Anal fissure care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Diagnosis Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Feldman M, et al. Anal diseases. Elsevier; Accessed Oct.
Anal fissure. American Society of Colon and Rectal Surgeons. Newman M, et al. Also called hemorrhoids, anal piles are swollen veins in the terminal part of the anus.
Generally, piles are not that serious. They normally get okay in a few days. Some of the common symptoms of piles are:. Piles generally occur due to excessive pressure in the lower rectum. Some of the reasons for piles:. In most cases, piles go away on their own. They are identified as a tear around the anus and is very painful. In case the anal fissures become serious, they may lead to complications such as:.
The anal glands in the middle portion of the anus may get infected and cause an anal abscess, which starts oozing pus. Fistulas are the passage connecting the infected gland to the abscess. Anal fistulas occur when the fluid glands in your anus are blocked. This leads to a bacteria buildup that may create pockets abscesses.
Unless treated, abscesses may grow, finally moving outside near the anus hole to drain out. In most cases, abscesses may turn into fistulas. They may also be a result of conditions such as tuberculosis and sexually transmitted diseases. When you have anal fistulas, you may experience signs such as pain, redness, and swelling around the anus.
There can also be bleeding, painful bowel movements, and fever. Your doctor may be able to diagnose your anal fistula after a physical exam. Some fistulas may be easy to diagnose, some may not. Your doctor may check for oozing fluids or bleeding. We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission.
An anal fissure is a break in the skin of the anus. It can affect people of all ages but is most common in infants and middle-aged adults. Read on to learn more about the causes of anal fissures and what you can do to treat and prevent them in the future. An anal fissure is a small cut or tear in the lining of the anus.
The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements. Certain treatments can promote healing and help relieve discomfort, including stool softeners and topical pain relievers. In most cases, the tear heals on its own. Or your doctor may need to look for other underlying disorders that can cause anal fissures. However, certain home remedies can help promote healing and relieve uncomfortable symptoms. You can treat an anal fissure at home by:.
If your symptoms persist after trying home remedies, you should consult your doctor, who may recommend further treatments. A calcium channel blocker ointment can relax the sphincter muscles and allow the anal fissure to heal. Another possible treatment is Botox injections into the anal sphincter. The injections will prevent spasms in your anus by temporarily paralyzing the muscle.
This allows the anal fissure to heal while preventing new fissures from forming. If your anal fissure fails to respond to other treatments, your doctor may recommend an anal sphincterotomy. This surgical procedure involves making a small incision in the anal sphincter to relax the muscle. Share on: Facebook Twitter. Show references Feldman M, et al. Anal diseases. Elsevier; Accessed Oct. Anal fissure. American Society of Colon and Rectal Surgeons. Newman M, et al. Anal fissure: Diagnosis, management, and referral in primary care.
British Journal of General Practice. Stewart DB.
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