Pain in the anus is one of the most common complaints encountered in the outpatient clinics. The pain is sometimes described by the patient as 'my worst pain ever. This article provides some suggestions on how to avoid facing this annoying issue by making few dietary and lifestyle changes. Source : https://www.icliniq.com/articles/gastro-health/anal-fissure-causes-prevention-and-cure

1. Anal Fissure

2. Anal Fissure : Causes, Prevention, and Treatments.
● An anal fissure is a tear or ulcer that develops in the lining of the
anal canal after passing a hard motion.
● Actually, it affects one in ten people at some point in their lives. All
age groups and both sexes are affected equally.
Causes of Anal Fissure
● Constipation is the most common cause either by itself or as part of
irritable bowel syndrome.
● Severe diarrhea.
● It may be part of a more serious condition such as Crohn's or
cancer.

3. Signs & Symptoms of Anal Fissure
● A sharp pain when you pass stools, often followed by a deep burning
pain that may last several hours.
● Bright blood is seen usually on the toilet paper.
● It is commonly associated with severe constipation.
The Course of the Condition
● Usually, it resolves over four to six weeks. But, it can recur if there is
constipation or hard motion.
● In some people, the condition turns chronic and lasts for years.
● Few develop complications such as anal stricture and require
surgery.

4. How To Prevent ?
● Stay well hydrated.
● Eat a lot of high-fiber foods such as green vegetables, fruits, and
oats.
● Exercise regularly.
● Do not neglect the urge to pass motions.

5. How To Treat ?
● Treating constipation with laxatives and stool softeners is the
main step.
● Glyceryl trinitrate ointment can be applied locally two to three
times a day (this causes a headache which will require
Paracetamol 1000 mg tablet) preferably at bedtime.
● Topical Lidocaine (anesthetic) is helpful in relieving pain.
● Sitz bath (sitting in a warm water bath) for 15 minutes once or
twice a day.
● Botox injections every three months if medical therapy fails.

6. How To Treat ?
● Surgery is the last resort for few cases that do not respond to
conservative management.
● In case other serious conditions are suspected, a referral to a
specialist for further investigations is required.
For more information consult a medical gastroenterologist online
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https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterol
ogist

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