Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut. A chronic anal fissure likely has a deeper tear, and may have internal or external fleshy growths. A fissure is considered chronic if it lasts more than eight weeks. The fissure's location offers clues about its cause.
Anal Fissures: Management and Treatment
Anal Fissures Management and Treatment | Cleveland Clinic
Back to Anal fissure. Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you don't follow the self-help advice outlined below. There are a number of different medicines your GP may recommend to help reduce your symptoms and allow your anal fissure to heal. Adults with an anal fissure will usually be prescribed bulk-forming laxative tablets or granules. These work by helping your poo retain fluid, making it softer and less likely to dry out. Children with an anal fissure are usually prescribed an osmotic laxative oral solution.
The goal of anal fissure treatment is to lower the pressure on the anal canal by making stools soft, and to ease discomfort and bleeding. Conservative treatments are tried first and include one or more of the following:. These practices heal most fissures 80 to 90 percent within several weeks to several months. However, when treatments fail and anal fissures persist or come back, other measures can be tried, including:.
Language: English French. Surgical sphincterotomy for chronic anal fissure can cause fecal incontinence. This has led to the investigation of nonsurgical treatment options that avoid permanent damage to the internal anal sphincter.