Wentworth-Douglass Hospital
(603) 742-5252
Decrease (-) Restore Default Increase (+) font size
Physicians
Ebola: what you should know
Health Library
Back to Health Library   Print This Page Print    Email to a Friend Email

Rectum
Rectum


Anal fissure - series
Anal fissure - series


Definition:

An anal fissure is a small split or tear in the thin moist tissue (mucosa ) lining the lower rectum (anus).



Causes, incidence, and risk factors:

Anal fissures are extremely common in young infants but may occur at any age. Studies suggest 80% of infants will have had an anal fissure by the end of the first year. The rate of anal fissures decreases rapidly with age. Fissures are much less common among school-aged children than infants.

In adults, fissures may be caused by constipation , the passing of large, hard stools, or by prolonged diarrhea. In older adults, anal fissures may be caused by decreased blood flow to the area.

Anal fissures are also common in women after childbirth and persons with Crohn's disease .



Symptoms:

Anal fissures may cause painful bowel movements and bleeding. There may be blood on the outside of the stool or on the toilet tissue (or baby wipes) following a bowel movement.

Other symptoms may include:

  • A crack in the skin that can be seen when the area is stretched slightly (the fissure is almost always in the middle)
  • Constipation


Signs and tests:

The health care provider will perform a rectal exam and look at a sample of the rectal (anal) tissue.



Treatment:

Most fissures heal on their own and do not require treatment, aside from good diaper hygiene in babies.

However, some fissures may require treatment. The following home care methods usually heal most anal fissures.

  • Cleansing more gently
  • Diet changes -- eating more bulk , substances that absorb water while in the intestinal tract
  • Muscle relaxants applied to the skin
  • Numbing cream, if pain interferes with normal bowel movement
  • Petroleum jelly applied to the area
  • Sitz bath
  • Stool softeners

If the anal fissues do not go away with home care methods, treatment may involve:

  • Botox injections into muscle in the anus (anal sphincter)
  • Minor surgery to relax the anal muscle


Support Groups:



Expectations (prognosis):

Anal fissures generally heal quickly without further problems. However, people who develop fissures are more likely to have them in the future.



Complications:

Occasionally, a fissure becomes chronic and will not heal. Chronic fissures may require minor surgery to relax the sphincter.



Calling your health care provider:

Call your health care provider if symptoms associated with anal fissure are present, or if the fissure does not heal appropriately with treatment.



Prevention:

To prevent anal fissures in infants, be sure to change diapers frequently.

To prevent fissures at any age:

  • Keep the anal area dry
  • Wipe with soft materials or a moistened cloth or cotton pad
  • Promptly treat any constipation or diarrhea
  • Avoid irritating the rectum


References:

Danakas G. Anal Fissure. In: Ferri FF, ed. Ferriā€™s Clinical Advisor 2008: Instant Diagnosis and Treatment. 1st ed. Philadelphia, Pa: Mosby; 2008.




Review Date: 7/17/2008
Reviewed By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Jefferson Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com


Find What You Need

Events
Careers
Foundation
About Us
Contact
Directions
News
Social Media Agreement
Joint Notice
Web Privacy Policy
WDH Staff Portal

Centers & Services

Cancer Center
Cardiovascular Care
Joint Replacement
Women & Children's
Physician Offices
Other Services

Conditions & Treatments

Health Library

Support Services

Support Groups
Care-Van
Dental Center
Social Work
Food & Nutrition
Integrative Wellness
Spiritual Care
Concerns & Grievances
Homecare and Hospice

For Patients

Pay Your Bill Online
Pricing Estimates
Financial Assistance
Interpreter Services
Surgery Preparation
Medical Record Request
Advance Directives
Clinical Research & Trials

For Healthcare Professionals

Work and Life
Financial Well-Being
Career and Growth

The Wentworth-Douglass Health System includes:

 

Address

Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100