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Anal Fissures

Anal Fissures are found in the anus and are a normal problem to experience.  Although not dangerous, anal fissures can be very uncomfortable and painful.

About Anal Fissures

An anal fissure is a small skin tear in the lining of the anus, the place where bowel movements are released from the body. Much like the cause for hemorrhoids, anal fissures most often appear because of strain put on the anus. Constipation and diarrhea can strain and stress the skin around the anal opening causing an anal fissure. Hard stools and dry stools are also associated with causing an anal fissure.

The best way to prevent an anal fissure is to avoid situations that cause constipation. Eating meals high in fiber, drinking plenty of water in between meals and exercise can all help to keep bowel movements regular.

Proper rectal hygiene including keeping the anus dry, wiping gently after a bowel movement or using a moist towelette can also lessen the risk of irritating the skin around the anus. 

Symptoms of Anal Fissures

While anal fissures may only last for a short period of time, the symptoms can be painful and very frustrating. The skin located around the anus is sensitive. When anal fissures are present, the anus can become itchy and create a burning sensation. Blood may also appear around a stool or on toilet paper after wiping.

When having anal fissures caused by constipation or diarrhea, the anus may become very sore before or after a stool.

Screening for Anal Fissures

Fortunately anal fissures typically last no longer than a week and can be treated at home. If anal fissures are being caused by constipation, it is best to treat the symptoms for constipation first. Once the constipation is under control, the anal fissures will have a better chance at healing.

Other home remedies include increasing water and fiber into your diet, rest, proper rectal hygiene, and taking warm water baths. Topical medication can also be applied to an anal fissure to help relieve discomfort and aid in the healing process. 

Although chances are low, more severe cases of anal fissures require surgery.

Since anal fissures appear at the opening of the rectum, they can usually be seen or felt. To diagnose an anal fissure, our doctors will want to confirm that symptoms including blood in the stool is not from a more serious condition.

Other serious conditions such as Crohn's disease can cause anal fissures. Consult a doctor if you have a history of anal fissures and are noticing unusual or heightened symptoms.

Who is at Risk for Anal Fissures?

Anal fissures can affect anyone. The risk for anal fissures however, actually decreases with age. People in mid-life are more apt to get anal fissures. Women who have recently delivered a baby and young infants experience anal fissures more commonly.

If you have a history with anal fissures, constipation or other gastrointestinal related illnesses, anal fissures are more likely to be problematic.

To learn more about screening for anal fissures, or to schedule an appointment call (816) 836-2200.


 

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