{"id":7089,"date":"2025-03-11T21:44:01","date_gmt":"2025-03-11T18:44:01","guid":{"rendered":"https:\/\/avrupacerrahi.net\/en\/?p=7089"},"modified":"2025-03-11T21:44:01","modified_gmt":"2025-03-11T18:44:01","slug":"what-causes-chronic-anal-fissure","status":"publish","type":"post","link":"https:\/\/avrupacerrahi.net\/en\/what-causes-chronic-anal-fissure\/","title":{"rendered":"What Causes Chronic Anal Fissure?"},"content":{"rendered":"<h2><\/h2>\n<p>Chronic anal <b><a href=\"https:\/\/avrupacerrahi.net\/en\/what-is-an-anal-fissure\/\">fissure<\/a><\/b> refers to long-term tears in the inner part of the anal canal, usually presenting with severe pain and <b><a href=\"https:\/\/avrupacerrahi.net\/en\/non-surgical-rectal-bleeding-treatment\/\">bleeding<\/a><\/b> during defecation. The main causes of chronic anal fissures include bowel problems, improper toilet habits, muscle spasms, infections, and nutritional deficiencies.<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/avrupacerrahi.net\/en\/what-causes-chronic-anal-fissure\/#Bowel_Problems_and_Constipation\" >Bowel Problems and Constipation<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/avrupacerrahi.net\/en\/what-causes-chronic-anal-fissure\/#The_Effect_of_Chronic_Diarrhea_on_Anal_Fissure\" >The Effect of Chronic Diarrhea on Anal Fissure<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/avrupacerrahi.net\/en\/what-causes-chronic-anal-fissure\/#Improper_Toilet_Habits\" >Improper Toilet Habits<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/avrupacerrahi.net\/en\/what-causes-chronic-anal-fissure\/#Excessive_Tension_in_Anal_Muscles\" >Excessive Tension in Anal Muscles<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/avrupacerrahi.net\/en\/what-causes-chronic-anal-fissure\/#Inflammation_and_Infections\" >Inflammation and Infections<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/avrupacerrahi.net\/en\/what-causes-chronic-anal-fissure\/#Poor_Diet_and_Nutritional_Deficiencies\" >Poor Diet and Nutritional Deficiencies<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/avrupacerrahi.net\/en\/what-causes-chronic-anal-fissure\/#Pregnancy_and_Postpartum_Anal_Fissure\" >Pregnancy and Postpartum Anal Fissure<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/avrupacerrahi.net\/en\/what-causes-chronic-anal-fissure\/#Chronic_Diseases_and_Immune_System_Disorders\" >Chronic Diseases and Immune System Disorders<\/a><\/li><\/ul><\/nav><\/div>\n\n<h3><span class=\"ez-toc-section\" id=\"Bowel_Problems_and_Constipation\"><\/span>Bowel Problems and Constipation<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Constipation is one of the most common causes of chronic anal fissures. Hard and strained defecation can cause tearing of the anal canal, triggering fissure formation. Irregular bowel movements lead to hardened stool and increased pressure on the anal region during defecation.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"The_Effect_of_Chronic_Diarrhea_on_Anal_Fissure\"><\/span>The Effect of Chronic Diarrhea on Anal Fissure<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Frequent episodes of diarrhea can disrupt the mucosal integrity of the anal canal due to continuous irritation, paving the way for fissure formation. Inconsistencies in stool consistency make it harder to protect the anal area.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Improper_Toilet_Habits\"><\/span>Improper Toilet Habits<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Prolonged sitting on the toilet and excessive straining can impair blood circulation in the anal region, delaying the healing of fissures. Additionally, unnecessary strain during defecation creates extra pressure on the anal muscles.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Excessive_Tension_in_Anal_Muscles\"><\/span>Excessive Tension in Anal Muscles<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Spasms of the internal anal sphincter create high pressure in the anal canal, making healing difficult. Chronic stress and muscle tension can also lead to excessive contraction of the sphincter, contributing to the chronicity of anal fissures.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Inflammation_and_Infections\"><\/span>Inflammation and Infections<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Localized infections and chronic inflammation can prevent anal fissures from healing over time. In particular, fungal and bacterial infections can increase tissue sensitivity in the anal region, triggering fissure formation.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Poor_Diet_and_Nutritional_Deficiencies\"><\/span>Poor Diet and Nutritional Deficiencies<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A lack of fiber and insufficient water intake can disrupt bowel regularity, increasing the risk of constipation. Adequate fiber and water consumption are essential for a healthy digestive system. To learn more about dietary recommendations for anal fissure patients, check out our article on how anal fissure patients should eat.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Pregnancy_and_Postpartum_Anal_Fissure\"><\/span>Pregnancy and Postpartum Anal Fissure<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Pressure applied to the perineal area during childbirth can cause anal fissures. Postpartum rectal injuries may also make healing more difficult.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Chronic_Diseases_and_Immune_System_Disorders\"><\/span>Chronic Diseases and Immune System Disorders<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Crohn\u2019s disease and inflammatory bowel diseases can increase the sensitivity of the anal mucosa, contributing to the formation of fissures.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chronic anal fissure refers to long-term tears in the inner part of the anal canal, usually presenting with severe pain and bleeding during defecation. The main causes of chronic anal fissures include bowel problems, improper toilet habits, muscle spasms, infections, and nutritional deficiencies. Bowel Problems and Constipation Constipation is one of the most common causes<\/p>\n","protected":false},"author":2,"featured_media":7083,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-7089","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hemorrhoids"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/avrupacerrahi.net\/en\/wp-json\/wp\/v2\/posts\/7089","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/avrupacerrahi.net\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/avrupacerrahi.net\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/avrupacerrahi.net\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/avrupacerrahi.net\/en\/wp-json\/wp\/v2\/comments?post=7089"}],"version-history":[{"count":1,"href":"https:\/\/avrupacerrahi.net\/en\/wp-json\/wp\/v2\/posts\/7089\/revisions"}],"predecessor-version":[{"id":7090,"href":"https:\/\/avrupacerrahi.net\/en\/wp-json\/wp\/v2\/posts\/7089\/revisions\/7090"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/avrupacerrahi.net\/en\/wp-json\/wp\/v2\/media\/7083"}],"wp:attachment":[{"href":"https:\/\/avrupacerrahi.net\/en\/wp-json\/wp\/v2\/media?parent=7089"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/avrupacerrahi.net\/en\/wp-json\/wp\/v2\/categories?post=7089"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/avrupacerrahi.net\/en\/wp-json\/wp\/v2\/tags?post=7089"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}