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.