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 ?
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
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?
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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