Anal Fissures: What Causes Them, What They Feel Like, and How to Get Better

Let's talk about a common problem called anal fissures. This might feel like a tricky topic, but it's important to understand what they are and how to take care of them. In this blog, we will explain what causes anal fissures, what they feel like, and the ways to make them better.

What Are Anal Fissures?

Anal fissures are like small tears or cuts near your bottom. They can be painful and may lead to bleeding when you have a bowel movement. While anyone can get anal fissures, they are most common in young adults.

Fissures can happen for different reasons, such as:

  • Straining Too Hard: When you push too much during a bowel movement, it can hurt your bottom.
  • Constipation: Hard and dry poop can be tough to pass, and it may hurt your bottom lining.
  • Diarrhea: Frequent loose stools can irritate the area around your bottom.
  • Childbirth: Sometimes, anal fissures can happen during childbirth.
  • Inflammatory Bowel Disease: Conditions like Crohn's disease can increase the chances of getting fissures.
Common Symptoms of Anal Fissures

If you have anal fissures, you might experience several uncomfortable symptoms, including:

  • Pain During Bowel Movements: Passing stool can be painful due to the fissure.
  • Bleeding: You may notice bright red blood on the toilet paper or in the toilet bowl.
  • Itching or Burning Sensation: The area around your bottom may feel itchy or hot.
  • Visible Tear or Cut: Sometimes, you can see a small tear or crack near your bottom.
How to Treat Anal Fissures

Good news! You can often take care of anal fissures yourself with simple treatments.

Here's what you can do to ease the pain and promote healing:

  • Use Over-the-Counter Creams: There are creams available at the store that contain ingredients like hydrocortisone. These can help with redness and itching. Follow the instructions on the package.
  • Take Warm Baths (Sitz Baths): Soaking in a warm bath can help you feel better and help the fissure heal. Perform this exercise for 15 to 20 minutes several times per day.
  • Eat More Fiber: Foods high in fiber can make your poop soft and easier to pass. Good choices include whole grains, fruits, vegetables and legumes.
  • Stay Hydrated: Drinking enough water is essential for keeping your stool soft and easy to pass.
  • Try Stool Softeners: If changing your diet alone doesn't help, you can get stool softeners at the store or with a doctor's prescription. They have the potential to make bowel movements more comfortable.
  • Prescription Medications: In some cases, your doctor may prescribe medications to relax the muscles around your bottom, which can help with healing.
When to See a Doctor

While most anal fissures can be managed at home, there are times when you should consult a healthcare professional:

  • Persistent Symptoms: If your symptoms don't improve within a few weeks of home treatment, it's a good idea to seek medical advice.
  • Severe Pain or Bleeding: If your pain is severe or if you experience heavy bleeding, you should see a doctor promptly.
  • Recurrent Fissures: If you have anal fissures that keep coming back, it's important to identify and address any underlying causes, such as inflammatory bowel disease.
Treatment for Chronic or Severe Anal Fissures

For chronic or severe cases, your healthcare provider may recommend more advanced treatment options.

These can include:

  • Nitroglycerin Ointment: Nitroglycerin can help relax the anal sphincter muscles and promote blood flow to the area, which can aid in healing.
  • Botox Injection: Botox can be injected into the anal sphincter to relax the muscles temporarily, allowing the fissure to heal.
  • Lateral Internal Sphincterotomy: In this surgical procedure, a small portion of the anal sphincter muscle is cut to relieve pressure and promote healing.
  • Dilation: Dilation involves stretching the anal canal gently to promote healing. It's often done under anesthesia.


Anal fissures can be painful and uncomfortable, but they are treatable. By understanding their causes, symptoms, and treatment options, you can manage this condition effectively. While most anal fissures can be treated at home, it's essential to prioritize seeking medical advice if your symptoms persist or worsen. With ace medicare you can get the right care and prevention, you can address anal fissures and enjoy a healthier, pain-free life.