Rectal Polyps After Anal Fissures: Causes and Recovery

Polyp suspected to be caused by anal fissure?

Hello Dr.
Ke,
I experienced a suspected diarrhea last month that led to an anal fissure, and the symptoms have improved over the past month due to dietary adjustments.
However, I would like to ask you a few questions:
1.
Currently, I do not experience pain during bowel movements, but I notice swelling in the anal area after defecation, and sometimes a small polyp slightly protrudes.
Is this swelling a normal part of the healing process after an anal fissure?
2.
Will the suspected polyp that appears to be swelling around the entire anal area disappear as the healing progresses?
3.
Is the polyp caused by the anal fissure? (I do not have hemorrhoids and have not experienced chronic constipation.)
Thank you.

Cai Xiansheng, 20~29 year old female. Ask Date: 2015/08/28

Dr. Ke Fangxu reply Surgery

1.
Anal fissures can indeed present with the aforementioned symptoms.
It is recommended to avoid diarrhea or constipation and to take warm sitz baths frequently.
2.
Polyps may shrink but do not necessarily disappear; however, as long as there is no pain or bleeding, there is no need for excessive concern.
3.
Polyps caused by anal fissures typically appear at the anterior or posterior position.
The "circumferential polyps" you mentioned may require further evaluation by a physician to determine if they are related to the anal fissure.

Reply Date: 2015/08/28

More Info

After experiencing anal fissures, it is understandable to have concerns about the development of rectal polyps and the recovery process. Let’s address your questions one by one, while also providing some additional context regarding anal fissures, rectal polyps, and their interrelation.

1. Is the swelling and feeling of fullness in the anus after bowel movements a normal part of the healing process from anal fissures?
Yes, it is quite common to experience some degree of swelling or a sensation of fullness in the anal area during the healing process of anal fissures. When the fissure occurs, the surrounding tissues can become inflamed and sensitive. As the fissure heals, the tissues may still be reactive, leading to sensations of swelling or discomfort. This can be exacerbated by bowel movements, especially if they are not entirely soft or if there is any straining involved. It is important to maintain a diet rich in fiber and stay hydrated to ensure softer stools, which can help minimize discomfort during bowel movements.

2. Will the suspected rectal polyps disappear as the fissure heals?
Rectal polyps are growths on the lining of the rectum that can vary in size and shape. If you are experiencing what feels like a polyp or a protrusion after bowel movements, it is essential to have this evaluated by a healthcare professional. While some minor swellings or tags may resolve as inflammation decreases, true polyps typically do not disappear on their own. They may require monitoring or removal, especially if they are symptomatic or if there is any concern regarding their nature. It’s advisable to schedule a follow-up appointment with your doctor to assess these growths properly.

3. Are polyps caused by anal fissures?
Anal fissures themselves do not directly cause rectal polyps. However, the irritation and inflammation from a fissure can lead to changes in the anal tissue, which might result in the formation of tags or other benign growths. If you have not had a history of hemorrhoids or constipation, the appearance of polyps may be coincidental and not directly related to the fissures. It is essential to differentiate between benign growths and those that may require further investigation, as some polyps can have the potential to develop into more serious conditions.

In summary, while it is common to experience discomfort and swelling during the healing of anal fissures, any new growths or persistent symptoms should be evaluated by a healthcare provider. Regular follow-ups and monitoring are crucial to ensure that any changes in your anal region are appropriately managed. If you notice any changes in the size, shape, or symptoms associated with the suspected polyps, or if you experience any new symptoms such as bleeding, it is important to seek medical attention promptly.
Maintaining a healthy diet, practicing good bowel habits, and staying hydrated are key components in supporting your recovery. If you have further concerns or if symptoms persist, do not hesitate to reach out to your healthcare provider for personalized advice and treatment options.

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