Is It Anal Fissure? Symptoms and When to Seek Help

Q: Is It Anal Fissure? Symptoms and When to Seek Help

Hello： Please take a moment to check with the Department of Colorectal Surgery regarding the scheduling of your colonoscopy at Changhua Hospital, Ministry of Health and Welfare. <br>We care about you.

Is it a symptom of anal fissure?

Hello Doctor: Recently, I have been experiencing slight discomfort around the anal sphincter, similar to a small stinging sensation, as if there is a minor tear and itching.
However, the symptoms do not persist continuously.
After bowel movements, I noticed a small amount of red blood when wiping.
Could this be a symptom of anal fissure, or could it indicate other serious health issues? Should I seek immediate medical attention, or are there ways to improve this condition? Thank you! (I occasionally have a habit of holding in my bowel movements, and recently I have been experiencing dark, small, pellet-like stools.
After giving birth, I have also noticed occasional hemorrhoids that I can feel.)

Xiao Mao, 30~39 year old female. Ask Date: 2018/07/14

Dr. Yu Mingchang reply Surgery

Hello: Please take a moment to check with the Department of Colorectal Surgery regarding the scheduling of your colonoscopy at Changhua Hospital, Ministry of Health and Welfare.
We care about you.

Reply Date: 2018/07/14

More Info

Anal fissures are small tears in the lining of the anus, and they can cause significant discomfort and pain during bowel movements. Based on your description, it sounds like you may be experiencing symptoms consistent with an anal fissure. The sharp pain, the sensation of tearing, and the presence of bright red blood after bowel movements are all common indicators of this condition.
Anal fissures can occur for several reasons, including passing hard stools, straining during bowel movements, or even due to chronic diarrhea. Your mention of occasionally having a habit of holding in bowel movements and experiencing dark, hard stools could contribute to the development of fissures. Additionally, postpartum changes can also lead to anal fissures, especially if there has been trauma to the pelvic area during childbirth.

While anal fissures are often not indicative of a more serious condition, it is essential to monitor your symptoms closely. If the fissure is acute, it may heal on its own with conservative measures. Here are some recommendations for managing your symptoms:
1. Increase Fiber Intake: A diet rich in fiber can help soften your stools and make bowel movements easier. Foods such as fruits, vegetables, whole grains, and legumes are excellent sources of fiber.

2. Stay Hydrated: Drinking plenty of water can help prevent constipation and promote regular bowel movements.

3. Avoid Straining: Try to avoid straining during bowel movements. If you feel the urge to go, it’s best to respond promptly rather than holding it in.

4. Warm Baths: Soaking in warm baths can help relax the anal sphincter and relieve discomfort. This practice, known as sitz baths, can be particularly soothing.

5. Topical Treatments: Over-the-counter creams or ointments that contain hydrocortisone or lidocaine can help alleviate pain and inflammation. However, it’s best to consult with a healthcare provider before using any medication.

6. Avoid Irritants: Be cautious with soaps and hygiene products that may irritate the anal area. Gentle cleansing with water is often sufficient.

7. Consult a Healthcare Provider: If your symptoms persist for more than a few days, worsen, or if you notice significant bleeding, it’s crucial to seek medical attention. A healthcare provider can perform a thorough examination to confirm the diagnosis and rule out other potential issues, such as hemorrhoids or more serious conditions.

In some cases, if conservative treatments do not lead to improvement, further interventions may be necessary. This could include prescription medications or, in rare cases, surgical options to repair the fissure.

In summary, while your symptoms may suggest an anal fissure, it is essential to monitor your condition and seek medical advice if symptoms persist or worsen. Early intervention can lead to better outcomes and help prevent complications. Remember, it’s always better to err on the side of caution when it comes to your health.

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