Anal Fissure Treatment | Home Remedies and Treatment for Anal Fissure

What is anal fissure?

What exactly are anal fissures? How does a person get them and can they be avoided? Anal fissures can be painful, and some even bleed. Why anal fissures happen can be attributed to some of these causes:

  • Anal fissures can occur when a person is constipated.
  • These cuts and tears in your anal area can also happen when pressure is present within the said area.
  • Anal fissures are also probable to occur when a person experiences bowel problems like diarrhea.
  • If a person suffers from an inflamed anal area, like when a woman is pregnant or due to the ingestion of too much spicy food, even the softest of bowel movements can bring about these anal fissures.
  • This problem can also come about as a result of other health issues like fever, abdominal pains, weight loss problems, tuberculosis and syphilis, to name but a few.

Symptoms of Anal Fissures

When you suspect that you may be suffering from anal fissures, keep an eye out for any of these possible symptoms that come with this problem:

  • You might feel a burning pain or some sharp stinging sensations around your anal area when you move your bowels or after doing so.
  • If you see blood spots on the toilet paper you use after you discharge, that can also indicate a possible anal fissure.
  • If you find that your discharges have a queer smell or that your anal areas itch after discharging, you might also be suffering from an anal fissure.
  • This condition is more common in women.
  • It is mostly seen between 30-50yrs of age.
  • It occurs sometimes in children and may cause acquired mega colon. But it is rare in the aged due to muscular atony.
  • Constipated hard stool while passes through the anal canal in patients where there is spasm of internal sphincter and hypertrophied anal papilla an acute tear of the anal canal will occur.
  • This acute fissure will cause spasm, pain of the defecation and passage of bright streaks of blood along with the stool or will be seen in the tissue paper.
  • If the acute fissure fails to heal, it will gradually develop into a deep undermined ulcer. This is termed ‘chronic fissure-in-ano’.
  • A typical chronic anal fissure will have in its upper end a hypertrophied anal papilla. At its lower end a tag of hypertrophic skin, which is called a sentinel pile and canoe-shaped ulcer in between the upper and lower ends.
  • Pain and bleeding are two main symptoms of this condition. Pain starting with and following defecation (usually following an hour or more) has been variously described as sharp, biting, burning etc.
  • Pain is sometimes intolerable and pain is the main symptom in anal fissure.
  • Bleeding if anal fissure in variable, but usually occurs as streaks on the outside of the stool or spots noted on toilet tissue.
  • Slight discharge may accompany a fully established chronic fissure. Pruritis ani or anal itching may be another symptom.
  • On examination:
  • A tightly closed puckered anus is almost certain of this condition. Acute fissure is not palpable. But in chronic fissure, the characteristic crater of the vertical fissure may be felt.

Causes of Anal Fissures

  • Constipation- this has been the most common etiological factor.
  • Spasm of the internal sphincter has also been incriminated to cause fissure-in-ano.
  • When too much skin has been removed during operation for hemorrhoids, anal stenosis may result in which anal fissure may develop when hard motion passes through such stricture.

Secondary causes of anal fissure starts proximal at the dentate line. So whole of the anal fissure lies in the sensitive skin of the anal canal and that is why pain is the most prominent symptom.

Preventing and Treating Anal Cuts

While most of these anal fissures heal all by themselves over a period of time, sometimes you will need to do something to help speed up the process or heal those tears that seem to be lingering. Here are a few suggestions you might want to try:

  • Try doing what is called a Sitz bath. This is simply the soaking of your backside or anal area in a tub of warm water for a short period of time.
  • You can try using natural stool softeners like papaya to make bowel movements easier and for these tears to heal faster.
  • For treating the burning and itching sensations, you might want to try aloe vera gel or tea bags that have been dipped in cold water for a cooling and soothing effect.
  • Try applying a paste that is made of clarified butter and some turmeric powder. This will help speed up the curing process of the tear while keeping it away from infection.
  • Prevention is better than cure so try to eat a high-fiber diet and a low-carbohydrate one to help avoid these cuts in the future. Try to avoid eating sharp foods as well like corn, tortilla chips, and peanuts.

