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Doctor insights on: Anal Fissure And Analgesics

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Fissure (Definition)

Grooves or clefts in various anatomical structures such as the brain (transverse fissure between cerebrum & cerebellum), the skull (sphenoidal fissure), the liver (for the ligamentum teres), the lung (oblique fissure), the spinal cord (ventral median fissure), or other structures such as the palpebral fissure between upper & lower eyelids. Can also be a tear in a structure ...Read more


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Can anal fissures cause extra skin growths around anal area I've had anal fissure problems before this is the first time I noticed skin growths?

Can anal fissures cause extra skin growths around anal area I've had anal fissure problems before this is the first time I noticed skin growths?

Yes: A chronic fissure will often develop a "sentinel tag" at the base of the fissure. If you have growths elsewhere it may be unrelated to the fissure. ...Read more

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I was checked out by my doctor and she said I have an anal fissure. My question is, do anal fissures bleed a lot? And do they cause blood clots?

I was checked out by my doctor and she said I have an anal fissure. My question is, do anal fissures bleed a lot? And do they cause blood clots?

Depends: There are a lot of qualitative terms in your question.

Anal fissures normall cause bleeding that you see on the toilet paper or toilet bowl. A small drop of blood in a large bowl of water can seem like a lot of blood.

Depends on how you are rating what a lot of blood is, when and where you are seeing it and other symptoms.

Blood clots are not typical for a fissure, but possible. ...Read more

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I have had hemmroids and an anal fissure over a year now. They gave me some nifedipine lotion... is there hope? Do fissures worsen during pregnancy?

I have had hemmroids and an anal fissure over a year now. They gave me some nifedipine lotion... is there hope? Do fissures worsen during pregnancy?

Maybe: Hemorrhoids are expected to get worse during a pregnancy, but no necessarily a fissure, although anything can happen, consider a consultation with a colorectal surgeon. That doesn't mean you will have an operation, and you will get all the treaent options. Hope this helps! ...Read more

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Diagnosed with anal fissure. Burning pain during and after bowel movement. Can fissures cause some inflammation?

Yes, commonly: There is an underlying low grade infection. Usually hygiene is all that is needed, because infection is controlled as soon as the fissure heals. Consult with colo-rectal surgeon if pain persists. ...Read more

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What's an anal fissure?

What's an anal fissure?

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 ...Read more

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What is an anal fissure?

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. ...Read more

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How is an anal fissure generally treated?

Successfully: A new or 'acute' fissure will often respond to simple measures such as softening of the stools (increased water & fiber intake, a mild laxative) and a topical anesthetic. However, a more chronic fissure may be treated with a topical medication to relax the sphincter spasm and allow healing. This works less than 2/3 of the time. When it fails, a small outpatient operation is usually successful. ...Read more

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Good pain killer for a anal fissure?

Good pain killer for a anal fissure?

Before treatment...: Could you be referring to fissures, fistula, abscess? Sexually transmitted disease (syphilis, gc, hiv, etc.) should be considered. Hemorrhoids & rectal prolapse can appear as a painful swelling. Anal trauma of any kind may cause mechanical injury. Skin eruptions need to be considered. But if fissure is confirmed, topical Nitroglycerin is traditionally used, although other agents can be compounded. ...Read more

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How much should an anal fissure bleed?

How much should an anal fissure bleed?

A lot: Anal fissures can bleed a lot. Blood drips into the toilet and turns the water red. Treatment is stool softeners (like miralax). If stools are pudding-like consistency without chunks, it will heal. If not healing, it's important to make sure it's a normal fissure before seeing surgeon. See a gastroenterologist to make sure not fistula or other pathology from crohn's disease first. ...Read more

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How is an anal fissure self-diagnosed?

How is an anal fissure self-diagnosed?

With a mirror?: Could you be referring to fissures, fistula, abscess? Sexually transmitted disease (syphilis, gc, hiv, etc.) should be considered. Hemorrhoids & rectal prolapse can appear as an outward bulging. Anal trauma of any kind may cause mechanical injury. Skin eruptions need to be considered. Evaluation is recommended to distinguish serious versus less concerning reasons for your problem as described. ...Read more

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Can I use neosporin for an anal fissure?

Can I use neosporin for an anal fissure?

Would not: It is not uncommon to be allergic to this product. This may just make it worse, if that is the case ...Read more

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Anal fissure--does bleeding come and go?

Anal fissure--does bleeding come and go?

