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An anal fissure (गुदा विदर) is a small tear in the thin, moist tissue (mucosa) that lines the anus. This common condition can cause pain and bleeding during bowel movements. Anal fissures are typically caused by trauma to the anal canal, such as passing large or hard stools. Still, they can also result from chronic diarrhea, anal sex, or conditions that cause inflammation in the anal region. Prompt medical attention and appropriate treatment are essential for effective management.
Continue reading to learn more about anal fissures, including symptoms, causes, diagnostic methods, prevention strategies, treatment options and more.
Pain during bowel movements, bleeding, itching, and a visible tear
Passing large or hard stools, chronic diarrhea, constipation, anal sex, inflammatory conditions
Physical examination, Anoscopy
Colorectal Surgeon, Gastroenterologist, General Surgeon (Proctologist)
Medications, Botox injections, Lateral internal sphincterotomy, Anal dilation, Topical nitroglycerin, Calcium channel blockers
An anal fissure is a small tear in the mucous membrane of the anal canal. This tear can be painful and may bleed, particularly during and following bowel movements. The anal canal is the last part of the digestive tract before waste is expelled from the body, and any tear in this sensitive area can lead to significant discomfort.
Anal fissures can be categorized based on their duration and severity:
Anal fistulas are abnormal passages that connect the inside of the anus to the skin around it. These painful and often recurring conditions can vary in complexity.
The symptoms of anal fissures can be distressing and may include:
Anal fissures typically result from various factors that stress or damage the anal canal. Common causes include:
While anal fissures can affect individuals of all genders and ages, it has a higher prevalence observed in children and adults between the ages of 10 and 30.
To diagnose an anal fissure, your doctor will start by discussing your symptoms and bowel habits. A thorough rectal examination will be performed to identify any fissures. This may involve a visual inspection of the anal area or a gentle digital examination with a gloved finger. If you experience severe pain, be sure to inform your doctor, who may choose to forgo further examination to avoid exacerbating your discomfort. For a comprehensive assessment of anal conditions and to investigate the cause of anal bleeding, a proctoscopy may be recommended.
Effective treatment for anal fissures aims to relieve symptoms, promote healing, and prevent recurrence. Options include:
Surgical intervention for anal fissures is often considered in the following situations:
The cost of anal fistula surgery in India varies based on factors such as the type of procedure, the hospital or clinic, and the location. Below is a table outlining the approximate costs for different types of anal fistula surgery:
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If you experience any of the following symptoms, it’s important to seek medical advice:
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Anal fissures can cause considerable discomfort, but effective treatments are available to alleviate symptoms and enhance your quality of life. Early diagnosis and appropriate treatment are key to managing this condition and preventing recurrence. While conservative treatments and lifestyle changes can offer relief, surgical options may be necessary for persistent or chronic fissures.
Consulting with a specialist at Cure Me and exploring options for anal fissure treatment can lead to improved comfort and a more fulfilling life.