It is severe painful condition while passing toilet or stools due to tear or crack in anal canal.
People are mistaken with Piles or Hemmorhoids.
They are of 2 types
- ● Acute Fissure in Ano
- ● Chronic Fissure in Ano
Causes
- ● Hard stools & straining during toilet
- ● Constipation
- ● Diarrhea
- ● Obesity
- ● Pregnancy & after Delivery
- ● Low Fiber Diet
It can also be secondary to
- ● Crohn's disease
- ● Anal cancer
- ● HIV
- ● Tuberculosis
- ● Anal Sex
Symptoms
- ● Severe Burning Tearing pain
- ● Fresh red Blood streaked stools
- ● Itching
- ● Sentinel Skin Tag like Swelling at anus
Diagnosis
Assessment of patient is must
- ● Detailed History & Symptoms
- ● Digital Rectal Examination with finger
- ● Anoscopy if possible
Treatment
- Most of Acute fissure in ano heals spontaneously without surgery by home treatment like dietary changes , food tips, High fiber diet.
- ● Medicines
- ● Laxatives
- ● Warm Sitz Bath
- ● High Fiber Diet
- ● Adequate Water Intake
- ● Topical Ointments or Cream
It helps you to pass motion easily without friction & with Less pain.