Doctor insights on:
Treatments Anal Fissure
Anal fissures no fun: Anal fissures are like paper-cuts in the anus. They can bleed, hurt, & recur, particularly with defecation & any other activity that increases pelvic pressure. Disorders of anal-rectal function, straining at hard stool, prolonged sitting, heavy lifting, long distance walks/runs are causative & should be addressed. If stool softeners, fiber, topical rx, & behavior changes don't cure, see a surgeon. ...Read moreSee 1 more doctor answer
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
Depends: An early anal fissure can be cured with local treatments such as pain medication, anti-inflammatory medication, and measures to prevent constipation straining and diarrhea. Older chronic fissures may need surgery such as an anal sphincter partial incision. ...Read moreSee 1 more doctor answer
Medications: There are really no effective over-the-counter medications for anal fissures. Proctologists will recommend prescription topical creams that contain either Nitroglycerin or Diltiazem to relax the sphincter muscles. Some even use Botox injections. The last resort is an operation called a lateral internal sphincterotomy (lis). ...Read more
Depends on time: An anal fissure is simply a tear in the lining of the anal canal that exposes the internal anal muscle which reacts by going into spasm therefore the pain and bleeding. An acute fissure is up to 6 weeks and almost always responds to softening stool with fiber and warm sitz baths. After this it becomes chronic and would require medicine to relax the muscle like nifedipine/NTG/Botox or surgery. ...Read moreSee 1 more doctor answer
Soften stool, baths: Eliminating constipation and softening stools are usually the primary targets when treating anal fissures. Such goals can be accomplished by taking daily fiber supplements and/or using laxatives. Sitz baths, during which the rectal area is immersed in warm water for 10-15 minutes, are also therapeutic and should be done 2-3 times per day. Sitz baths are available in most drugstores. ...Read moreSee 1 more doctor answer
Depends: First line treatment is a high fiber diet, plenty of fluids and possible a laxative to keep your bowel movements soft. Warm baths. If persist, prescription antispasmodic cream if persists, Botox or surgery in form of sphinterotomy the above order is also depended on the severity, persistency, recurrence and appearance of your fissure if your symptoms are severe and persist see a colon and rectal. ...Read more
Anal fissure has healed but sentinel pile still there, although it got a little smaller its not going away. Should I wait longer? Other treatments?pls
"piles" and fissures: "piles" are hemorrhoids, which are blood vessel hernias in the anal region. "Fissures" are unrelated to the occurrence of hemorrhoids, and both can be caused by straining with bowel movements. Surgical treatments are painful and usually not indicated except in extreme cases. Suggest using mild laxatives on occasions to help prevent more of either, but what is there will not "fo away". ...Read more
I've had anal fissure for 5 years.It's been really good in the past few months.Symptoms appeared again after 1 constipation.What's the best treatment?
No: Not that I am aware of.Get a more detailed answer ›
For anal fissure treatment, which is the best ointment, cream or gel you use ( less side effect or interactions with hbp medicines.)?
Umm: Well some anal fissures require surgery. Use the treatment recommended by your physician. If you have not seen a physician then it is best to be evaluated and treated appropriately for treatment. ...Read more
Had bleeding during bowel movements. How can I tell if it is hemorrhoids or anal fissure? Are there home treatments? Or do they go away on their own?
You may be able to: tell by looking with a mirror if you know what you're looking for.To know for sure, please see your doctor.If there's a fissure there, you may be able to heal it with a healing ointment such as Aquaphor and making sure your bowel movements aren't hard.Hemorrhoids can resolve on their own if you soften your stool and don't need to push as hard, but if the bleeding continues, you need to be checked. ...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?
Easy BM diet: Fissure is a tear in the lining of your anal canal. You need to minimize mechanical stress/ trauma of defecation to heal. Any food known to give you constipation or loose bm should be avoided. Many find adjusting the amt of fiber supplement helpful in achieving the bm consistency that don't hurt as much. Sitz bath and otc meds can promote healing too. If nothing helps, see your doc. ...Read moreSee 2 more doctor answers