Medications for anal fissures can relieve pain and promote healing. These baths can also support the healing process. Warm tub baths or sitz baths lasting 10 to 20 minutes a few times per day, particularly after bowel movements, cab soothe the anal area and to help relax anal sphincter muscles. Drinking more water can also help prevent hard stools and constipation, and can promote healing.
Over-the-counter stool softeners can prevent constipation and hard stools.
To treat anal fissures, doctors typically suggest dietary and lifestyle changes, along with medications.ĭietary treatment for anal fissures includes a high-fiber diet and over-the-counter fiber supplements to make stools soft, formed, bulky, and easier to pass. Treatment for Anal FissuresĪnal fissure treatment depends largely on the cause and severity of the symptoms. Those with chronic anal fissures may have a small lump or skin tag located on the skin near the anal fissure. Patients may notice bright red blood on the stool or toilet paper following a bowel movement. To prevent further pain, many patients try to avoid having bowel movements. Less commonly, inflammatory bowel disease, anal infections, or tumors can cause anal fissures.Ībout 250,000 new cases of anal fissures occur in the United States each year, but the number of cases could be much higher, as many may attribute the symptoms to hemorrhoids.Īn anal fissure usually causes a sharp pain that begins with the passage of stool and can continue for several minutes to a few hours. Some people are more prone to developing anal fissures, particularly those with a tight anal sphincter. A hard, dry bowel movement or loose, frequent bowel movements can lead to anal fissures. Both conditions can cause discomfort and bleeding.Īnal fissures are usually the result of trauma to the inner lining of the anus from a bowel movement or from other stretching of the anal canal. The American Society of Colon and Rectal Surgeons defines an anal fissure as “a small rip or tear in the lining of the anal canal.” The condition is common but often confused with hemorrhoids, which are swollen veins in the lowest part of the rectum and skin around the anus. Many doctors also prescribe diltiazem-ointment for anal fissures, an uncomfortable condition suffered most often by infants and middle-aged adults. Doctors commonly prescribe diltiazem to treat high blood pressure and to control the type of chest pain known as angina.
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