Shop now. For details see our conditions. Further reading and references. The excruciating pain. Here are a few other treatments that can help alleviate an anal fissure. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. The anus is the opening of the rectum through which stool passes out of your body.
These may include a medicated cream to help heal the fissure , a topical muscle relaxant to relax the anal muscles , an anesthetic ointment to reduce pain, if pain interferes with having a bowel movement , or nitroglycerin or calcium channel blocker ointments to relax the anal muscles and increase blood flow to the region, promoting healing. September Anal diseases. Surgical procedures are generally reserved for people with anal fissure who have tried medical therapy for at least one to three months and have not healed. Non-surgical treatments are recommended initially for acute and chronic anal fissures. Anal incontinence can include inability to control gas, mild fecal soiling, or loss of solid stool. Internal anal fissures on anterior side, posterior side or within any part of the inner circumference of the anal sphincter muscle can be diagnosed with Chelsea Eaton anal speculum, Smith anal retractor, transparent plastic disposable proctoscope or by digital rectal examination with a finger inside the anal sphincter muscle.
Anal fissure - Diagnosis and treatment - Mayo Clinic
The Fresno Bee. Anal fissure. Untreated fissures develop a hood-like skin tag sentinel piles which cover the fissure and cause discomfort and pain. The result is a non-healing ulcer, which may become infected by fecal bacteria. Doctors usually perform a procedure called lateral internal sphincterotomy LIS , which involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain, and promote healing.
Description: In adults, fissures may be caused by constipation, the passing of large, hard stools, or by prolonged diarrhea. Accessed Oct. See your doctor if you have pain during bowel movements or notice blood on stools or toilet paper after a bowel movement. Ferri FF.