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“An anal fissure is a small tear in the lining of the anal canal, simply put, the skin around the anus.”
The anal canal is the lowest part of the large intestine. An anal fissure may occur an excessive strain is used to excrete hard or large stools during bowel movement. You may experience pain and bleeding in subsequent bowel movements.
The split in the skin may lead to severe pain and bleeding during and after bowel movements.
As with this case of a Croatian woman, she suffered from years of pain after several botched haemorrhoid surgeries, leading to her suffering from acute anal fissure.
While it is usually not a severe condition, anal fissures can affect people of all ages who experience constipation. They are more likely to cause a tear in the anal canal during a bowel movement.
Typically, the tear will heal on its own within four to six weeks. Chronic anal fissures are diagnosed when the fissure persists beyond eight weeks without recovery.
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Anal fissures are most commonly caused by damage to the lining of your anus or anal canal. It often occurs in people who have frequent constipation, where a particularly hard or large stool tears the lining of the anal canal.
Anal fissures can occur in people of all ages. Older adults are also prone to anal fissures due to decreased blood flow in the anorectal area. Women who are pregnant or have recently given birth are at higher risk for anal fissures due to straining during delivery.
People with Inflammatory Bowel Disease (IBD), such as Crohn’s disease, have an increased risk of developing anal fissures. The inflammation in the intestinal lining makes the tissue around the anus tear more easily.
People who frequently constipate have a higher risk of anal fissures as well. Passing large, hard stools and straining during bowel movements are the most common causes of anal fissures.
Occasionally, a sexually transmitted infection such as herpes or syphilis can infect and damage the anal canal. This results in anal fissure.
Symptoms of an anal fissure include:
Do consult your doctor immediately should you have pain during bowel movements or observe blood during bowel movements.
While it may be tough to share about this condition, Emma Rushton of Nashville recounts the challenges she faced managing anal fissure and the difficulty in divulging her condition to others.
“Believe me, when I was struck down by mine, the last thing I wanted to do was tell people.” So, like many others, she suffered in silence.
While anal fissures cannot be prevented, there are preventive measures that you can take to reduce the risk of getting one. These are:
Your doctor will diagnose an anal fissure in a physical examination for you. This involves checking for the typical symptoms and examining the skin around your anus. The doctor may insert an anoscope into your rectum to make it easier to see the tear. Inspection of the anal canal through this thin tube may also help your doctor find other causes of anal or rectal pain, such as haemorrhoids.
In some instances, you may need a colonoscopy for a better evaluation of your symptoms.
While anal fissures are not associated with any serious diseases, such as bowel cancer, possible complications of an anal fissure may include:
Anal fissures usually do not require extensive treatments. However, specific remedies help to relieve the symptoms while promoting healing. These are:
A case study of a 39-year-old woman suffering from constipation and abdominal pain led to discovering the cause of her discomfort: anal fissure.
She reported experiencing a sensation of incomplete evacuation and used her fingers to remove the stool manually. Also, she complained of difficulty with urination and intermittent incontinence.
By understanding the conditions, her doctors were able to quickly diagnose and subsequently treated her without surgery. Should your anal fissure not respond to other treatments, your doctor may recommend an anal sphincterotomy. An anal sphincterotomy involves creating a small incision in the anal sphincter to relax the muscle, allowing the anal fissure to heal better.
For most people, anal fissure usually takes 1 to 2 weeks to heal. However, in cases where the anal fissure does not heal or persistently returns, you may need to undergo surgery.
Surgery is recommended for chronic anal fissure. This is especially so if other treatments such as changing your diet and using laxatives fail to work. Lateral Internal Sphincterotomy (LIS) is generally considered the most effective treatment for anal fissures, with more than 90 per cent of people experiencing good results in the long run.
I had to undergo an emergency surgery because the abscess on my bum was getting pretty bad. Dr Ganesh was detailed and wasted no time in treating me as I was in a lot of pain and honestly, I could feel pus coming out and it’s just disgusting, I just wanted it treated.
Dr Ganesh helped me get the abscess cleaned and drained and gave me some medication to recover at home. So far, I have been feeling much better and he did a great job so there was no scars or major pain.
Thank you Dr Ganesh.
I had severe food poisoning which resulted in a split in the skin near my buttocks. I was so shocked when I saw blood in the toilet thinking it was some terminal illness. Thankfully, after seeing Dr Ganesh, he diagnosed that I have an anal fissure and it can be treated quite easily.
I followed his advice to clean and improve my diet and within 2 weeks, I have fully recovered. Thank you Dr Ganesh!
Dr Ganesh is a trustworthy and caring doctor. I was hesitant at first to be seen as I noticed there was swelling and pus near my anus and wasn’t sure what to do. When I finally had to see a doctor, I found him online and I can see why people say he is friendly and patient. He managed to explain how I can get my condition treated without being difficult to understand.
I followed his advice and got him to treat me, it was surprisingly not as painful as imagined and he got the pus drained. Thank you to Nurse Jiaxin for helping to clean my wound as well.
Truly a great team and clinic!
I had a great experience with G&L Clinic. Dr Ganesh is professional and detailed in explaining to me about my condition, anal fistula. Apparently I had it without knowing until the pain was unbearable.
Because it was much more serious, I had to undergo a minor surgery for it. But following his advice, I am able to recover ahead of the time and am already back at work.
Thank you to Dr Ganesh, Lisa, Jiaxin, Ann and Angeline for being a wonderful, efficient team!
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