An anal fissure is a small cut or tear in the lining of the anus. The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements. At times, the fissure can be deep enough to expose the muscle tissue underneath. In most cases, the tear heals on its own within four to six weeks. Certain treatments can promote healing and help relieve discomfort, including stool softeners and topical pain relievers.
Getting to the Bottom of Anal Fissures
Anal Fissure: Symptoms, Causes, Diagnosis, and Treatment
If you do develop irritation, pain, or bleeding, or find that you are no longer experiencing pleasure, you should talk to a doctor. Unfortunately, not all primary care physicians are well versed in anal health. If you do have a recurrence of the symptoms you may be sent to a proctologist, only to discover that these specialists too often lack sensitivity to LGBTQ issues, ask for only limited sexual history, and perform a superficial physical examination. This cycle can go around and around, with second and third opinions offering you as little long-term relief as the last doctor. And there is new hope for resolving these issues long term. An anal fissure is a small tear in the tissue that lines the anus, which can cause pain, sphincter spasms, and bleeding. Because it only appears under dialation, during a traditional exam, it may appear that the fissure has healed or needs simple topical treatment.
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