An anal fissure is a “cut” or “tear” at the anus or inside the anal canal. It is a very common proctological problem.
The condition is sometimes misdiagnosed as hemorrhoids as they share several symptoms, especially when a “skin tag” is present.
Sometimes, physical examination is not enough to get an accurate diagnosis, and your doctor may need to visualize the lesion with anoscopy.
Acute Fissures may develop into chronic fissures. Over 90% of acute fissures last for a short duration and heal spontaneously or with simple self-care measures.
However, if you leave anal fissures untreated, they can become chronic and cause a myriad of problems.
During your initial assessment, the doctor at our clinic will investigate the possible cause of the fissure and determine its exact location. Based on a variety of factors, your doctor will determine the best course of action in the treatment of your anal fissure.
The most common symptoms of anal fissures include Pain, Bleeding, Itching, and constipation.
You can self-assess how serious your anal fissure is based on your symptoms. It is essential to treat it early instead since a slow-healing anal fissure could reduce the chances of successful non-invasive procedures.
Acute Fissure – occurs with a sudden onset and healing within 2-6 weeks.
Chronic Fissure – Generally fails to heal within 8 weeks. Chronic anal fissure is inconsistent in its symptoms.
Most fissures are located at the back (i.e., posterior fissures), although they can also be located at the front (i.e., anterior fissures) or at the sides. Anal fissures can also be in more than one location. The location may give us a clue to the cause of the anal fissure. For example, a fissure located at the sides may be more likely due to Crohn’s disease.
Singular anal fissure.
Multiple anal fissures.
Simple anal fissure.
Complicated anal fissures (e.g., anal fissures due to viral infections).
Visible anal fissure.
Invisible anal fissure..
** In addition to the factors listed, primary fissures may also have no clear underlying cause.
Within 6-8 weeks, the tear is fresh and simple, whereas elasticity is poor, so no chronic ulcer is formed. The fibers of the longitudinal muscle are exposed on the wound surface.
The wound edge is raised with induration. Wound granulation tissue is not fresh and there are apparent ulcers.
In old chronic anal fissures with a history of recurrence, the base of the fissure is deep and the wound’s margin is irregular, hard, and stiff. Complications may arise due to the inflammation. Examples include sentinel Pile, hemorrhoids, hypertrophied papillae, anal cryptitis, and subcutaneous fistula.
Aside from the symptoms of grade 3 anal fissures, the fissures will cause complications, which present with superficial subcutaneous fistula and true fistula.
We Focus on the full solution and cure of prolonged fissures; we also assist you in determining the source or receiving additional medical care attention.
We specialize in anorectal diseases and offer therapies for the treatment and prevention of hemorrhoids, anal fistulas, anal fissures, anal abscesses and anal itching caused by anal eczemas.
Fill up the form below and our friendly staff members will get back you you shortly to arrange an appointment that works best for you.
"*" indicates required fields