{"id":515,"date":"2025-08-25T12:04:33","date_gmt":"2025-08-25T10:04:33","guid":{"rendered":"https:\/\/stage.proctosedyl.it\/?page_id=515"},"modified":"2025-09-02T15:43:43","modified_gmt":"2025-09-02T13:43:43","slug":"anal-fissures","status":"publish","type":"page","link":"https:\/\/stage.proctosedyl.it\/en\/about-haemorrhoids\/anal-itching-and-cracking\/anal-fissures\/","title":{"rendered":"Anal fissures"},"content":{"rendered":"\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat bg-box is-style-primary\" style=\"background-image:url(https:\/\/stage.proctosedyl.it\/cdn-cgi\/image\/format=auto\/app\/uploads\/2025\/01\/Couple-Beach-BG.jpg)\"><div class=\"free-text-wrapper container max-w-small text-center\">\n<h1 class=\"wp-block-heading is-style-heading-huge has-primary-color has-text-color has-link-color wp-elements-ce2889b313fb058d21886d9583660cc0\">What are anal fissures?<\/h1>\n\n\n\n<p>Pain in the back isn\u2019t always caused by hemorrhoids. If you experience anal pain and bleeding after a bowel movement, you may have an anal fissure. Think of anal fissures as ulcers in the large intestine \u2013 small, oval-shaped tears in the lining of the anal canal that can cause severe pain in the anus. The tears often heal on their own after a week or two, but if they don\u2019t, they should be treated because they can significantly reduce your quality of life. 1,2,3,4<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat\" style=\"background-image:url()\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<h2 class=\"wp-block-heading is-style-heading-h2\">Symptoms of anal fissures<\/h2>\n\n\n\n<p>If you have an anal fissure, you may experience one or all of these symptoms: <sup>5<\/sup><\/p>\n\n\n\n<ul class=\"wp-block-list is-style-default\">\n<li>A painful anus, especially during and after defecation<\/li>\n\n\n\n<li>A visible tear or crack in the anus<\/li>\n\n\n\n<li>Bleeding from the anus during or after defecation, usually bright red<\/li>\n<\/ul>\n\n\n\n<p>Symptoms of anal fissures are similar to symptoms of hemorrhoids, so it is not uncommon for the two to be confused. What is different with anal fissures is that the anal pain is worse and can last for an hour after the last bowel movement. <sup>6<\/sup><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat  is-style-primary\" style=\"background-image:url()\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<h2 class=\"wp-block-heading is-style-heading-h2\">Causes of anal fissures<\/h2>\n\n\n\n<p>When the inside of the anus or anal canal is stretched beyond normal, the skin sometimes becomes damaged. The damaged skin usually heals quickly on its own, but in some cases, cracks develop. Once a crack forms in the skin, passing stool becomes painful and the cramps in turn make it harder for the crack to heal. In one in four people with cracks, the condition becomes chronic, meaning it lasts for six weeks or more. <sup>7,8,9<\/sup><\/p>\n\n\n\n<p>In most cases, the lining of the anal canal tears from hard, dry stool caused by constipation. Doctors can&#8217;t always tell why some people develop fissures and others don&#8217;t, but muscle tone may play a role. The thicker the anal sphincter, the less blood can reach the wound, slowing healing. <sup>10<\/sup><\/p>\n\n\n\n<p>Other causes of anal fissures include frequent diarrhea, inflammatory bowel disease, inflammation of the anal area, sexually transmitted diseases, and pregnancy and childbirth. About one in ten women develop anal fissures after vaginal childbirth. Anal fissures affect men and women equally and can occur at any age, even in young children. <sup>11<\/sup><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat\" style=\"background-image:url()\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<h2 class=\"wp-block-heading is-style-heading-h2\">Treatment and further prevention<\/h2>\n\n\n\n<p>Many people are embarrassed about their symptoms of anal fissures and hesitate to seek help, but delaying treatment only makes the problem worse. Also, superficial fissures near the anal opening can often be easily treated at home.