The next bowel movement results in more pain, anal spasm and further reductions in blood flow and the cycle continues. A hard, dry bowel movement is typically responsible, but loose stools and diarrhoea can also lead to a fissure.įollowing a bowel movement, severe anal pain can produce spasm of the anal sphincter muscle, resulting in a decrease in blood flow to the site of the injury, thus impairing healing of the wound. Patients with tight anal sphincter muscles (i.e., increased muscle tone) are more prone to developing anal fissures. If you have an anal fissure, see a colorectal doctor for a consultation to determine what treatment may be necessary.įissures are usually caused by trauma to the inner lining of the anus. That anal fissures occur in people of all ages and health backgrounds? Fortunately, most of them heal on their own in one to two months without the need for medical intervention. Many patients are fearful of having a bowel movement and may try to avoid defecation secondary to the pain. Patients may also notice bright red blood from the anus that can be seen on the toilet paper or on the stool.īetween bowel movements, patients with anal fissures are often relatively symptom-free. The typical symptoms of an anal fissure include severe pain during, and especially after, a bowel movement, lasting from several minutes to a few hours. What are the symptoms of an anal fissure? The most common treatment for anal fissures is an examination under anaesthesia (EUA) and Injection of Botulinum Toxin A (Botox or Dysport). This may also be accompanied by some bright red blood that you notice on the toilet paper upon wiping or notice in the toilet bowl.Īnal fissures are usually caused by the tearing of the lining of your anal canal when passing a hard or large stool. The most common symptoms of an anal fissure include a sharp pain in your bottom when opening your bowels. What is an anal fissure?Īn anal fissure is a tear or an open sore in the lining of your anal canal. Moviprep Bowel Preparation for Colonoscopy and Flexible SigmoidoscopyĪnal fissures typically cause pain and bleeding with bowel movements.
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