Anal fissures are most commonly caused by damage to the lining of the anus or anal canal, the last part of the large intestine. Most cases occur in people who have constipation, when a particularly hard or large poo tears the lining of the anal canal. Other possible causes of anal fissures include: persistent diarrhoea.
Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut. A chronic anal fissure likely has a deeper tear, and may have internal or external fleshy growths.
WHAT CAN BE DONE IF THE FISSURE DOES NOT HEAL? A fissure that fails to respond to conservative measures should be re-examined. Persistent hard or loose bowel movements, scarring, or spasm of the internal anal muscle all contribute to delayed healing.
The symptoms of a fissure and a hemorrhoid can be similar. Either can cause pain, itching and bleeding. However, if you are in pain and don't feel an external lump, the condition is more likely to be a fissure. If you notice that you are leaking mucus from your anus, the problem is probably a hemorrhoid.
What is the best medication for an anal fissure?
|Best medications for anal fissure|
|Aspercreme Lidocaine (lidocaine cream)||Anesthetic||Topical|
|Rectiv (nitroglycerin cream)||Vasodilator||Topical|
|Botox (botulinum toxin A)||Neurotoxin||Injection|
Oct 5, 2020
Petroleum jelly, zinc oxide, 1% hydrocortisone cream, and products like Preparation H can help soothe the area. Instead of toilet paper, use alcohol-free baby wipes that are gentler on the area. Sitz baths can help heal fissures and make you feel better.
This medication is used to treat minor pain, itching, swelling, and discomfort caused by hemorrhoids and other problems of the anal area (such as anal fissures, itching). Hydrocortisone is a corticosteroid that reduces redness, itching, and swelling.