Does an Anal Fissure Heal on Its Own?

An anal fissure typically presents as a sharp pain, often described as feeling like glass cutting in the rectal area. While this discomfort may sometimes resolve on its own, it can also lead to issues with bowel movements, and treatment options should be considered.

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What Is an Anal Fissure?

An anal fissure is a small tear in the lining of the anus, often causing severe pain and a burning sensation during bowel movements. It is usually caused by constipation, hard stools, or excessive stretching around the anus. A fissure may start acutely and tend to heal on its own within a few weeks. However, to facilitate this process, certain lifestyle changes may be necessary.

What Happens If an Anal Fissure Is Not Treated?

If left untreated, minor discomfort may escalate over time. Acute fissures can become chronic, leading to muscle spasms in the anal region and reduced blood circulation, making healing more difficult. Prolonged pain may cause stress during bowel movements, increasing the risk of constipation. A person who experiences pain during bowel movements may alter their habits, potentially worsening the fissure.

Untreated anal fissures may become infected, leading to serious complications like abscesses. Infections can spread, causing widespread inflammation in the body and leading to severe health problems. For long-term fissure complaints, doctors often recommend surgical intervention, which speeds up healing and is effective in treating chronic fissures.

What Are the Treatment Methods for Anal Fissures?

The treatment for anal fissures depends on whether the fissure is acute or chronic. For acute fissures, non-invasive methods are usually preferred. A fiber-rich diet, plenty of water, and stool softeners can ease bowel movements. Sitz baths and topical creams can also help relieve pain and promote healing.

For chronic fissures, medical treatments and surgical options may be necessary. Botox injections, for instance, can relax the anal muscles and accelerate healing.

Temporary Solutions to Relieve Anal Fissure Symptoms

There are temporary remedies that can be used at home to alleviate the symptoms of an anal fissure. One of the most effective is regular warm sitz baths, which relax the muscles around the anus and reduce pain. Stool softeners can also make bowel movements more comfortable, reducing pain and discomfort.

Over-the-counter local anesthetic creams may offer pain relief, but they only provide temporary relief without addressing the root cause.

Does an Anal Fissure Heal on Its Own?