Anal Fissures: Healing Time and Care Tips

Unsure if it is an anal fissure?

Hello Doctor, on August 24th, I had hard stools that caused an anal fissure, resulting in bleeding.
I immediately went to see a doctor, who confirmed it was an anal fissure.
I also used the suppositories prescribed by the doctor for 14 days.
I stopped seeing blood from the third day onward, but after stopping the suppositories, my stools have been completely free of blood, although I still experience a slight, minor stinging sensation.
I'm unsure if this is still due to the anal fissure.
How long will it take to heal, and what should I do next? Thank you.

Xiao Tong, 10~19 year old female. Ask Date: 2023/09/25

Dr. Xu Kaixi reply Surgery

After 14 days of treatment, the anal fissure has largely healed, and a slight stinging sensation is normal.
To prevent future fissures, it is recommended to increase fluid intake and consume more fiber from fruits and vegetables to improve constipation, including issues with hard stools.

Reply Date: 2023/09/25

More Info

Anal fissures are small tears in the lining of the anus, often caused by passing hard stools. They can be quite painful and may lead to bleeding during bowel movements. Based on your description, it seems that you have been following your doctor's advice and using the prescribed suppositories, which is a good step towards healing.

The healing time for anal fissures can vary significantly from person to person. In many cases, if the fissure is acute (recently developed), it can heal within a few weeks with proper care. However, if the fissure persists or becomes chronic (lasting more than six weeks), it may take longer to heal and might require additional treatment options.

Here are some tips for managing and promoting healing of anal fissures:
1. Dietary Changes: One of the most effective ways to prevent further irritation and promote healing is to ensure that your stools remain soft. Incorporate a high-fiber diet, including fruits, vegetables, whole grains, and legumes. This will help to prevent constipation and reduce the strain during bowel movements. Drinking plenty of water (at least 8-10 glasses a day) is also essential.

2. Stool Softeners: If dietary changes alone are not sufficient, consider using over-the-counter stool softeners. These can help make bowel movements easier and less painful.

3. Warm Sitz Baths: Taking warm sitz baths for about 10-15 minutes several times a day, especially after bowel movements, can help soothe the area, reduce pain, and promote blood flow to the area, which aids in healing.

4. Topical Treatments: Continue using the prescribed suppositories or any topical treatments recommended by your doctor. These can help reduce pain and promote healing. If you experience any discomfort after stopping the suppositories, consult your doctor for further advice.

5. Avoid Straining: When you feel the urge to have a bowel movement, try to go as soon as possible. Avoid straining or sitting on the toilet for extended periods, as this can exacerbate the fissure.

6. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult your doctor before taking any medication.

7. Follow-Up: Since you mentioned that you still experience a slight stinging sensation, it’s important to follow up with your healthcare provider. They can assess whether the fissure is healing properly or if further treatment is necessary.

8. Avoid Irritants: Be cautious with the use of soaps or wipes that may irritate the anal area. Opt for gentle, unscented products.

In summary, while it’s encouraging that you have not seen blood after using the suppositories, the slight pain you are experiencing could still be related to the healing process of the fissure. Healing can take time, and it’s essential to continue with the recommended care and follow up with your doctor if symptoms persist or worsen. If you notice any signs of infection, such as increased pain, swelling, or discharge, seek medical attention promptly. Your healthcare provider can offer additional treatment options if necessary, including prescription medications or, in rare cases, surgical interventions for chronic fissures.

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