An anal fissure is an extremely painful and acute condition in which there are lacerations in the anal area due to hardened and large stools. This is also caused due to secondary infection or trauma in the anal area. In some cases, if the fissure is deep, it may cause a spasm to the internal sphincter, decreasing the amount of blood that flows to the anal area and prolonging the healing of the fissure. The fissures cause extreme pain which lasts for several minutes and may even last for hours. There may even be slight bleeding. Though most fissures are acute, they may become a chronic and a recurring problem, especially during pregnancy. About 10% to 15% of women experience anal fissures during their pregnancy or after they have given birth.

Roughage

In most of the cases, these fissures can be experienced in the first two months after the delivery. The fissures are caused due to long labor periods, babies who are heavy, and anal incontinence after the pregnancy. In fact, even a C-section cannot protect against anal fissures People who have Constipation or are not able to complete rectal evacuation usually experience anal fissures. Women in pregnancy often suffer from constipation, and it is for this reason that anal fissures are associated with pregnancy. Women who are not able to deliver on time, or those who may need to have a delivery with forceps, may damage the anal area, causing anal fissures.

Though these fissures are usually present on the posterior midline, in some cases, they may even be present in the anterior midline. Those who suffer from Crohn’s disease are especially prone to having enlarged papilla present on the upper end of the midline. Chronic fissures may appear a lot like Crohn’s Disease, primary syphilis, cancer, and TB. They cause great pain and at times bleeding too. The pain occurs during and shortly after defecation. The pain usually subsides after a while, only to recur the next time you defecate. The doctor will make a physical examination of the fissures in order to recommend treatment.

Some of the common treatment procedures for anal fissures include protective ointments, nitroglycerine procured under different trade names, sitz baths, and ointments containing botulinum toxin type A. Stool softeners are recommended for those who suffer from chronic constipation or have problems in bowel movement. The best way to avoid this condition is to pay special attention to your diet. Since this condition is associated with bowel movements, it is important to consume a lot of fiber and roughage in order to ensure proper bowel movements.