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Help with painful bowel movements and bleeding.

Post by 
Dr. Mohamed Salama
May 25, 2022

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.

What are the known risk factors that can lead to analfissure?

Dr. Salama: Factors that increase the risk for an analfissure include constipation. If you have to strain to defecate and have hard stools, you increase the risk of a tear in the rectum. In women, analfissures occur more frequently after the birth of a child. Analfissures also occur in connection with Crohn's disease. This inflammatory bowel disease causes chronic inflammation of the intestinal tract, which can make the lining of the anal canal more susceptible to rupture. Another known risk factor is anal sex.

Is there anything you can do to prevent analfissuration in the first place?

Dr. Salama: You can prevent an analfissure by taking steps to avoid constipation or diarrhea! It's helpful to eat foods rich in fiber, drink plenty of fluids, and exercise regularly so you don't have to strain to have a bowel movement.

How are analfissures treated at LBCL Surgery and Vein Practice?
Dr. Salama: Treatment options for chronic fissures are generally based on reducing anal pressure and include nonsurgical and surgical procedures. At LBCL Surgery & Vein Practice, we treat analfissures with an approach that is individualized to the patient, helping to relieve current symptoms and even prevent future fissures. We place a great deal of emphasis on selecting the appropriate method in each individual case and providing patients with personal and detailed advice.

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