An
anal fissure is a small tear in the lining of the
anal canal. Most people characterize it as a continuous knifelike tearing sensation especially on defection; some people will see bright red blood on the stool or when wiping. This forms as a result of high pressure within the anal canal (usually from constipation/straining) which leads to
ischemia of the anal tissue and splitting of the anal mucosa during defection.
I would recommend:
-All measures to prevent constipation; avoid straining and prolonged sitting on toilet.
-Wash area gently with warm water
-Stool softeners such as docusate daily
-consume high-fiber diet and add daily fiber supplement such as psyllium
-increase fluids
-maintain healthy weight.
-your doctor can prescribe
lidocaine gel for topical analgesics
-Sitz baths
-Avoid use of
triple antibiotic ointment and long-term use of steroid creams to anal area.
-Most acute fissures heal within 6 weeks with conservative therapy. Medical therapy is less likely to be successful for chronic anal fissures; 40% failure rate.
-You need to be screened for infectious diseases or Crohn disease