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What Causes Anal Fissure?

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Posted on Fri, 25 Apr 2014
Question: hello , I am facing irritations during and after bowel movements. every time I complete , the irritation lasts for close to 10 minutes before it becomes normal again. also my anal opening muscles harden while bowel movements . it also takes some time to return to normal. is it due to haemorrhoids or some other prpblem?
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Answered by Dr. Deepak Kishore Kaltari (31 minutes later)
Brief Answer: Possibility of anal fissure Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Namasthe Dear Mr XXXXXXX Let's analyse your complaint 1. Irritation 2. Muscle stiffness These complaint suggest the possibility of anal fissure. Following are the points suggestive of diagnosis 1. Pain/ Discomfort: anal fissure is a small ulcer at anal opening. So it causes pain and discomfort while passing stools as it stretches th ulcer 2. Spasm: Fissure causes reflux spasm of internal anal sphincter 3. Hemorrhoids are usually painless and just cause painless bleeding in stools Presence of pain while defecation and associated with bleeding one should consider the possibility of anal fissure Following are the predisposing factors for occurrence of anal fissure 1. Constipation 2. Reduced intake of water 3. Low fiber diet 4. Stress Diagnosis is made by clinical examination of the anal opening. Do get back to me if you need any further assistance, will be glad to assist you. Take care Best Regards Dr Deepak Kishore MBBS, MS, MCH Consultant Surgeon
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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What Causes Anal Fissure?

Brief Answer: Possibility of anal fissure Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Namasthe Dear Mr XXXXXXX Let's analyse your complaint 1. Irritation 2. Muscle stiffness These complaint suggest the possibility of anal fissure. Following are the points suggestive of diagnosis 1. Pain/ Discomfort: anal fissure is a small ulcer at anal opening. So it causes pain and discomfort while passing stools as it stretches th ulcer 2. Spasm: Fissure causes reflux spasm of internal anal sphincter 3. Hemorrhoids are usually painless and just cause painless bleeding in stools Presence of pain while defecation and associated with bleeding one should consider the possibility of anal fissure Following are the predisposing factors for occurrence of anal fissure 1. Constipation 2. Reduced intake of water 3. Low fiber diet 4. Stress Diagnosis is made by clinical examination of the anal opening. Do get back to me if you need any further assistance, will be glad to assist you. Take care Best Regards Dr Deepak Kishore MBBS, MS, MCH Consultant Surgeon