nalﬁssure is one of the most common conditions occurring in the rectum and anus area. It results from an elongated tear in the anal canal and causes painful bowel movements and bleeding in the anus. Although most fissures heal with conservative therapy, a significant proportion of them can become chronic, which has a negative impact on a person's quality of life.
What exactly is meant by an analﬁssure?
Dr. Salama: An analﬁssure is a small tear in the thin, moist tissue that lines the anus. An analﬁssure can occur when you have hard or large bowel movements. Analﬁssures typically cause pain and bleeding during bowel movements. It can also cause spasms of the ring of muscle at the end of the anus, called the anal sphincter.
So who is affected by an analﬁssure?
Dr. Salama: Analﬁssures are very common in young children, but they can affect people of all ages. Most analﬁssures can be treated simply by increasing ballaststoﬀ intake or by sitz baths. However, some people with analﬁssures also require medication or occasionally surgery.
How do people notice that they have an analﬁssure?
Dr. Salama: The signs and symptoms of an analﬁssure sometimes include severe pain during bowel movements, but also pain after bowel movements that can last even for several hours. Other indications of an analﬁssure are bright red blood on the stool or on the toilet paper after defecation. Furthermore, n aturally a visible tear in the skin around the anus or a small bump as well as a skin tag (a piece of skin) on the skin near the analﬁssure.