Anal Fissure - Adult
Peri anal pain , Bleeding per rectum
- 15 min15 minutes
- Depends on ConsultDepends on Consult
- Location 1
An anal fissure is a small tear or crack in the skin around the anus. Bleeding from a fissure usually stops on its own within a few minutes. However, bleeding will often occur again with each bowel movement until the crack heals. CAUSES This condition may be caused by: • Passing large, hard stool (feces). • Frequent diarrhea. • Constipation. • Inflammatory bowel disease (Crohn disease or ulcerative colitis). • Infections. • Anal sex. SYMPTOMS Symptoms of this condition include: • Bleeding from the rectum. • Small amounts of blood seen on your stool, on toilet paper, or in the toilet after a bowel movement. • Painful bowel movements. • Itching or irritation around the anus. DIAGNOSIS A health care provider may diagnose this condition by closely examining the anal area. An anal fissure can usually be seen with careful inspection. In some cases, a rectal exam may be performed, or a short tube (anoscope) may be used to examine the anal canal. TREATMENT Treatment for this condition may include: • Taking steps to avoid constipation. This may include making changes to your diet, such as increasing your intake of fiber or fluid. • Taking fiber supplements. These supplements can soften your stool to help make bowel movements easier. Your health care provider may also prescribe a stool softener if your stool is often hard. • Taking sitz baths. This may help to heal the tear. • Using medicated creams or ointments. These may be prescribed to lessen discomfort. HOME CARE INSTRUCTIONS Eating and Drinking • Avoid foods that may be constipating, such as bananas and dairy products. • Drink enough fluid to keep your urine clear or pale yellow. • Maintain a diet that is high in fruits, whole grains, and vegetables. GENERAL INSTRUCTIONS • Keep the anal area as clean and dry as possible. • Take sitz baths as told by your health care provider. Do not use soap in the sitz baths. • Take over-the-counter and prescription medicines only as told by your health care provider. • Use creams or ointments only as told by your health care provider. • Keep all follow-up visits as told by your health care provider. This is important.