A. Acute ulcers with short history usually heal with conservative treatment. Conservative treatment include

  • Oral pain medication, which may be taken before any anticipated bowel movement.
  • Stool softener may be used to make the stool enough to be passed without anal spasm. Weak bulk laxative or cathartics is best in this condition.
  • Soothing ointments may be applied with doubtful efficacy. 5% xylocaine ointment may be introduced into the anal canal with fine nozzle.
  • Self dilatation in highly important as this will relax the anal musculature and resolve with healing of the fissures. After 5min of application of 5% xylocaine ointment a small anal dilator should be passed into the anal canal. Anal dilators are commonly made in three sizes. Gradual dilatation of the anal canal is advised by using large dilators.
  • Injection of long acting anesthetic solution promotes little relief and has significant complications.

B. Chronic ulcers- though in these cases conservative treatment may be tried, yet in majority of cases this treatment fails and surgical management should be called for. Surgical methods for Anal fissures. . .

  • Anal dilatation- lord’s procedure of anal dilatation is the simplest method to dilate the sphincter of the anal canal. When the chronic fissure is with excessive fibrosis and skin tag, there is every chance that anal dilatation will be a failure. In these cases operation is justified.
  • Posterior sphicterotomy and fissurectomy- transverse fibers are divided and the floor of the fissure is made smooth. If the ulcer is deep with fibrotic edges the ulcer should is excised. Only disadvantage of this operation is long recovery phase of 7-10days and in occasional cases there may be persistent mucous discharge.
  • Lateral anal sphincterotomy- in this operation the internal sphincter is divided away from the fissure either on the right or left lateral position. This operative is more appropriate for early cases.
  • Excision of anal ulcer- along with skin graft to limit the convalescent period has not been successful.

28 Comments

  1. st said:

    I am 30 yrs married woman, I have anal fissure. Last year I had an episode of fissure, as advised by my doctor I took stool softener, it gave me little relief. I started eating and drinking fruit and fruit juices and prunes. As I want to reduce my weight I stopped eating prunes. Now I am on fiber diet. The first part of the stool is hard. I do not have constipation, I walk regularly, but the fissure is not getting better.

    April 22, 2010
    Reply
    • PUP said:

      Fissure in anal region are cuts and tears in the mucous membrane of the anus. They occur from various causes, the main cause is constipation. It can occur to a pregnant woman due to the inflammation in the anal area. Eating spicy food can also cause fissures in anal region.
      Treatment of fissure in anal.
      Most of the time fissure heals of its own. But some times one has to take some precaution and treatment becomes inevitable if it is stinging and burning.
      – Sit in a tub containing warm water for at least 15 minutes; this is also called sitz bath.
      – Apply anesthetic jelly after every evacuation.
      – Take medicine for worms. Sometime anti amoebic course of treatment is helpful.
      – Drink plenty of fluids.
      – Take papaya, it is a natural stool softener.
      – Paste of butter and turmeric powder can be applied on the affected part. It helps in the healing process.
      – Fiber rich food is helpful.
      – Do not eat spicy food.

      April 23, 2010
      Reply
      • A said:

        You have told that the first part of your stool is hard. To avoid this, apply the cream ANOVATE (Anti-Haemorrhoidal Cream with Belclomethasone Dipropionate – For the treatment of external and internal piles) at night , just before you go to bed. Next day morning, you can pass the stool easily.

        June 1, 2010
        Reply
  2. M B said:

    I am seeing for last two weeks that long bloods strip with stool / bowel. I went to civil doctor who told it is just infection. But his four days medicine was unable to heal the problem. Then i went to Military doctor (MS Surgeon) who declare it FISSURE and gave 15 days medicine which I am taking now. But after reading the symptoms of Fissure on your site I have no doubt that whether I have fissure as I feel no pain, no itching and no other abnormality except blood lining in stool. Kindly help.

    July 29, 2010
    Reply
  3. ps said:

    For 6 months I have this anal fissure problems and still I fill itchy there. I am taking AYURVEDIC medicine for the last 1 month but no change. I am eating simple food no spicy or oily food. How can I cure my itchy anus?

