Learn about our expanded patient care options and visitor guidelines. Fissures result from the stretching of your anal mucosa beyond its normal capacity. This often happens when stools are hard due to constipation. Once the tear happens, it leads to repeated injury.
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Ask the doctor: What can I do about an anal fissure? - Harvard Health
The goal of anal fissure treatment is to lower the pressure on the anal canal by making stools soft, and to ease discomfort and bleeding. Conservative treatments are tried first and include one or more of the following:. These practices heal most fissures 80 to 90 percent within several weeks to several months. However, when treatments fail and anal fissures persist or come back, other measures can be tried, including:. Before surgery is considered, your doctor will re-examine you and may conduct other tests to determine why other treatments have failed to heal the fissure. A fissure may fail to heal because of scarring or muscle spasms of the internal anal sphincter muscle. Surgery usually consists of making a cut to a small portion of the internal anal sphincter muscle to reduce pain and spasms and allow the fissure to heal.
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Ask the doctor: What can I do about an anal fissure?
Jump to content. An anal fissure is a tear in the lining of the lower rectum anal canal that causes pain during bowel movements. Anal fissures don't lead to more serious problems.
Back to Anal fissure. Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you don't follow the self-help advice outlined below. There are a number of different medicines your GP may recommend to help reduce your symptoms and allow your anal fissure to heal. Adults with an anal fissure will usually be prescribed bulk-forming laxative tablets or granules.