Maybe, but...: Bleeding per rectum may originate in the anal canal, the rectum, or further up the line. Frequent anal sources of bleeding include hemorrhoids & fissures, that may respond to modifying stool texture (fiber, softeners) and topical agents, or require further intervention. Similar bleeds can be seen with anal & rectal cancer, infections, ischemic colitis, diverticular bleeds, inflammatory bowel, etc. ...Read more

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Will aquaphor ever heal a small anal fissure?

Will aquaphor ever heal a small anal fissure?

Protective barrier: Aquaphor applied to a small anal fissure can provide a protective barrier that promotes healing of the fissure. ...Read more

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How can I treat a chronic anal fissure help!?

How can I treat a chronic anal fissure help!?

Surgery: The ultimate cure is surgical but if for some reason you cant or do not wish to do so the best would be to avoid straining with your bowel movements.
Stool softeners. Avoiding injecting constipation of binding foods like yams and dried meats. ...Read more

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Do I still have an anal fissure if no spotting?

Anal fissure: Anal fissures will often heal in and become asymptomatic. The problem with them is that they tend to recur. Particularly if you get constipated or have hard stools. Be sure to take stool softener and watch diet and it should stay healed. ...Read more

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Please tell me if anal fissure surgery is painful?

Please tell me if anal fissure surgery is painful?

Typically: Anal surgery can be very uncomfortable. Post-op medications helpful. ...Read more

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What are over the counter medicines for anal fissure?

What are over the counter medicines for anal fissure?

No good ones: The best course of action is to get an examination done by a general or colorectal surgeon. That doctor will be able to prescribe a course of action that may or may not involve medications. ...Read more

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Does botox injection for anal fissure cause much pain?

Well tolerated: Botox injections are usually well tolerated. They are administered with very small needles. ...Read more

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How long does it take for a bleeding anal fissure to heal?

How long does it take for a bleeding anal fissure to heal?

Depends: If the fissure is acute and shallow, correction of an abnormal bowel issue will resolve it in 2-3 weeks. A chronic fissure may stop bleeding but may not heal without surgical correction. You need to be properly evaluated with a discussion of your diet, fluid intake, bowel pattern and confirming the diagnosis with followup to confirm actually healing even if the symptoms resolve. See a colorectal. ...Read more

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Recurring anal fissure. When is it time to consider surgery?

Recurring anal fissure. When is it time to consider surgery?

Chronic anal fissure: Recurrent or chronic anal fissure should rather be assessed by a specialist surgeon or colorectal surgeon. interventions include dilatations, Botox injections or internal sphincterotomy to reduce anal spasm to allow healing and prevent recurrences ...Read more

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My wife had anal fissure operation...When she becomes healed.

Depends: Usually healing is 3-4 weeks. Special diet promoting digestion and bowel movements is a significant factor. ...Read more

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Can a 3rd degree episiotomy lead to a recurring anal fissure?

Can a 3rd degree episiotomy lead to a recurring anal fissure?

Unrelated: Those conditions are unrelated. It is probably coincidence. The episiotomy can lead to incontinence but not a fissure. ...Read more

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Can anal fissure cause a sudden stich rectal pain while sitting?

Yes it can: Anal fissure can cause pain and irritation due to tear in rectal mucosa ...Read more

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I have an anal fissure with lots of pain and bleeding. What do I do

I have an anal fissure with lots of pain and bleeding. What do I do

C a doc: Not much u can at home except make sure ur not constipated. Sitz (soaking in water) also can help. U will need something to help relax the internal sphincter muscle as we do not have control over this and it goes into spasm when it hurts. This leads to not wanting to have bm and leads to constipation which makes the fissure hurt more. It's a bad cycle that needs to break with relaxation of muscle! ...Read more

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Can you use Neosporin with an anal fissure? What can you use for relief?

Yes, doubt helpful: If you have a fissure, use Tucks pads (witch hazel) to help. There are Rx creams you can use - see your doctor. ...Read more

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Is the surgery the only solution for anal fissure.?? Please advise me..

Is the surgery the only solution for anal fissure.?? Please advise me..

Medical therapy firs: I typically treat anal fissures with a topical muscle relaxant and pain ointment first. In my experience at least 80% improve without the need for surgery. ...Read more

Anus (Definition)

The anus is the opening of the rectum, through which stool and flatus are passed. The anal canal is about an inch in length, and is ...Read more


Dr. Mark Pack
442 Doctors shared insights

Anal Fissure (Definition)

A condition where there is a tear in the tissue lining the anus or lower rectum which ...Read more