Doctor insights on:
Anal Fissure And Analgesics
I am prone to getting anal fissures. Can lifting weights cause an anal fissure? Max amount lifting is 50 pounds (25 each side).
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
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
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?
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
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?
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
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
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
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
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
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
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
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
Well tolerated: Botox injections are usually well tolerated. They are administered with very small needles. ...Read more
Fissure: No as it would impair healingGet a more detailed answer ›
Less pain blood: Less pain and less blood are good indicators that you are improving. ...Read more
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
Yes it can: Anal fissure can cause pain and irritation due to tear in rectal mucosa ...Read more
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