What is Anal Fissure?
Anal fissure [fissure-in-ano] is (cut) in the lining of the anal region. Can occur in any age group both gender are equally affected. It should be always distinguish from hemorrhoids. Diagnosing anal fissure correctly is a very important first step for its proper treatment.

What causes anal fissure?
Trauma with stretching and scratching the lining of the anus. Hard bowel movements, Diarrhoea or Frequent Bowel Movements. Less common causes include cancer, infections, inflammatory bowel disease such as Crohn’s disease, and radiation.
What are the symptoms of anal fissure?
Anal fissure produced sharp pain and bleeding.The pain can be very severe, occurs with the passage of stool, and can last from a few minutes to several hours.Bleeding occurs when the cut is fresh.Bright red blood in the toilet bowl or on toilet paper upon wiping. Itching and burning is present sometimes. A skin tag or a small lump is seen in some cases
Management of Anal Fissure
Helpful after bowel movements to clean the area and relax the anal sphincter muscle
- Adequate water intake with at least 8 glasses of water per day to prevent hard stools
- High Fiber Food and Fiber Supplements
- In case of severe constipation, the use of Laxatives and Stool Softeners
- Ointment for pain, medications to relax the sphincter muscle and heal the fissure. If a fissure does not heal with medical treatment, a surgical procedure is very beneficial.

The goal of surgery is to release the muscle spasm in order to heal the fissure and rid of the pain. Several procedures are provided includes:
- Lateral internal sphincterotomy [a procedure to divide a small portion of the internal sphincter muscle].
- Anal Dilation
- Minimally Invasive Procedures for Fissure. These procedures include:
- Medication injection into the sphincter muscle with removal of the fissure
- Laser based fissure procedures
What happens if a fissure is left untreated?
Prevention Stay hydrated Plenty of oral fluids helps stools soften, reducing strain and pressure. Regular intake of fibre diet.