    October 5, 2010
    Reply
  4. pl said:

    I am 28 years old unmarried girl. I have anal fissure. Last month, I took doctor’s medicine and it gave me little relief. Also, I want to reduce my weight. Sometimes, I have severe pain after evacuation and also have little hemorrhoids. How can I prevent these anal fissures?

    October 27, 2010
    Reply
  5. A B said:

    Sir, I am suffering anal fissure last 10 years ago. Hospital Doctors suggest me to take seize bath and gradually it has been cure but after 10 years now I am feeling same problem. I am going to MS doctor and he suggest me to operation but I want to know is it successful to cure after operation or If I don’t done operation is it going to cancer. Please reply

    November 17, 2010
    Reply
  6. T H said:

    Hi, I have anal fissure for 12 weeks and has got a lot better, from a good homeopath, try nit Ac 30c 4/5 times a day until burning eases, it worked for me and made a difference in 5 days, good luck, I know how painful it is

    January 4, 2011
    Reply
  7. S said:

    I am 24 and have fissures since last 6 months.Doctor advised me a sitz bath and asked me to apply Anovate and Xylocaine 5% daily 4 to 5 times. After doing that, I don’t have any pain or itching sensation, but the swelling is still the same. Should I go through with any surgery as I am afraid it may lead to anal cancer in the future.

    January 30, 2012
    Reply
  8. SH said:

    I have been suffering from Anal fissures for the last 1 year. I am taking herbal medicines, Hanroid and Tolanax, for 2 months now. Now, my body does not accept Tolanax (stool softener). It causes diarrhea. So I take Bael fruit (which is found in most tropical countries) as a stool softener. But sometimes, the fissures problem recurs if the stool is hard. Can anyone tell me if this can be cancerous (colon cancer) if it lasts long? I have visited a doctor who suggested surgery, which I want to avoid. Is there any medicine that cures the piles problem permanently? Many say that it can be cured by medicine. Should I use Homeopathic treatment for treating these hemorrhoids?

    February 7, 2012
    Reply
  9. Edwin said:

    I am taking homoeopathic medicine for anal fissures. Can I take Sitz bath? Will this have any side effects on the medication?

    February 8, 2012
    Reply
  10. Ad said:

    Last year I suffered from diarrhea and rectal pain. Doctor told me that it is the attack of ulcerative colitis. I took the medication and was cured except slight blood lining in my stool.
    I went to doctor again and was told that I have a rectal ulcer, because of which this blood is coming. He suggested a stool softener and an ointment. I took them for 2 months But still I see red blood lining in my stool. I have no other symptom except this blood lining. I am also doing yoga. Please advise me will it heal automatically or should I continue the same treatment for some more time? How much serious it is?

    March 11, 2012
    Reply
  11. Dee said:

    I am a 35 years old man and I am having anal fissure for last 15 days. My doctor gave me medicine for one week but it still pains. Itching and swelling is also in the same condition. Now he has advised me to apply Anovate ointment with sitz bath daily. But I don’t know how to use it. Please help me.

    May 23, 2012
    Reply
  12. RH said:

    I had the same problem but I have got rid from this. Actually the home made remedy is: take a glass of lukewarm milk and mix a spoon of lemon juice and drink it instantly in the morning. I am sure that you will feel that your piles have gone in 6 or 7 days.

    June 3, 2012
    Reply
  13. Hob said:

    You may try anal dilators every day for 30 minutes and you can use candles. It will stretch anal sphincter and get better blood supply to the area and heal your fissure or ulcer.
    If it is painful insert 5 % Lidocaine before use.

    July 7, 2012
    Reply
  14. GP said:

    Just near my anus, there is an abscess since 2 weeks. I am taking the prescribed medication regularly since that time. Now there is no pain or burning sensation. But there is mild swelling which I can feel on touch. What should I do?

