An anal fissure is a cut or tear occurring in the anus (the opening through which stool passes out of the body) that extends upwards into the anal canal.

Causes

Common causes of anal fissure include:

  • Passing large or hard stools
  • Constipation and straining during bowel movements
  • Chronic diarrhea
  • Inflammation of the anorectal area, caused by Crohn’s disease or another inflammatory bowel disease
  • Childbirth

Less common causes of anal fissures include:

  • Anal cancer
  • HIV
  • Tuberculosis
  • Syphilis
  • Herpes

Risk factors

Factors that may increase your risk of developing an anal fissure include:

  • Infancy
  • Aging
  • Constipation
  • Childbirth
  • Crohn’s disease
  • Anal intercourse

Symptoms

  • A visible tear in the skin around your anus
  • A skin tag, or small lump of skin, next to the tear
  • Sharp pain in the anal area during bowel movements
  • Streaks of blood on stools or on tissue paper after wiping
  • burning or itching in the anal area

Self Care

  • Increase your daily intake of fibre
  • Drink plenty of water
  • Get more exercise
  • do not delay going to the toilet when you feel the urge
  • use alcohal free or fragrance free wet wipe
  • soak your bottom in a warm bath

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