Anal Fissures

Anal fissures may be referred to as cracks that occur in the anus and anal canal. This painful condition may lead to rectal bleeding, itching and other problems. Anal fissures are the injuries in the skin that surrounds the anus. This disorder is common amongst adults but others are also no exception to it. Passing stool becomes difficult for the patients.

Symptoms – Persons suffering from Anal Fissures usually show the following symptoms:

  1. Acute anal pain that may worsen with bowel movements. It may result in constipation too that is also a serious problem.
  2. Frequent urination is also common amongst the affected persons. They may find difficulty to urinate.
  3. Bleeding when passing stools is also the sign of Anal Fissure.
  4. Malodorous discharge may also be there because of the pus that comes out of the fissure.

Causes – Following reasons may be responsible for Anal Fissure:

  1. Trauma to the anus and anal canal are often responsible for this problem. Trauma may be caused because of enema tip, rectal thermometer, ultrasound probe or endoscope that is usually inserted for checks. Trauma to the perineum during child birth may also cause a tear.
  2. Hard stool and repeated diarrhea may also result in Anal Fissure.
  3. Anal cancer may also be behind this disease.
  4. Leukemia and Crohn’s disease may also lead to Anal Fissure.
  5. Diseases including tuberculosis, herpes and cytomegalovirus may also cause Anal Fissure to occur. Chlamydia, Gonorrhea and Syphilis may also be behind this disease.
  6. Patients suffering from chancroid or HIV may also fall victim to Anal Fissure.

Diagnosis and Treatment

Doctor may diagnose the disease by conducting visual inspection of the anus and anal canal. He or she may recommend endoscopy or rarely the gastrointestinal x-ray. Colonoscopy may also be suggested. Application of topical anesthetic to the anus and canal may also be necessitated.

The physician may recommend softening of the stool for which high fiber diet and addition of bulk to the stool are suggested. Patients may be given ointments that contain steroids, anesthetics, nitroglycerin and CCBs (calcium channel blocking drugs) etc. Injections of botulinum toxin may also provide sufficient relief. Surgery may also be compulsory in certain cases.

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