What is an Anal Fissure?

Anal fissure is a small cut or tear in the lining of the anal canal. It causes pain and bleeding during or after bowel movements. Though common and not dangerous, fissures can be extremely uncomfortable.

Good news? Most fissures heal naturally or with simple treatment — but chronic ones may need medical help.

Common Symptoms

• Sharp pain during bowel movements
• Burning or stinging sensation in the anus
• Bright red blood on toilet paper or stool
• Visible crack or tear in the anal skin
• Itching or irritation near the anus
• Spasms in anal muscles (feeling of tightness)

What Causes Anal Fissures?

• Passing hard or large stools (constipation)
• Chronic diarrhea
• Childbirth-related strain
• Anal trauma or rough wiping
• Inflammatory bowel disease (IBD)

How is it Diagnosed?

Doctors usually diagnose fissures with a simple physical examination. In chronic or deep cases, an anoscopy may be used to check the anal canal clearly.

Treatment Options

Home Remedies:

• Sitz baths (warm water soaking)
• High-fiber diet (fruits, veggies, whole grains)
• Plenty of water (stay hydrated 💧)
• Over-the-counter pain relief creams

Medical Treatment:

• Nitroglycerin or Nifedipine creams (to relax muscles)
• Botox injections (to stop spasms and allow healing)
• Stool softeners or laxatives

Surgical Option:

• Lateral Internal Sphincterotomy (LIS) – A minor surgery for chronic fissures with a high success rate

Frequently Asked Questions

Q: Are fissures and piles the same?
A: No. Piles are swollen veins, fissures are skin tears.

Q: How long do fissures take to heal?
A: Acute fissures may heal in a few days to 2 weeks. Chronic ones need longer care.

Q: Can fissures be prevented?
A: Yes! Eat fiber, stay hydrated, and avoid straining during bowel movements.

When to See a Doctor

If pain or bleeding persists for more than 1–2 weeks, or if symptoms worsen, it’s time to consult a specialist. Early treatment prevents complications and offers long-lasting relief.

👉 Book your appointment now and let our experienced doctors help you heal comfortably and quickly.