An anal fissure, also known as an anal tear, is a small crack in the skin around the anus, which can cause pain and sometimes bleeding during and after bowel movements.

Symptoms

  • Pain during and after bowel movements
  • Visible blood on toilet paper or in the toilet bowl
  • Itching or irritation around the anus

Causes

The cause of an anal fissure is usually due to passing hard or large stools. Genetic factors do not play a prominent role.

Diagnosis

The diagnosis is made through a physical examination where the doctor looks at the area. Sometimes an additional examination, such as a proctoscopy, is needed.

Treatment

Treatments may include:

  • Ointment to relieve pain, improve blood flow, and promote healing
  • Warm water sitz baths
  • Dietary adjustments for softer stools

Self-care Tips

  • Drink plenty of water
  • Eat high-fiber foods
  • Avoid straining during bowel movements
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