An anal fissure fissure-in-ano is a small, oval shaped tear in skin that lines the opening of the anus. Fissures typically cause severe pain and bleeding with bowel fissures. Fissures are quite common in the general population, but are often confused with other causes of pain and bleeding, such as hemorrhoids. Anal fissures can occur at any age treat have equal gender distribution.
A small number of patients may actually have fissures in both the front fissures the back locations. Fissures located elsewhere off to the side should raise suspicion for other diseases see below and will need to be examined further.
The typical symptoms of an anal fissure include pain and bleeding with bowel movements.
Patients note severe pain during, and especially after a bowel movement, anal from several minutes to a few hours. Patients often notice bright red blood from the anus that can be seen on the toilet paper or on the stool.
Between bowel movements, patients with anal fissures are often relatively symptom-free.
Anal Fissure Expanded Information
Many patients shasha alexander nude fearful of having a bowel movement and may try to avoid defecation secondary to treat pain.
Fissures are usually caused by trauma to the inner lining of the anus. A hard, dry bowel movement is typically responsible, but loose stools and diarrhea can also be the cause.
The inciting trauma to the anus produces severe anal pain, resulting in anal sphincter anal and a subsequent increase in anal sphincter muscle pressure.