Anal Fissure

A cut or tear in the lining of the anus is called anal fissure. It is normally seen in people with chronic constipation. The symptoms include pain during and after a bowel movement, blood in stools, and a visible tear in the skin near the anus.

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Why do I have changes in bowel movements after going for a vacation?

Query: Hi doctor,I went for a vacation before five months. I came back and got sick. My bowel movements got changed from thick to smaller and thinner with less volume of total stool. A stool test was done and it was normal. I did a fit test before two years and it was normal. The ultrasound of abdomen was ...  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to Please say whether you have abdominal pain, do you strain to pass stools, have a problem of anal fissure, or feeling pain after passing stools during constipation. It can be a simple anal fissure. Please say whether your physician did a digital rectal examination or ins...  Read Full »

How to treat an anal fissure?

Query: Hello doctor, I have an anal fissure/hemorrhoid. I am not sure how I got it. But I have taken pictures, and there is a cut outside the anal area. There is a burning sensation when I pass stools. But a few days back, I had a lot of diarrhea, and I feel good from it, but now I have this anal fissure....  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to Yes, it is an anal fissure (attachment removed to protect patient identity), a breach in the skin around the anal canal. It can occur spontaneously but usually follows after a forceful passage of stools or a passage of hard stools. Most fissures heal themselves but r...  Read Full »

Why do I get pain with bleeding during bowel movement?

Query: My stool is not easy to pass... I put extra pressure for passing stool and I feel to much pain during bowel movement and bleeding.. At first my stool is hard and small after that it is slightly easy to pass  Read Full »

Dr. Arbab Muhammad Kashif Khan

Medical Gastroenterologist

Answer: Dear Welcome to icliniq For how long are you experiencing such complaint? have you noticed any blood in stools or some swelling coming out from your anal area? Is there any pruritis, abdominal pain or discharge in peri anal area? Do you have any history or trauma, surgery or anal sex? I suspect yo...  Read Full »

My constipation is so bad that I have to evacuate the stools with my fingers. Please help.

Query: Hello doctor, I have an anal fissure, internal hemorrhoid, SRUS, and constipation. One year ago, I was suffering from a hard stool that was difficult to pass. I went to a gastroenterologist, who did a colonoscopy and found that I had an anal fissure and internal hemorrhoid. He prescribed Sitcom Fo...  Read Full »

Dr. Noushif M

General Surgeon, Medical Gastroenterologist, Surgical Gastroenterologist

Answer: Hello, Welcome to I have gone through the files uploaded by you. (attachment removed to protect patient identity). The endoscopy report you have shown does not show any evidence of SRUS (solitary rectal ulcer syndrome). All your symptoms can be attributed to underlying constipation...  Read Full »

What could be a small itchy lump on the anal area?

Query: Hello doctor,I need medication for a small lump in the anus area, which is a bit itchy. I have a history of hemorrhoids a year ago and have no recent bleeding.  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to You should start using Ispagol husk, two tablespoons full daily, in a glass of water. Take it regularly, it will soften your stools and help with your current symptoms. Use Xylocaine 2% gel over the anal canal with the help of a nozzle. Use atleast three times a d...  Read Full »

I am losing blood due to anal fissure. What to do?

Query: A few days ago I had a case of some tough diarrhea which probably resulted in an anal fissure. As an area of the anus has swollen and there was extreme sharp pain with every try for bowel movement. After a day or two it got better I woke up not feeling the pain and being very happy and confident tha...  Read Full »

Dr. Arvind Guru

General Surgeon, Surgical Gastroenterologist, Surgical Oncologist

Answer: Hi Welcome to icliniq First of all, if you are losing so much of blood that you nearly passed out, then go to the emergency of a hospital and see a doctor without delay. Nothing is more important than your life. Second, if it was the sight of blood that made you feel like pass out and the amount ...  Read Full »

Will Duphalac syrup help with bleeding while passing motion?

Query: Hi doctor, While passing motion, there is a lot of bleeding for the last one week. Earlier it was there but very rare. Now, whenever I pass motion, there is bleeding and burning sensation with irritation. Also, I had a normal delivery before nine months. Earlier, my gynecologist suggested having D...  Read Full »

Dr. Priyadarshini Tripathy

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq I went through your query. Based on symptoms, mostly, you have bleeding piles or fissures. Yes, you can take Duphalac syrup 30 ml at night time. Also, apply Cherioll hemorrhoid cream near your anal area. It will help with the pain. Some preventive measures that you nee...  Read Full »

Why do I have constant pain in my anal region?

Query: Hello doctor, First of all, I would like to describe my symptoms. For the past five months, I am suffering from constant pain in my rectal area. Earlier, it felt like a sharp knife-like pain tearing apart the perianal region. Still, as of now, it is turned into an intense burning discomfort severe ...  Read Full »

Dr. Mian Shah Yousaf

Medical Gastroenterologist

Answer: Hello, Welcome to I reviewed all your history and the attached three reports (attachment removed to protect patient identity). There is nothing sinister in it. And to me, you are suffering from an anal fissure at the moment. Now I am going to answer your queries one by one and will a...  Read Full »

How to manage anal fissures permanently?

Query: Hello doctor,I have anal fissures for the past seven weeks, the big wound is curing, but the small wound remains uncured. I have a previous history of these same issues ten years back. I am currently taking Fidonal ointment and antibiotics, which cured only 80% of my wound.  Read Full »

Dr. Sandeep V Nair

General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist

Answer: Hi, Welcome to An anal fissure is a wound in the anal canal caused by various reasons such as overactive anal sphincter pressure, passing hard stools, straining at defecation, and rarely also in Crohn's disease. I hope the doctor has evaluated you for the same. Usually, anal fissures ta...  Read Full »

How to manage a pimple-like growth in the anus with bleeding and greenish mucus?

Query: Hi doctor, I am a 42-year-old male. I have been having a lot of pain while passing a motion for the past one week. The pain used to last for three to four hours. Off late, have noticed a pimple-like growth near the anus. Also, I have found traces of blood and a greenish mucus on my underwear. Are th...  Read Full »

Dr. Sugreev Singh

Internal Medicine Physician, General Medicine Physician

Answer: Hi, Welcome to Thank you for attaching the picture (attachment removed to protect patient identity). I have checked it. It is anal fissures which are due to long-standing constipation. In such a case, if it is painful, you should visit a general surgeon to check it further and see if th...  Read Full »

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