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Doctor insights on: Anal Fissure And Analgesics

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What's an anal fissure?

What's an anal fissure?

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. ...Read more

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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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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?

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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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

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
412 doctors shared insights

Anal Fissure (Definition)

Anal fissure is a condition where there is a tear in the tissue lining the anus or lower rectum. This ...Read more