Fissures in the anus, or anal fissures, are very common and painful conditions that cause great discomfort. In this condition, there is a tear or crack in the skin of the anal area. In the early stages, it can be cured by taking some dietary precautions, using home remedies, and taking a Sitz bath.
It is usually found in young and middle-aged women, especially during pregnancy. Without treatment, it becomes a chronic fissure, which does not heal permanently and continues to show symptoms of anal pain, bleeding, etc., continuously or intermittently if ignored for a prolonged period.
Fissure in anus symptoms include:
As an associated symptom, constipation occurs
It is also possible to see blood streaks along with stool or on tissue paper; sometimes, there may also be a few drops of blood.
Defecation pain is SHARP, BITTING, BURNING, and can last for hours after defecation.
The feeling that there is some skin tag hanging at some point of the anus is always present (observed in chronic fissures).
The following factors cause fissures in the anus:
The primary cause is constipation and hard stools
A spasm of the internal sphincter can be caused by a variety of factors
If there is a significant amount of skin loss after surgery for a hemorrhoid
A secondary cause could be ulcerative colitis, Crohn's disease, tuberculosis, etc.
In Chronic Fissures in Anus with Sentinel Tags, Kshara sutra, when tied at the base of the Sentinel Tag, leads to strangulation, pressure necrosis, and the cutting effect of the Kshara sutra drugs results in tags being shed off within a few days.
It is the minimal Fissures with anal spasms may benefit from a lateral sphincterotomy, which involves cutting the internal anal sphincter by incision.