Anal fissures are tiny tears or cuts in the lining of the anus, often causing sharp pain and discomfort during bowel movements. While this condition may seem minor, it can become incredibly distressing for those experiencing it, affecting their daily lives and overall well-being. In fact, anal fissures are more common than many realise, with global statistics suggesting that nearly 1 in 10 people will experience them at some point in their lives. Whether due to constipation, childbirth, or other reasons, anal fissures can affect anyone, regardless of age or gender.

In this blog, we’ll explore the common causes of anal fissures, discuss symptoms, available treatments, and what you can do to heal quickly. 

What Exactly Are Anal Fissures?

Before we dive into the causes, it’s essential to understand what anal fissures are. These small cuts occur in the skin around the anus, often from straining during bowel movements. This leads to sharp, intense pain, particularly when passing stools. 

According to Dr. Mouhsen, a General & Laparoscopic Surgeon, “Many patients initially mistake anal fissures for haemorrhoids due to similar symptoms, but they are quite different. The key difference is the sharp, cutting pain that persists after passing stool.”

Recognising the problem is half the battle. Let’s take a closer look at the symptoms that point to anal fissures.

What Are the Common Symptoms of Anal Fissures?

The symptoms of anal fissures are often confused with other rectal conditions, but once identified, they are hard to miss. If you’re experiencing any of the following anal fissures symptoms, it’s essential to seek help:

• Sharp, severe pain during and after bowel movements
• Bright red blood on the toilet paper or the toilet
• A visible tear or crack around the anus
• Itching or irritation in the anal region
• A small lump or skin tag near the fissure

As Dr. Mouhsen explains, “If you experience persistent anal pain, especially after bowel movements, it’s time to consult a doctor. Leaving fissures untreated can lead to chronic pain and complications.”

What Causes Anal Fissures?

There are several causes behind the development of anal fissures, and understanding these can help you prevent them. Let’s explore some of the most common causes of anal fissures.

1. Chronic Constipation

Constipation is the leading cause of anal fissures. Straining during bowel movements puts immense pressure on the anus, causing tears. Hard stools are incredibly damaging and can tear the delicate tissue of the anus.

“Constipation is a primary cause of anal fissures,” says Dr. Mouhsen. “The key to prevention is keeping your bowel movements soft and regular, primarily through a high-fibre diet and hydration.”

2. Diarrhea

Although constipation is more commonly associated with fissures, chronic diarrhoea can also lead to tears. Frequent bowel movements irritate the sensitive tissue, increasing the risk of fissures.

3. Childbirth

Childbirth is another common cause, particularly for women who experience intense pressure on the anal region during delivery. 

Dr. Mouhsen points out, “Many women come to me with fissures post-childbirth, and it’s crucial to manage them early to avoid long-term issues.”

4. Inflammatory Bowel Diseases (IBD)

Conditions like Crohn’s disease can cause inflammation throughout the digestive system, including the rectum and anus, making it easier for fissures to form.

What Are the Treatment Options for Anal Fissures?

Once diagnosed, the next step is to treat the fissure and prevent it from becoming chronic. Luckily, anal fissures treatment is often straightforward and highly effective.

Non-Surgical Treatments

For most people, non-surgical treatments can heal the fissure within a few weeks. Here’s what you can try:

• Dietary Changes: Increasing your fibre intake can make a world of difference. “A high-fibre diet with plenty of fruits, vegetables, and whole grains softens stools and prevents straining,” advises Dr. Mouhsen.
• Stool Softeners: These medications make it easier to pass stools without straining and help prevent further injury.
• Topical Ointments: Medicated creams like nitroglycerin or calcium channel blockers can help increase blood flow to the affected area, speeding up the healing process.

If you’re asking yourself how to heal a fissure fast, the key lies in consistency—follow the recommended treatments and stick to a high-fibre diet.

When Surgery Becomes Necessary?

While most fissures heal on their own or with conservative treatments, some people experience chronic or recurring fissures that don’t respond to basic measures. In such cases, surgery may be required. The most common procedure is anal fissures surgery, known as lateral internal sphincterotomy. This involves a small cut in the anal sphincter muscle, reducing tension and allowing the fissure to heal.

“Surgery is often the last resort, but for chronic fissures, it’s incredibly effective,” explains Dr. Mouhsen. “Patients usually report immediate relief and a short recovery period.”

One of Dr Mouhsen’s patients shared, “I was in agony every time I used the bathroom. I tried home remedies, but nothing worked. Dr. Mouhsen suggested surgery after other treatments failed. I’m so glad I did it because I felt relief almost immediately after the procedure!”

Another patient shared, “My fissures started after my second childbirth, and the pain was unbearable. Dr. Mouhsen recommended a fibre-rich diet and ointments. I followed his advice, and within weeks, I was completely healed!”

How Much Does Treatment for Anal Fissures Cost?

In Dubai, the cost of treating anal fissures varies based on the severity of the condition and the treatment method selected. Non-surgical options, such as stool softeners and topical creams, generally range from USD 30 to USD 150 per month.

For surgical treatment, anal fissures surgery in Dubai typically costs between USD 2,000 and USD 7,000. This cost can vary depending on the complexity of the procedure and the healthcare facility. It’s advisable to check with your insurance provider, as they may cover part of these expenses.

Conclusion

Anal fissures, though painful and disruptive, are often manageable when the underlying causes are addressed. By understanding the common causes—such as chronic constipation, diarrhoea, trauma, or childbirth—you can take proactive steps to prevent and treat these issues effectively.

Dr. Mouhsen emphasises, “Understanding the root cause of your anal fissures is crucial. Early intervention and a tailored treatment plan can make a significant difference.”

If you’re experiencing any symptoms associated with anal fissures, it’s essential to seek help promptly. Addressing the causes, whether through dietary changes, medications, or surgical options, can lead to significant relief and improved quality of life. Don’t let pain control your life—there are effective treatments available to help you heal and feel better.

FAQs

1. Can anal fissures go away on their own?

Yes, with proper care, most anal fissures heal within a few weeks.

2. Is anal fissure surgery painful?

No, the surgery is usually done under anaesthesia, and recovery pain is minimal.

3. What can I do to prevent anal fissures?

Eating a high-fibre diet and staying hydrated can help prevent constipation and straining.

4. How long does it take to recover from surgery?

Most patients recover from anal fissures surgery within 2-4 weeks.

5. Are there long-term effects of anal fissures?

In most cases, once healed, there are no long-term complications from anal fissures.

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