Anal fissure is a small cut in the anal area. It happens due to hard stool passing, child birth and due to diarrhoea. When the small cut in the skin opens the muscle tissues it gives acute pain in the anal area. The discomfort causes especially after bowel movements.

A patient of anal fissure experiences acute pain and stool with blood after bowel movement. Sometimes the patient may get itching and burning sensation in the anal area.

Anal fissure is not a prolonged disease. It doesn’t continue more than six weeks. Natural medications can be given to treat the patient.

Anal fissure is mostly seen in the small children and young kids. This is not a serious condition. Generally it takes six weeks to heal. The cut of the anal area takes four to six weeks of time to heal.

There are some treatments which are given to treat anal fissure like pain relievers and stool softeners. These medicines help in healing the wound and the discomfort caused by the wound. If the anal fissure doesn’t get improved even after these medicines, then the doctor will recommend surgery.


There may be many causes of occurring anal fissure. Most of the common identifications are:

1. A cut near to the anal skin

2. A skin scar and chunk near to the anal area

3. Acute pain near to the anal area

4. Blood stains on the toilet paper after bowel movement

5. Burning and irritation near to the anus


Commonly anal fissures occur due to hard stool passing. Sometimes frequent diarrhoea can cause a cut near the skin of the anal area. Inflammatory bowel disease, heavy strain during child birth, excessive tight anal muscles are the other common reasons. Some of the rare reasons are Anal Cancer, HIV, Tuberculosis, sexually transmitted disease and herpes.

Anal fissures also occur during pregnancy but there is no certain reason for that. In most of the cases 80% babies are affected with this disease in their first year of life. Some of the older people suffer from anal fissure due to the reduced blood flow in their anus and rectum. Women are prone to anal fissure due to the heavy strain at the time of child birth.


Doctor or physician diagnose anal fissure by checking the anal skin. To confirm about the disease the doctor may go for a digital rectal check-up. To examine the cut properly the doctor inserts an anascope inside the rectum. These apparatus have cameras and lights attached to the tubes which help the doctors to view the internal pictures of anus well. This will also help the doctor to know the exact reason of anal fissure. Other treatments include intake of fibre food, fresh and raw vegetables, stool softener, use of nytroglycerin creams, pain relieving creams and botox injection to ease the pain and discomfort of anal fissure. The botox injections heal the anal fissure and preventing spasms inside the anus. If the anal fissures don’t heal even after using the mentioned medicines then the doctor may go for a surgery which is called sphincterotomy.

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Billroth Hospitals, 43,
Lakshmi Talkies Road,
Shenoy Nagar,
Tamil Nadu, India.

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