An anal fissure is a small split or tear in the thin moist tissue mucosa lining the lower rectum anus. Mucosa Mucosa is moist tissue that lines certain parts of the inside of your body. In adults, fissures may be caused by passing large, hard stools, or having diarrhea for a long time. Other factors may include:. The condition affects males and females equally.
The surgery is known as a sphincterotomy. Environmental health. The above measures apply to children who have Anal split fissure as much as to adults. An anal fissure is a tear or open sore ulcer that develops in the lining of the large intestine, near the anus. Mucosa Mucosa is moist tissue that lines certain parts of the inside of your body. But not having bowel movements will only cause the stools to become even Ahal, which can make the anal fissure worse. Stretching and tearing can occur when a person passes particularly hard stools. Need Anal split find a doctor in your local area? Around half of cases heal by themselves with proper self-care and avoidance of constipation. Emily teen spankwire B Anal split B is a viral infection that affects the liver and can lead to serious illness or death
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An anal fissure is a small cut or tear in the lining of the anus.
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An anal fissure is a small split or tear in the thin moist tissue mucosa lining the lower rectum anus. In adults, fissures may be caused by passing large, hard stools, or having diarrhea for a long time. Other factors may include:. The condition affects males and females equally. Anal fissures are also common in women after childbirth and in people with Crohn disease.
An anal fissure can be seen as a crack in the anal skin when the area is stretched slightly. The fissure is almost always in the middle. Anal fissures may cause painful bowel movements and bleeding. There may be blood on the outside of the stool or on the toilet paper or baby wipes after a bowel movement. The health care provider will perform a rectal exam and look at the anal tissue.
Other medical tests that may be done include:. To prevent or treat anal fissures in infants, be sure to change diapers often and clean the area gently.
Worrying about pain during a bowel movement may cause a person to avoid them. But not having bowel movements will only cause the stools to become even harder, which can make the anal fissure worse.
A sitz bath is a warm water bath used for healing or cleansing. Sit in the bath 2 to 3 times a day. The water should cover only the hips and buttocks. Abdelnaby A, Downs JM. Diseases of the anorectum. Philadelphia, PA: Elsevier Saunders; chap Surgical conditions of the anus and rectum. Nelson Textbook of Pediatrics. Philadelphia, PA: Elsevier; chap Merchea A, Larson DW. Sabiston Textbook of Surgery. Updated by: Debra G. Editorial team. Anal fissure. Anal fissures are very common in infants, but they may occur at any age.
Other factors may include: Decreased blood flow to the area Too much tension in the sphincter muscles that control the anus The condition affects males and females equally. Symptoms may begin suddenly or develop slowly over time. Exams and Tests. Other medical tests that may be done include: Anoscopy -- examination of the anus, anal canal, and lower rectum Sigmoidoscopy -- examination of the lower part of large intestine Biopsy -- removal of rectal tissue for examination Colonoscopy -- examination of the colon.
Most fissures heal on their own and do not need treatment. If the anal fissures do not go away with home care methods, treatment may involve: Botox injections into the muscle in the anus anal sphincter Minor surgery to relax the anal muscle Prescription creams such as nitrates or calcium channel blockers, applied over the fissure to help relax the muscles.
Outlook Prognosis. Anal fissures often heal quickly without any more problems. People who develop fissures once are more likely to have them in the future. Alternative Names. Rectum Anal fissure - series. Anal Disorders Read more. Health Topics A-Z Read more.
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Vintage porn: two hot sluts splitting a cock 12 min Xtime Videos - It is sometimes called sclerotherapy. Injecting a small amount of a chemical called phenol into the base of the haemorrhoids causes them to shrink in size.
This can take a number of weeks to be effective, so you should not expect immediate results. To find out more please visit our Sclerotherapy section.
You may find it useful to have a read of our haemorrhoids, anal tears and fissures treatments page. Unfortunately, having your haemorrhoids injected does not guarantee that they will never come back. Injection usually improves symptoms for a few months, but in many cases the injections need to be repeated.
You may also wish to try;. This is usually caused by a small tear in the lining of the anal canal. Anal fissures are splits around the anus. They can open when you have a bowel movement and may continue to hurt afterwards.
They may also bleed. You can prevent the fissures from reopening by trying to avoid constipation. This will, therefore, make your faeces easy to pass. Bleeding from the anus can be serious if the bleeding is connected to a bowel disease or condition rather than the anus itself.
Your GP will help to evaluate your problem and may use the following procedures when examining you:.
Anal fissure - NHS
An anal fissure is a small tear of the skin around the back passage anus. An anal fissure that lasts more than six weeks is called a chronic anal fissure. It may not be an issue you make a habit of discussing with your friends, but lots of us get to learn about anal tears fissures the hard way.
They're not usually serious but they are most definitely painful! For most people, the anal fissure gets better quite quickly but some form of treatment is often needed and anal fissures may keep coming back.
An anal tear fissure causes pain around the back passage anus. The pain can be really bad and tends to be worse when you pass stools faeces and for an hour or so after passing stools.
You may also get some bleeding when you pass stools - usually bright red, in the pan or on the toilet paper. Bleeding from the back passage should always be checked by a doctor.