<\/p>\n\n\n\n<p>In addition to medication, diet is crucial to preventing anal fissures. To prevent the fissures from getting worse, or even from forming in the first place, eat plenty of fruits, vegetables, and other fiber-rich foods that can help regulate your bowel movements. If diet alone isn\u2019t enough to help you have regular bowel movements, you can try fiber supplements. <sup>12, 2<\/sup><\/p>\n\n\n\n<p>If you do not experience any improvement after 2-3 weeks of this treatment, contact a doctor to rule out other causes of your symptoms. If the fissures are chronic, your doctor may prescribe stronger medications to relax the sphincter; surgery is rarely necessary. <sup>2<\/sup><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat  is-style-secondary\" style=\"background-image:url()\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<p><strong>References<\/strong><br><\/p>\n\n\n\n<ol class=\"wp-block-list is-style-default\">\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3342598\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3342598\/<\/a> 2020-10-16<\/li>\n\n\n\n<li><a href=\"https:\/\/fascrs.org\/patients\/diseases-and-conditions\/a-z\/anal-fissure-expanded-information\" target=\"_blank\" rel=\"noreferrer noopener\">fascrs.org\/patients\/diseases-and-conditions\/a-z\/anal-fissure-expanded-information<\/a> 2020-10-16<\/li>\n\n\n\n<li>Psychometric properties of a questionnaire (HEMO-FISSQoL) to evaluate the burden associated with haemorrhoidal disease and anal fissures. Abramowitz, L. 2018.<\/li>\n\n\n\n<li><a href=\"https:\/\/patient.info\/digestive-health\/rectal-bleeding-blood-in-faeces\/anal-fissure\" target=\"_blank\" rel=\"noreferrer noopener\">patient.info\/digestive-health\/rectal-bleeding-blood-in-faeces\/anal-fissure<\/a> 2020-10-17<\/li>\n\n\n\n<li><a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/anal-fissures\" target=\"_blank\" rel=\"noreferrer noopener\">www.hopkinsmedicine.org\/health\/conditions-and-diseases\/anal-fissures<\/a> 2020-10-17<\/li>\n\n\n\n<li><a href=\"https:\/\/patient.info\/digestive-health\/rectal-bleeding-blood-in-faeces\/anal-fissure\" target=\"_blank\" rel=\"noreferrer noopener\">patient.info\/digestive-health\/rectal-bleeding-blood-in-faeces\/anal-fissure<\/a> 2020-10-17<\/li>\n\n\n\n<li><a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/anal-fissures\" target=\"_blank\" rel=\"noreferrer noopener\">www.hopkinsmedicine.org\/health\/conditions-and-diseases\/anal-fissures<\/a> 2020-10-17<\/li>\n\n\n\n<li><a href=\"https:\/\/patient.info\/digestive-health\/rectal-bleeding-blood-in-faeces\/anal-fissure\" target=\"_blank\" rel=\"noreferrer noopener\">patient.info\/digestive-health\/rectal-bleeding-blood-in-faeces\/anal-fissure<\/a> 2020-10-17<\/li>\n\n\n\n<li><a href=\"https:\/\/www.nice.org.uk\/advice\/esuom3\/ifp\/chapter\/what-is-a-chronic-anal-fissure\" target=\"_blank\" rel=\"noreferrer noopener\">www.nice.org.uk\/advice\/esuom3\/ifp\/chapter\/what-is-a-chronic-anal-fissure<\/a> 2020-10-17<\/li>\n\n\n\n<li><a href=\"https:\/\/patient.info\/digestive-health\/rectal-bleeding-blood-in-faeces\/anal-fissure\" target=\"_blank\" rel=\"noreferrer noopener\">patient.info\/digestive-health\/rectal-bleeding-blood-in-faeces\/anal-fissure<\/a> 2020-10-17<\/li>\n\n\n\n<li><a href=\"https:\/\/patient.info\/digestive-health\/rectal-bleeding-blood-in-faeces\/anal-fissure\" target=\"_blank\" rel=\"noreferrer noopener\">patient.info\/digestive-health\/rectal-bleeding-blood-in-faeces\/anal-fissure<\/a> 2020-10-17<\/li>\n\n\n\n<li><a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/anal-fissures\" target=\"_blank\" rel=\"noreferrer noopener\">www.hopkinsmedicine.org\/health\/conditions-and-diseases\/anal-fissures<\/a> 2020-10-17<\/li>\n<\/ol>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":496,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"from-article-database":[],"class_list":["post-515","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Anal fissures - Proctosedyl<\/title>\n<meta name=\"description\" content=\"Pain in the back isn\u2019t always caused by hemorrhoids. 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