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More about The anal fissure

A tear or small cut in the anal lining or anus is an anal fissure. The breaking in the anal lining causes severe pain or heavy bright red bleeding during bowel movements. Severe fissures can reveal tissue under the skin. Fissure is not a serious condition, as it is generally noticed in people affected by constipation.

Fissure repairs and heals itself in 3 to 5 weeks. For fissure, more than 7 weeks, it is considered as a chronic fissure. A stool softener or laxative generally relieves discomfort and pain. If Fissure is not healed after pain reliever and tropical medication, a Proctologist may advise for surgery.

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A proctologist may ask you, your medical history and perform a physical examination, including an inspection of the anal region. Generally, the tear is visible.

A small anus fissure looks like a new tear, like a paper cut. A chronic anus fissure has a deeper and inner tear and may have internally or externally fleshy growths.

The fissure's location informs about its cause. A fissure that can be examined on the side of the anal opening, not in the back or front, is an indication of a sign of other disorders, such as Crohn's disease. Proctologist may advise further advanced testing if Proctologist thinks you have an underlying condition such as :

  • Anoscopy: An anoscope is a long tubular rod-like device inserted through the anus to help to examine the rectum and anus.
  • Flexible sigmoidoscopy:  Proctologist inserts a thin, flexible tube with a tiny camera into the anus to the bottom part of the colon.
  • Colonoscopy: A proctologist inserts a flexible tube into your anus to the rectum to examine the entire colon.



Fissure heals within a time of few weeks if you take steps advised by a Proctologist to take a stool softener or tropical medication, which includes intake of fibers and fluids. Soaking the tear of the anus in warm water for 10 to 20 minutes several times a day, after bowel movements, may help to relax and healing.

If your symptoms persist, you have a chronic fissure, Proctologist may advise further treatment, such as:

Nonsurgical treatments:

  • Tropically applied nitroglycerin (Rectiv), which helps to increase the blood flow to the location of the fissure and increase the rate of healing which helps to relax the anal sphincter. Nitroglycerin is a type of medical treatment when other medical treatment fails. Nitroglycerin, may have side effects like severe headache.
  • Topical anesthetic creams like lidocaine hydrochloride (Xylocaine) may lower the pain.
  • Botulinum toxin type A (Botox) injection, used to paralyze the anal opening muscle and relax spasms.
  • High Blood pressure medications, such as oral nifedipine (Procardia) or diltiazem (Cardizem) can help to relax the anal opening. These medications may be administered by mouth or applied externally on the anal opening which may be used when nitroglycerin is not an effective medication.


Surgical Treatment

If a Proctologist diagnosis a chronic anal fissure that does not affect other treatments, or if your symptoms are severe, a Proctologist may advise you for surgery. Proctologist usually performs a medical procedure called lateral internal sphincterotomy (LIS), which includes cutting off a tiny portion of the anal opening muscle to reduce pain and increase the rate of healing.

Frequently Asked Question

A proctologist treats The anal fissure in both children and Adults

Yes. To cut a tiny portion of the anal opening muscle to reduce pain, and increase the rate of healing.

Acute The anal Fissure heals itself in 3 to 5 weeks, whereas chronic anal fissure is treated with topical medication or by surgery based on your symptoms.

Yes, it may be itchy. For this, a topical medication may be provided by a proctologist.

Food, that can generate a situation of constipation such as red meat, alcohol, milk and dairy product, etc.


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