Anal Fissure

The soft mucosa tissues lining the anorectal canal are so delicate that hard stools forcibly passed through them in a constipated bowel movement can damage these vein-filled tissues so you suffer pain, bleeding and discomforts in the anal area.

Anal fissures and hemorrhoids can occur and they both have symptoms that often get confused between them.

What Is Anal Fissure?

This is simply a tear in the delicate anorectal canal lining caused by a stressful bowel movement to pass hard and dry stools.

It’s basically a wound that can be excruciatingly painful as the stools pass over them. Bleeding is a natural occurrence and this often becomes apparent on the toilet paper or on the stool.

Anal fissures can extend from the anorectal opening to the inner canal and often located posteriorly along the midline. Its depth is often superficial or shallow but can bee deep enough to reach the lower sphincter muscle.

Treatment

Anal fissures generally self-heal with two weeks but that is not possible if hard stools continue to pass during defecation. Most common anal fissures are chronic and do not heal, resulting in infection by fecal bacteria. Treating anal fissures can take either surgical or non-surgical procedures. The former is recommended for mild acute and chronic anal fissures.

A warm sitz bath and topical anesthetics can soothe the pain at home while a dietary shift to more fiber-rich foods and laxatives can soften stools to reduce aggravating the anal fissures in subsequent defecation. For mild cases, a topical application of nitroglycerine ointment, calcium channel blockers, nifedine ointment and diltiazem can relax the sphincter muscle and allow faster healing of the anal fissures.

The latest method involves a non surgical method using botulinum toxin injected into the sphincter to relax the rectal muscles and promote the healing of anal fissures. Surgery may be the last resort for persistently deep anal fissures

Different From Piles

On the other hand, hemorrhoids are caused be inflamed veins just like varicose veins but occurring in the anorectal area resulting from hard stools irritating the mucosa linings of the rectal canal in a constipated bowel movement.

Hemorrhoids can remain internal or the inflamed mucosa linings can be so distended as to protrude out into the anal area and become an external hemorrhoid. Both types are known to result in bleeding, itching, pain and discomforts for the sufferer.

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