Fissure in Ano: Understanding the Condition

Fissure in Ano: Understanding the Condition

A fissure in ano is a small tear in the lining of the anus, which can cause pain and bleeding during bowel movements.

Symptoms

  • Sharp pain during bowel movements
  • Bright red blood on stool or toilet paper
  • Itching or irritation around the anus
  • A visible crack or tear in the skin around the anus

Diagnosis

  • Per Rectal Examination
  • Anoscopy (to view the anal canal)

Treatment

  • High-fiber diet and increased fluid intake
  • Stool softeners
  • Topical anesthetics and nitroglycerin ointment
  • Botulinum toxin injection
  • Surgical intervention (lateral internal sphincterotomy)

Risk Factors

  • Chronic constipation or diarrhea
  • Straining during bowel movements
  • Childbirth
  • Crohn's disease

Importance of Timely Treatment

Early treatment is crucial to prevent the fissure from becoming chronic and requiring more invasive procedures.