5 Symptoms of Anal Fissure and What to Do

Anal fissure is a small tear that occurs in the anal region and usually results from straining during bowel movements.

Pain During Bowel Movements

One of the most obvious symptoms of an anal fissure is the sharp and severe pain felt during bowel movements. This pain occurs as the stool passes through the cracks in the anal region and can last from a few minutes to several hours after bowel movements. When pain is felt during bowel movements, it is important to soften the stool and regulate bowel movements. Drinking plenty of water, consuming fiber-rich foods, and using laxatives under a doctor’s recommendation can help in this process.

Pain in the Anus

Constant or recurring pain in the anus is another important symptom of an anal fissure. This pain usually continues after bowel movements and can increase when sitting or walking. Spasms of the muscles in the anal region and inflammation during the healing process of the fissures are the main causes of this pain. In some cases, the pain can be so severe that it restricts individuals’ daily activities. Warm sitz baths are an effective method to alleviate anal pain. These baths help to relax the muscles around the anus and increase blood flow, thereby reducing pain.

Swelling in the Anus

Swelling or edema may occur in the anal region due to an anal fissure. This swelling occurs as a result of inflammation and blood accumulation in the tissues around the fissure. Swelling also slows down the healing process of the fissures by obstructing blood flow in the area. To reduce swelling in the anus, it is first necessary to control inflammation. Warm sitz baths can help alleviate swelling by increasing blood flow to the anal region. Additionally, using anti-inflammatory creams and suppositories can be effective in reducing inflammation.

Bleeding During Bowel Movements

Bleeding observed during or after bowel movements is a common symptom of an anal fissure. This bleeding is usually bright red and can be seen on the stool or toilet paper. The cause of the bleeding is the reopening of the fissures during bowel movements and the damage to blood vessels. Although bleeding is usually mild and temporary, it can be more intense and continuous in some cases. When bleeding is noticed during bowel movements, it is important to consult a specialist to determine the underlying cause.

Itching in the Anus

Itching in the anal region is also a common symptom of an anal fissure. This itching occurs as a result of irritation and inflammation of the skin tissue around the fissures. Itching can increase especially at night and disrupt individuals’ sleep patterns. Along with itching, a burning sensation may also be experienced, which further increases the discomfort in the area. To alleviate itching in the anus, it is first important to pay attention to hygiene rules. Keeping the area clean and dry plays a significant role in preventing irritation. Doctors often recommend anti-itch creams or ointments to relieve itching.

What to Do for Anal Fissure Treatment?

The treatment of anal fissure varies depending on the severity of the fissure and whether it is chronic. Mild and acute fissures usually heal with simple home treatment methods. First, it is necessary to soften the stool and regulate bowel movements. Consuming fiber-rich foods, drinking plenty of water, and using laxatives under a doctor’s recommendation can be helpful in this process.

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