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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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 »

Why do I have blood in my stools following an anal fissure?

Query: Hello doctor, I had an anal fissure one hour ago. It is bleeding quite a bit when I go to the toilet, not much pain, just a little aching and uncomfortable feeling. Should I see a doctor about this? Is seeing blood in my stools and toilet paper in this situation common? Or should I go to a doctor?  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Well, if it is confirmed an anal fissure and if not bleeding much, which means bleeding just 1 to 2 tablespoon full with each stool, then you need not see a doctor immediately. Did you have a forceful passage of hard stools? Because hard stools with straining are com...  Read Full »

Kindly suggest ways to improve digestion?

Query: Hi doctor, We are living in an area where water having high TDS level. So, here almost 70% people facing stomach and intestine related issue. I am a physically fit person and my age is 37. I am doing regular weight exercise (gym workout) for the past 7 years continuously. All areas of my body are w...  Read Full »


Dr. Happykumar Kagathara

Medical Gastroenterologist, Surgical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Do you have abdominal pain? What about your appetite? What is stool consistency and was blood on the surface of stool or mixed with stool? Do you have symptoms of nausea, burning sensation in upper part of the abdomen or chest? If you had recent episode of small amount...  Read Full »

What are the symptoms of an acute anal fissure?

Query: Hi doctor, I am 36 years old. Since last week, I have been dealing with rectal discomfort. There is no bleeding. I tried to self-check, and pain is on the back of the rectum, and discomfort lowers when I lay on my side than on my back. This discomfort seemed to happen after four straight days of mil...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. The discomfort or pain can be due to a small anal breach or an acute anal fissure. I do not think that it is a previous anal fissure that has re-opened because that would have caused excruciating pain and usually causes bleeding. An acute anal fissure is common with dia...  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 icliniq.com. 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 »

Does constipation cause burning sensation in anus?

Query: Hi doctor, I have a burning sensation in anus after bowel movements for past one week. There is no blood discharge and poop was soft. I avoid eating spicy foods. The burning sensation lasts for hours.  Read Full »


Dr. Akant Kaushal

Family Physician, General Practitioner, Nutritionist

Answer: Hello, Welcome to icliniq.com. The most common cause of burning sensation in anus following stools will be the consumption of spicy food. Another cause can be constipation, which can cause fissures around the anus. If this is the condition, apply Diltiazem gel 2 % three to four times a day for se...  Read Full »

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 icliniq.com. 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 icliniq.com. 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 »

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