A member asked:

What's an anal fissure?

13 doctors weighed in across 9 answers
Dr. Michael Zadeh answered

Specializes in General Surgery

Tear of anus.: An anal fissure is a small tear in the lining (mucosa) of the anus. Typical symptoms associated with anal fissures are pain and bleeding. Fissures are quite common, but are often confused with other causes of pain and bleeding, such as hemorrhoids.

Answered 9/11/2019

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Dr. Tracy Berg answered

Specializes in General Surgery

Torn and scarred: An anal fissure occurs with torn anal/rectal tissue usually with passing large caliber and hard stool. The tear scars as it heals. The scar is less able to stretch and can tear again. Add a bowel regiment: laxatives, fiber, stool softener, more liquids, probiotics to achieve two soft bowel movements daily. Softer, smaller caliber stools will help your fissure heal. Surgery if persistent.

Answered 4/2/2019

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Dr. Allen Kamrava answered

Specializes in Colon and Rectal Surgery

Think Paper Cut: It's a small tear in the anus, much like a paper cut. The little bugger stings with bowel movements. It's due to a sphincter muscles that is a little too strong. Treatments focus on decreasing the squeeze pressure of the sphincter muscles.

Answered 9/20/2019

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Dr. answered

Anal fissure: An anal fissure is a tear in the mucosa of the anal canal, just inside the anal margin. It is a common condition causing pain on defecation in adults and children. Most anal fissures respond well to conservative or topical management. In refractory cases surgery may be required

Answered 11/28/2017

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Dr. Michael Zadeh answered

Specializes in General Surgery

Tear of anus.: An anal fissure is a small tear in the lining (mucosa) of the anus. Typical symptoms associated with anal fissures are pain and bleeding. Fissures are quite common, but are often confused with other causes of pain and bleeding, such as hemorrhoids.

Answered 10/7/2013

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Dr. Allen Kamrava answered

Specializes in Colon and Rectal Surgery

Tear in the anus: Fissure is a small tear in your anus. The pain causes a reflexive squeezing of your anal sphincters which only compounds the problem and prevents healing. Anal fissure is linked with what we call a hypertonic sphincter - a sphincter that is squeezing too much.

Answered 2/27/2013

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Torn tissue: This is a deep scratch or tissue tear in the inner lining of the anus. It tends to occur when large/lumpy or bulky stools exit the rectum under some force. It is often accompanied by bright red blood in a line on the outside of the feces. They usually self heal over time if later stools are softer.

Answered 9/1/2020

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Dr. Mark Pack answered

Specializes in General Surgery

Avoid Constipation: Non-surgical treatment includes warm water soaks 2- 3 times a day, increasing fiber intake, drink lots of water, and taking stool softeners or laxatives. Witch hazel (tucks (witch hazel) pads) can help. Some relief in a day or two usually. It may take several weeks for the fissure to heal completely. Sometimes fissures heal without treatment. May require surgery.

Answered 2/20/2014

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Dr. Mark Pack answered

Specializes in General Surgery

Avoid Constipation: Keep your stools soft with fiber(metamucil). Drink plenty of water as well. Try tucks pads (witch hazel). May need medicated creams, see your doctor to know what you need to do.

Answered 2/23/2014

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