Anal Fissures and Associated Skin Tags: What to Expect - Surgery

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Anal fissures are small tears in the lining of the anus, often caused by passing hard stools, which can lead to significant pain during bowel movements. The sharp pain you described, akin to a "knife cut," is a common symptom of anal fissures. When a fissure occurs, it can sometimes lead to the formation of a skin tag, which is a small, fleshy growth that can appear at the edge of the fissure. This skin tag is often a result of the body’s response to the fissure, as it attempts to heal the area.

In your case, the presence of a pointed skin tag at the anal opening following your experience with hard stools is consistent with what can happen after an anal fissure. The skin tag itself is not harmful, but it can be bothersome and may indicate that the fissure has not fully healed.
The medications prescribed to you, such as topical ointments like Laxative and New Hemorrhoid Cream, are typically aimed at relieving pain and promoting healing. These treatments can help soften the stool, making bowel movements less painful, which is crucial for healing the fissure. When the stool is softer, it reduces the strain on the anal area, allowing the fissure to heal more effectively.

As for the skin tag, it may take some time to resolve. In many cases, skin tags associated with anal fissures can diminish in size or disappear over time as the fissure heals. However, this process can vary from person to person. If the skin tag persists and continues to cause discomfort or if you notice any changes in its appearance, it is advisable to follow up with your healthcare provider. They can assess whether the skin tag needs to be surgically removed or if it can be left alone.

In terms of prevention, maintaining a diet high in fiber can help prevent hard stools and reduce the risk of future fissures. Staying well-hydrated and possibly using stool softeners can also be beneficial. Regularly incorporating fruits, vegetables, and whole grains into your diet can help ensure that your bowel movements remain soft and regular.

If you continue to experience pain or if the fissure does not heal within a few weeks, further evaluation may be necessary. Chronic fissures may require additional treatments, such as prescription medications or, in some cases, surgical options to promote healing.

In summary, while anal fissures can lead to the formation of skin tags, these tags often resolve on their own as the fissure heals. Your current treatment should help alleviate pain and promote healing, but if you have ongoing concerns, do not hesitate to reach out to your healthcare provider for further guidance.