A rip or tear in the lining of the anal canal is known as an anal fissure. It frequently results in anal pain and rectal bleeding, especially during defecation. Anal fissures are usually common in infant babies and pregnant women. Anal fissures occur in almost half of people before the age of 40.

Anal fissure symptoms include: 

• Pain during bowel movements.

• Constipation-related pain that may linger for several hours.

• Bright red blood after a bowel movement on the toilet paper or stool.

• A skin-around-the-anus crack that is clearly evident.

• A little bump or mole on the skin close to the anal fissure.

What causes an anal fissure?

Anal fissues can be as a result of trauma, such as straining and stretching and some pre-existing conditions like structural deformities of the anus  and large intestine


Anoscopy. To assist the provider in viewing the rectum and anus, an anoscope, a tubular instrument, is inserted into the anus.

The flexibly sigmoidoscopy. Doctor would place a little, flexible tube with a video inside the base of the colon.

Colonoscopy. The entire colon will be examined during this test by introducing a flexible tube into your rectum. If any of the following apply to you: 

    • Older than 45 years of age.
    • Have family history or risk factors for colon cancer.
    • Have other symptoms, like diarrhea or stomach pain. 


Your healthcare professional might advise medications that reduces discomfort, and relax the anal sphincter muscle. If symptoms are not improved with medications, doctors could advise surgery. The lateral internal sphincterotomy (LIS) operation is often done by medical professionals. A tiny section of the anal sphincter muscle is severed during LIS. This method might facilitate healing while easing pain and spasm. According to studies, surgery is by far the most effective treatment for chronic fissure. 

Dr. Giridhar Reddy
Consultant Gastroenterologist

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