomy is an operation to treat an anal fissure, a tear in the opening of the anus that can cause pain, itching, and bleeding. Sphincterotomy helps reduce pressure inside the anus that can cause spasms and increases blood flow to the area to help the tissue heal.
  • Anal dilation or Lord’s Operation – This is an antiquated technique for managing anal fissure. In order to release the pressure, the physician stretches the anal canal by hand.
  • Fissurectomy – The best treatment for anal fissures is a fissurectomy. The sphincter muscles must be cut during the procedure. This procedure is suggested by Dr. Kamthe’s Piles Clinic to treat distal canal tears.

it’s advisable to seek medical attention. A healthcare professional can provide a proper diagnosis and recommend appropriate treatment based on the specific situation.

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