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What could cause anal fissure?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have fissure-in-ano. The fissure is posterior that is internal. I have tried Smuth and Sucral Ano cream. But, it did not heal. Can you suggest the best treatment?
Answered by Dr. Babu Lal Meena

Education:

MBBS

Professional Bio:

Dr. Babu Lal Meena is a Pediatric Hepatologist specializing in the diagnosis and management of liver-related conditions in children. He provides comprehensive care for a range of hepatological disorders, focusing on accurate diagnosis, effective treatment, and long-term management. With a patient-centered approach, he emphasizes compassionate care, preventive strategies, and improving overall health outcomes for his young patients.

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Hi,

Welcome to icliniq.com.

  • First of all, we need to treat the underlying cause of fissure-in-ano. The most common causes are constipation and IBS (irritable bowel syndrome). The others include hairy perianal area.
  • Kindly provide details about constipation and loose stools. If you have these, we need to evaluate and treat them.

Revert back with the detailed history to a medical gastroenterologist online.

Medically reviewed by iCliniq medical review team
Published At December 17, 2016
Reviewed At April 30, 2025

Education:

MBBS

Professional Bio:

Dr. Babu Lal Meena is a Pediatric Hepatologist specializing in the diagnosis and management of liver-related conditions in children. He provides comprehensive care for a range of hepatological disorders, focusing on accurate diagnosis, effective treatment, and long-term management. With a patient-centered approach, he emphasizes compassionate care, preventive strategies, and improving overall health outcomes for his young patients.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Companion

Anal Fissure Causes Companion

How it works

An anal fissure is a small tear in the lining of the anus. It can cause significant pain and bleeding during bowel movements. Understanding its causes and how it heals is key to effective management.

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Fissure

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Recognize
Symptoms

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Why
Fissures

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Seek Help

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
Dr. Babu Lal Meena
Dr. Babu Lal Meena

Medical Gastroenterology

Education:

MBBS

Professional Bio:

Dr. Babu Lal Meena is a Pediatric Hepatologist specializing in the diagnosis and management of liver-related conditions in children. He provides comprehensive care for a range of hepatological disorders, focusing on accurate diagnosis, effective treatment, and long-term management. With a patient-centered approach, he emphasizes compassionate care, preventive strategies, and improving overall health outcomes for his young patients.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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