Metro Bariatrics - Amir Moazzez MD, FACS

Anal Fissure

What is a fissure?

image01An anal fissure is a tear in the anal mucosa, or the top layer of the anal skin. It is like a cut on the palm of your hand. The anal fissure exposes the anal muscle and sends it into spasm, causing the anus to be narrower than usual.

What are the signs and symptoms of a fissure?

When you have a bowel movement, it will feel like a razor or knife is cutting your anus. After a bowel movement, the anus will throb and be sore. There may also be some bright red blood. You will be fearful of having another bowel movement. Imagine having a deep cut and putting lemon juice on it.

How did I get the fissure?

The tears usually happen with a large, hard, dry bowel movement that injures or cuts the anal lining. With the anus now narrower than before, another large hard bowel movement will with cause more damage. Other causes are diarrhea, trauma, or anything that can injure the anal lining.

How do I treat the fissure?

The key to therapy is to have a soft bowel movement. Both constipation and diarrhea will make a fissure worse. One must get 30 grams of fiber and drink 64 ounces of water daily in order to have a normal bowel movement. Also, soaking your bottom in a tub of warm water 2-3 times a day helps. There are also topical creams that will relax the anal muscles and provide pain relief. This therapy takes about 4 weeks to work, and will heal the fissure 90% of the time.

Is there any surgery for a fissure?

Surgery is reserved for patients where the above therapy did not work. Surgery includes cutting the internal anal sphincter muscle, which allows the fissure to heal. This is a quick procedure and works nearly 100%.

Contact Inova Bariatric

For more information on anal fissure conditions and treatment options, or if you would like to schedule a consultation with one of the experienced doctors at Inova Bariatric, please contact us today.

Disclaimer: The information presented is only for informational purposes, and is not intended to diagnose, treat, cure, or prevent any illness, disease, or condition, nor is it intended to self-diagnose and self-treat any illness, disease or condition. Please consult your physician for any medical concern, question, and ailment.