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Home Home Remedies. An anal or a rectal fissure is a small tear, cut, or open sore in the skin around the anus. This problem can affect people belonging to all age groups but is more common in infants and young adults. Anal fissures can extend their way into the anal canal, exposing the muscles surrounding the rim of the anus, the anal sphincter. This can cause a muscle spasm, which leads to the further tearing of the affected region, pain, and slowing down the healing process. Bowel movements can be majorly a cause of anal fissures.

See your doctor if you have pain during bowel movements or notice blood on stools or toilet paper after a bowel movement. You may be able to prevent an anal fissure by taking measures to prevent constipation or diarrhea.

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Eat high-fiber foods, drink fluids and exercise regularly to keep from having to strain during bowel movements. Anal fissure care at Mayo Clinic.

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Prescription drugs used to treat anal fissures that fail to heal with less conservative treatment are ointments containing anesthetics, steroids, nitroglycerin, and calcium channel blocking drugs (CCBs). Does surgery cure anal fissures? Surgery by lateral sphincterotomy is the gold standard for curing anal fissures The treatment for anal fissures is targeted at reducing the pressure on the pelvic floor to relieve the pain and bleeding. Your doctor will prescribe the best-suited treatment method from among the ones discussed below: Suppositories, foams, or creams containing hydrocortisone, which can help reduce inflammationEstimated Reading Time: 6 mins Treatment at home for uncomplicated anal fissures can include eating more fiber, using stool softeners, drinking more water, using sitz baths, and using a local anesthetic to decrease pain. 1 ?? Fissures can cause a decrease in quality of life because of the discomfort, but treatment at home is usually successful to heal embracingmothers.comted Reading Time: 8 mins

Overview An anal fissure is a small tear in the thin, moist tissue mucosa that lines the anus. Request an Appointment at Mayo Clinic.

Share on: Facebook Twitter. Show references Feldman M, et al. Anal diseases. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. Elsevier; Accessed Oct. Anal fissure. American Society of Colon and Rectal Surgeons.

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Newman M, et al. Anal fissure: Diagnosis, management, and referral in primary care.

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British Journal of General Practice. Stewart DB. Anal fissure: Clinical manifestations, diagnosis, prevention. In cases of superficial fissures, although they are painful and may cause bleeding, they may heal on their own.

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Deeper fissures that become chronic may require treatment from a physician such as a gastroenterologist. Treatment at home for uncomplicated anal fissures can include eating more fiber, using stool softeners, drinking more water, using sitz baths, and using a local anesthetic to decrease pain. Any blood in or on the stool should always prompt a trip to the physician. An anal fissure is caused by some type of trauma occurring in the anal canal.

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These tears in the anal canal can happen to anyone, but are more common in those who are younger and considered otherwise healthy. Uncomplicated fissures are called primary fissures.

What is an Anal Fissure? (Anal Tear, Ulcer)

A fissure could be caused by diarrhea, constipation, or from unusually high tension in the muscles of the anal sphincter. These fissures may also occur during childbirth, especially after a difficult delivery or one that was instrument-assisted.

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In the past, it was thought that most fissures were caused by straining to pass stool. Some of the conditions that are associated with primary anal fissures include: ? ?. Fissures associated with these diseases, infections, or conditions may become chronic and take longer to heal or require intervention such as surgery.

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Anal fissures are painful, in part, because there is still a need to have bowel movements while they are healing. It will be important to keep stools soft and easily passed in order to avoid causing more discomfort.

In addition, there are some self-care measures that may aid in not only reducing the associated pain but also in helping the fissure to heal more quickly. Taking a sitz bath means to sit in a few ins of warm water to ease conditions in anal area like a fissure.

A sitz bath may relieve pain, but it may not speed healing of the anal fissure. Sitz baths look like plastic tubs and can be purchased at most drugstores.

They are used by putting them on top of a toilet and then filling with warm water. The water slowly leaves the tub through a tube or a small hole.

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In some cases, Epsom salts or other additives may be put in the sitz bath, but these should only be used on the recommendation of a physician. The American Heart Association recommends that most adults eat between 25 and 0 grams of fiber each day.

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The reason for eating the appropriate amount of fiber is that it helps prevent stools from being too hard constipation or too liquid diarrhea. A soft, easily passed stool will be less traumatic on the fissure area and prevent it from becoming further irritated.

Some examples of high-fiber foods include:. If you can't get enough fiber throughout the day from food, a fiber supplement may help.

It is important to start slowly with fiber supplements and increase the amount used over time to avoid side effects such as abdominal bloating and gas. Fiber supplements can be taken long-term, and they are helpful in treating both constipation and diarrhea.

A stool softener may help in preventing constipation.

Stool softeners are not laxatives and are usually considered safe and associated with few side effects. The way these agents work is that they help pull more water into the digestive tract, which softens stool.

There are several formulations, including liquids, capsules, and tablets.

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Stool softeners are usually used for about a week. Other lifestyle changes should be put into place to help with constipation in order to discontinue the stool softeners. ck with a physician about which over-the-counter stool softener may be most helpful.

Being dehydrated can contribute to the development of constipation. Drinking water can help keep stools soft and easier to pass. More is needed after exercise or while pregnant or breastfeeding.

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When stools are soft and easily passed, it may mean that enough water is being taken in during the day. Some foods with high water content include:. Keeping clean after bowel movements can be a challenge with a fissure. If wiping is causing pain, using a bidet or a hand shower to clean up may be gentler.

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For those who are prone to developing anal fissures, prevention is key to avoiding the trauma and the subsequent pain and discomfort. It is important to keep stools soft and easily passed, and prevent both constipation and diarrhea. That, in turn, can prevent the straining and the increase in sphincter tone that may contribute to the development of anal fissures.

The measures used to treat an anal fissure may help in preventing one as well: ? ??. Anal fissures are embarrassing, painful, and can have a detrimental effect on quality of life.

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The key is to reduce the discomfort while promoting healing in the area. Engaging a healthcare provider will give the best chance of healing up the area without any long-term problems, or having the fissure become chronic which are more difficult to heal.

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Treatment is usually not necessary for most cases of anal fissures. The tears heal on its own within a few weeks and may not necessarily recur if the causative condition has resolved or is properly treated. Simple dietary and lifestyle measures may be sufficient to prevent these fissures from occurring again and aid with rapid healing The goal of treatment is to relieve pain and discomfort, and heal the torn lining. Acute anal fissures - the ones that don't last longer than 6 weeks - Causes of adult anal fissures include constipation, passing large stools and swelling caused by inflammatory bowel disease. reports nearly 90 percent of anal fissures heal without any treatment 2. Natural remedies aid in symptom relief and allow the fissure to heal quickly

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