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All about anal fissure causes of anal fissure symptoms of anal fissure treatment for anal fissure prevention of anal fissure Articles in anal and rectal disorders - anal fissure anal itching anorectal abscess ostomy pilonidal disease proctitis rectal prolapse imperforate anus hemorrhoids

What're the symptoms of anal fissure?

The most common symptoms are pain during and after a bowel movement. Often the person will notice bright red blood on the toilet tissue or blood dripping into the toilet after a bowel movement. Because bowel movements are painful, many people complain of constipation. Typically, the symptoms of an anal fissure are relatively specific, and the diagnosis can often be made based on history findings alone. The patient reports severe pain during a bowel movement, with the pain lasting several minutes to hours afterward. The pain recurs with every bowel movement, and the patient commonly becomes afraid or unwilling to have a bowel movement, leading to a cycle of worsening constipation, harder stools, and more anal pain. Approximately 70% of patients note bright red blood on the toilet paper or stool. Occasionally, a few drops may fall in the toilet bowl, but significant bleeding does not usually occur with an anal fissure. Initially, the fissure is just a tear in the anal mucosa and is defined as an acute anal fissure. If the fissure persists over time, it progresses to a chronic fissure that can be distinguished by its classic features. The fibers of the internal anal sphincter are visible in the base of the chronic fissure, and often, an enlarged anal skin tag is present distal to the fissure and hypertrophied anal papillae are present in the anal canal proximal to the fissure.
 

More information on anal fissure

What is an anal fissure? - An anal fissure is a tear in the internal lining of the anus. This break in the anal lining often reopens during bowel movements. An anal fissure is a tear in the bowel lining.
What causes an anal fissure? - A hard, dry bowel movement can cause a tear in the anal lining, resulting in a fissure. Other causes of a fissure include diarrhea and inflammation of the anorectal area.
What're the symptoms of anal fissure? - The most common symptoms of anal fissure are pain during and after a bowel movement. Because bowel movements are painful, many people complain of constipation.
What is the treatment for an anal fissure? - Treatment of an anal fissure depends on how long the fissure has been present. Acute fissures can be managed with a bulk-forming laxative.
What can be done to prevent an anal fissure? - Anal fissures can be prevented by maintaining regularly formed bowel movements. High fiber diets and stool softeners are often beneficial. 
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