It is a painful wound in the form of a crack (tear) that occurs in the anal canal. It is seen on the back side of the anus in 90 out of 100 people, and on the front side of the anus in 10 people.
What are the symptoms?
Anal fissure causes burning pain after defecation. This pain can last from a few minutes to a few hours. Additionally, there may be wetness and itching due to discharge. Apart from these, symptoms such as burning during urination, frequent urination, and inability to urinate may also occur. Over time, a meat overhang forms at the outer end of the crack.
What are the causes?
It usually occurs after hard and thick defecation. The cause is usually constipation. It may also occur after diarrhea, which causes excessive straining. Sometimes it may be due to intestinal diseases and some systemic diseases.
What happens if it is not treated?
Once it occurs, the patient will have a very difficult time recovering as he/she will delay defecation due to pain. For this reason, if it is not treated, it usually becomes chronic..
How is it treated?
When the disease first occurs, hot water sitz baths and It can be treated with creams. However, there is a high rate of recurrence and chronicity. Patients who do not improve with medical treatment require surgical intervention. The treatment can be performed under office conditions with local anesthesia, a procedure that can be performed in 10 minutes.
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