In most people, the fissure heals within weeks or so but it can take much longer. Your doctor will usually diagnose an anal tear fissure by your typical symptoms and by examining the skin around your back passage anus. No other tests are usually needed but your doctor may arrange some other tests just to check your gut bowel and back passage are otherwise okay.
Anal tears fissures are common and probably affect about 1 in people each year. They are more common in people aged between 15 and 40 years but can occur at any age, including in very young children. Women who are pregnant or have recently had a baby are at higher risk of anal fissures, while they are much less common in the elderly. Anal fissures are most often caused by damage to the back passage anus. Stretching and tearing can occur when a person passes particularly hard stools.
In most people, this skin damage will heal quickly without any problems. However, some people seem to have a higher than normal tone pressure of the muscle around the anus the anal sphincter. The muscle is 'tighter' than usual.
It is thought that this increased tone may reduce the blood supply to the anus and so slow down the skin healing process. This can cause an anal tear fissure to develop. Once a fissure has developed, pain when passing stools can increase the anal tone further. This makes the pain worse, which can then increase the muscle tone even more and further slow down the healing process. Constipation can make an anal fissure more likely to develop.
There's major variation in 'normal' frequency of bowel-opening between different people. For some, times a day is standard and going three days without a bowel movement would be very unusual.
For others, going more often than every days would be equally odd. Lots of factors can cause constipation, but among the most common are not eating enough fibre roughage and not drinking enough fluids. If you're generally unwell, particularly with a feverish illness, you'll be losing more fluid than usual - due to sweating from your high temperature fever - and often eating less. Some medications - particularly strong painkillers - can also make you constipated.
Sometimes an anal fissure occurs if you have bad diarrhoea. Anal fissures are also more common during pregnancy and childbirth. An anal fissure occurs in about 1 in 10 women during childbirth. In a small number of cases, a fissure occurs as part of another condition. For example, as a complication of Crohn's disease , ulcerative colitis or a sexually transmitted infection such as anal herpes infection.
In these situations you will also have other symptoms and problems that are caused by the underlying condition. These types of fissures are not dealt with further in this leaflet. For most people the tear fissure heals within a week or so, just like any other small cut or tear to the skin. The above measures apply to children who have a fissure as much as to adults. In children, the pain often makes them hold on to their stools.
This may lead to a vicious circle, as then even larger and harder stools form. These then cause more pain when they are finally passed. Therefore, in addition to the above measures, a short course of laxatives may be prescribed for children with an anal fissure. The aim is to make sure their stools are soft and loose whilst the fissure heals.
An anal tear fissure will usually heal within weeks in most people. However, it can take longer to heal in others. Glyceryl trinitrate ointment If you apply glyceryl trinitrate GTN ointment to the anus, it relaxes the muscle around the anus the anal sphincter.
It also increases the blood supply to the damaged skin by dilating the blood vessels in that area. This may allow the fissure to heal better. It may also ease the pain. GTN ointment may help in some, but not all, cases. Research studies showed that, for people with a chronic anal fissure, about 6 in 10 fissures healed with GTN treatment. This compared to about 5 in 10 that healed with no treatment. So, the effect of GTN ointment is modest but may well be worth a try. Other medicines Some studies have shown that other medicines may also help to relax the anal sphincter muscle and increase the blood supply to the area, so helping healing of an anal fissure.
For example, medicines called calcium-channel blockers , such as diltiazem. These medicines may sometimes be suggested for people unable to use GTN ointment. An injection of botulinum toxin into the anal sphincter muscle has also been shown to relax the anal sphincter muscle and so help anal fissures to heal. This treatment may be suggested if other treatments have not been successful.
An operation is an option if the fissure fails to heal or comes back. The usual operation is to make a small cut in the muscle around the anus internal sphincterotomy. This permanently reduces the tone pressure around the anus and allows the fissure to heal. This is a minor operation which is usually done as day case surgery you will not usually have to stay overnight in the hospital.
The success rate with surgery is very high. At least 9 in 10 cases are cured. Each treatment option for Anal Fissure has various benefits, risks and consequences.
In collaboration with health. Brown CJ, Dubreuil D, Santoro L, et al ; Lateral internal sphincterotomy is superior to topical nitroglycerin for healing chronic anal fissure and does not compromise long-term fecal continence: six-year follow-up of a multicenter, randomized, controlled trial.
Dis Colon Rectum. Mentes BB, Tezcaner T, Yilmaz U, et al ; Results of lateral internal sphincterotomy for chronic anal fissure with particular reference to quality of life.
Cochrane Database Syst Rev. Yiannakopoulou E ; Botulinum toxin and anal fissure: efficacy and safety systematic review. Int J Colorectal Dis. Epub Aug 6. Samim M, Twigt B, Stoker L, et al ; Topical diltiazem cream versus botulinum toxin a for the treatment of chronic anal fissure: a double-blind randomized clinical trial.
Ann Surg. I first got my anal fissure back in December When I talked to my first doctor about it, he ended up sugarcoating how it wouldn't affect my life and made it sound like it would heal after Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions.
How common are anal fissures? Anal fissure causes Anal fissure treatment. Anal Fissure In this article Anal fissure symptoms How are anal fissures diagnosed?
Anal fissure symptoms An anal tear fissure causes pain around the back passage anus. How are anal fissures diagnosed? Download the Anal Fissure Decision Aid.
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