Anal fissures, also medically called as Fissure-in-ano, is nothing but a painful conditions where there is a longitudinal cut on the skin of anus. Due to friction or scratch or trauma, there may be a cut or fissure formation. Males, females including adults as and children may get affected with Fissure-in-ano.
The rear part of anus is a common spot affected due to poor blood supply, leading two formation of fissure and difficult healing. Some conditions such as constipation, chronic diarrhea, ulcerative colitis, Crohn's disease, etc. could trigger or lead to fissure formation.
Pain while passing motions: Painfulness of the anus where there is a cut, is the most common symptom. The pain typically described by the patient is as cutting, shooting, agonizing, burning or even excruciating. It may last for a few hours after passing stool due to friction, fresh trauma, inflammation and infection. It would start soon while passing stool, at times, preventing the defecate. Children may avoid passing stool due to anticipated pain. If patient has consumed spicy food, there could be burning while passing stool; and afterwards. The pain may subside after a few minutes or few hours; to re-appear after the next call for passing stool.
Severe anal spasm (as a protective reflex)
Hard stool may cause friction on the wall of anus giving blood streaked stool. There may be frank bleeding after passing stool, which is likely to be bright red in color.
Itching, Discharge, swelling are common symptoms of chronic fissures.
Most common cause of the fissure-in-ano is constipation. Chronic constipation due to any reason (such as due to lifestyle, habitual, drug induced, due to pregnancy, etc.) leads to recurring abrasion or forceful rubbing of the anal mucosa, which leads to a fissure. The current theory also suggests that sphincter spasm and accompanying ischaemia ;may precipitate the development of fissures and prevent them from healing in some people. The other less common causes can be
When choosing the homeopathic remedy for fissure, the causative factors are always evaluated, and homeopathic medicine encompassing this cause is chosen. Remedy chosen in such way not only heals the fissure, but also does not allow the problem to recur.
The diagnosis of fissure-in-ano is easy to make clinically and usually no complicated procedures are required to diagnose this condition. Examination by a proctoscope is better avoided. Physician will usually try to avoid putting any instrument in the anus, as the area is extremely sensitive and such examination can be very painful. In majority of cases, with careful evaluation of the symptoms and a close look at the anus, a diagnosis of fissure can be confirmed by a trained doctor.
On examination, the doctor may observe following: