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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Does soreness in the anus that aggravates after passing stool indicate fissure in ano?

Query: Hi doctor,For almost two months, I have been experiencing soreness in my anus. There is no blood, but the pain worsens after a bowel movement and is continuous. I have tried Xyloproct ointment to alleviate the pain, but it is not helping. I am taking Prilocaine LA twice daily, Rapidene 1 g three tim...  Read Full »


Dr. Acha Varun Babu

Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. As for your history concerned, you need a clinical examination. From your history point of view, it could be a fissure in ano, less likely hemorrhoids. But they both are confirmed only by clinical examination. Any constipation history do you have? Do you feel any it...  Read Full »

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

Query: Hi doctor,I am 17 years old. A few days back, I had hard stools and it resulted in causing anal fissure. My anal area became swollen and I started to have extreme sharp pain with every bowel movement. After two days, I waked up with a feeling of less pain and I was confident that my fissure has got ...  Read Full »


Dr. Arvind Guru

General Surgeon, Surgical Gastroenterologist, Surgical Oncologist

Answer: Hi, Welcome to icliniq.com. If you are losing so much blood that you nearly passed out, then you can go to an emergency and consult a doctor soon without any delay. If you have slight blood that made you feel like pass out, then it can be due to hemorrhoids. Take plenty of fluids around two to...  Read Full »

Why do I get pain with bleeding during bowel movement?

Query: Hi doctor, I have difficulty in passing stools. I put heavy pressure while passing stools. I have pain during bowel movements with bleeding. Initially, my stool is hard and small and after that, it becomes slightly easy to pass.   Read Full »


Dr. Arbab Muhammad Kashif Khan

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. Please mention the duration of these complaints. Please mention whether you noticed any blood in stools or any swelling in your anal area. Please mention whether you have pruritus, abdominal pain, or discharge in the peri-anal area. Please mention whether you have a...  Read Full »

What is an anal fissure, and its common cause?

Query: Hi doctor, I am a 21-year-old female, and I have a swollen anus, which is itchy, painful while passing stool, and is bleeding a little. I have noticed a few things wrong when trying to pass stool. It has become unbearable, and I am a little worried it could be anal cancer.  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Well, the symptoms and the anal swelling seem to be an acute anal fissure. The anal fissure is a breach in the lining of the anal canal. There are specific causes for its development; the common of all is constipation or forceful passage of stools (straining). I wan...  Read Full »

Please suggest treatment for pain and burning sensation after passing stools.

Query: Hi doctor, I had a hard stool a month back and after that, I started to have sharp pain and burning issues. Initially, I thought of it as anal fissure. I increased my water intake and fiber in my diet to keep constipation away. I consulted a homeopathy doctor and he advised me to use Toronale cream...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. Avoid insertion of fingers. It can cause pain and non-healing of anal fissure. Your symptoms are due to anal fissure and it gets healed by avoiding constipation and by using medicines. You can also use Xylocaine 2% gel once in six hours a day with Diltiazem gel once in ...  Read Full »

What to do about on and off rectal bleeding?

Query: Hi doctor, I am having rectal bleeding on and off for a month. Before a month, I had a colonoscopy. The result was negative and the doctor told me that I do not have any polyps. After a colonoscopy, I started to have a hard time while going to the bathroom and my poops were very hard and strenuous....  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. According to your symptoms, you have developed some tear in the anal canal while colonoscopy or developed a severe bout of constipation leading to the development of anal tear. It is caused due to strain made during pooping. The anal tear can occur to anybody after ...  Read Full »

Why am I having discomfort and bleeding during bowel movements?

Query: Hi doctor, I am a 30-year-old male. I experience anxiety and depression and have had flare-ups of iritis. I have been having tight anal muscles and discomfort and had some bleeding in bowel movement, which I went to the doctor and said was a fissure. I have also had a colonoscopy two years ago, whi...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Is this just a tightness in the area or actual pain? Does the pain come in the episode for a brief period of time or a continuous pain? The pain basically suggests anal fissure. While feeling spasm and/or pressure in the anal canal is entirely different, symptoms and...  Read Full »

Is surgery necessary for anal fissure?

Query: Hi doctor,I have pain while passing stools and I have blood along with it. Sometimes, I have many blood spots on my stool. I consulted a doctor and did a physical examination. He told me that I have an anal fissure. He suggested me to take GTN 0.2% and tablet Brixen. If there is no relief in ten day...  Read Full »


Dr. Lalit Bansal

General Surgeon

Answer: Hi, Welcome to icliniq.com. An anal fissure is a cut in the anal passage. It occurs due to the passage of hard stools. It presents with pain and bleeding in ninety-nine percent of cases. Surgery is not required in most cases. But proper medicines and prevention are necessary to be taken. I sug...  Read Full »

Please suggest treatment for pain in anus and blood loss.

Query: Hi doctor, I have pain in my anus with difficulty in passing stools. I have a huge amount of blood loss.  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. First of all, try to reduce your weight. Most of the time, obesity causes problems. Bleeding while passing stools can occur secondary to anal fissure, hemorrhoids, and rectal ulcer due to difficult defecation. I need to know more about your symptoms for better clari...  Read Full »

Why do I still have pain after four days since passing a hard stool?

Query: Hi doctor, I had hard stools four days back and after that, I am having enormous pain while passing stool every day. I consulted a doctor and he prescribed Ano-metrogyl cream. I used it three to four times a day but there is no relief. I drink Softovac powder at night. My situation is not getting b...  Read Full »


Dr. Mian Shah Yousaf

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. You have developed acute anal fissure due to hard stools and so you are having pain due to it. There are two ways to resolve it. You can use local cream to have relief from pain and to relax your sphincter. You can take medications to soften your stools. I am suggesting...  Read Full »

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