    August 7, 2012
    Reply
    • PUP said:

      It seems the abscess has started healing or it has healed. The residual swelling may take time to resolve. The pus inside the abscess must have become thick. However, you should consult your doctor and ask him if the small swelling requires to be incised by him. Meanwhile sit in a tub containing warm water for few minutes daily. Keep the anal area clean and dry. It is important to keep the bowel movement soft and regular. Drink enough water and eat food that contain more fiber.

      August 7, 2012
      Reply
  15. CL said:

    I am 39 year old married woman. I am suffering from anal fissure. If I eat spicy food, it hurts more but even without spicy food fissure is painful especially while and after every bowel movement. Can you tell me home remedies that can help to relieve my symptoms.

    November 22, 2012
    Reply
    • PUP said:

      Most of the time fissures are caused due to constipation and hard stools. So, primary aim is to avoid constipation and hard stools. Eat foods that contain enough fibers. Vegetables, fruits, cereals and grains contain good amount of fibers. Take stool softening products if you are constipated. Avoid eating spicy food at all cost. Apply locally coconut oil which keeps the area well lubricated.

      November 23, 2012
      Reply
  16. DM said:

    I am suffering from anal fissure since 2 years. Doctors have suggested me to take Sitz bath. I am consulting a surgeon and he has advised me for operation. I do not know if the surgery is successful. If I do not surgically remove the fissure, is there any chance of it becoming cancerous?

    November 23, 2012
    Reply
    • PUP said:

      Anal fissure is a type of laceration in the anal mucus membrane. It is very painful condition, especially during defecation. Surgery for anal fissure in most cases is successful. The wound may take few days or weeks to heal after the surgery, but overall the success rate is substantially good. There are several conservative ways to reduce the symptoms of fissure. Eat more of fiber containing foods to avoid constipation. Avoid too much of spicy and oily food, it can lead to pain and burning in anal region. Laxatives and stool softeners can ease bowel movement. Sitz bath is effective in reducing inflammation in the anal region. Avoid using toilet paper; instead use baby wipes to clean the area after defecation. There is no relation between fissure and cancer of anus.

      November 23, 2012
      Reply
  17. ADK said:

    I am suffering from fissure in ano since five years. I have lost my weight substantially. Sometimes there is bleeding and pain in anal area. What should I do?

    March 13, 2013
    Reply
    • PUP said:

      Fissure in anal area are cuts and break in skin of anus. This little sore can make your life or at least your sitting life miserable. Fissure often burns, bleeds and stings. Here are some tips to relieve the symptoms of fissure:
      • Avoid hard stool and constipation. Eat fruits, vegetables and whole grain. Drink at least 6 to 8 glasses of water in a day. Once the stool is soft and pliable, anal fissure should begin to heal on its own.
      • Lubricate your anal region before each bowel movement. Insert some amount of petroleum jelly in the anal canal it will help the stool to pass without causing any further damage.
      • Cut your nails as you may have intense desire to scratch due to itching.
      • Take Sitz bath daily two times in a day. All you have to do is to sit in half filled warm water tub for 10 to 15 minutes. It will relax the muscle of anal sphincter.
      • Avoid spicy and hot food.

      March 14, 2013
      Reply
  18. AV said:

    I have anal fissure and I am consulting a surgeon for treatment. He has recommended ointments to be applied in my anus. After applying the ointment, the pain and itching sensation has vanished. But the swelling still persists. Should I undergo surgery for I am afraid it may lead to anal cancer in future?

    October 27, 2014
    Reply
    • PUP said:

      Fissures in anus can make your sitting life miserable. They often burn and sting. If you want to avoid surgery you have to follow certain useful tips:
      • Avoid hard stools. Eat more of fiber containing vegetables and fruits.
      • Drink six to eight glasses of water in a day.
      • After shower or each bowel movement, apply baby powder. It will help to keep the area dry and reduce friction while walking and sitting.
      • Avoid scratching the area.
      • Reduce your weight if you are overweight as you are likely to sweat more in between the bums.
      • Sit in a tub filled half amount of warm water.
      • Avoid eating spicy and pickled foods.
      A change in lifestyle certainly helps to alleviate symptoms of anal fissure.

      November 5, 2014
      Reply

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