Durai The Surgeon

Signs and Symptoms for Anal Fissure


One of the most typical symptoms seen in outpatient clinics is painful bowel emptying (Burning pain while passing stools). Sometimes, the patient says, “This is my worst pain ever.” Making a few dietary and lifestyle modifications can help you prevent this bothersome problem.

The cause of the pain is due to a tear in the anal mucosa due excessive pressure used which is described as Anal Fissure.

A few suggestions to have easy bowel movements:

  1. Maintaining soft stools by eating between 25 and 30 g of fiber daily will help to heal an anal fissure. Nuts, whole grains, fruits, and vegetables are good food sources of fiber. A High Fibre Diet – Pears, strawberries, Avocados, Apples, Raspberries, Bananas, Carrots, Beetroot, Broccoli, Lentils, Kidney Beans, Peas, Cooked Legumes, Oats, Almonds and Green Leafy Vegetables.
  2. Fibre supplements are available in the market which can also increase the bulk of the stool.
  3. It is best to refrain from straining during bowel movements because it puts pressure on the body that could lead to a new tear or reopen a previously healed tear.
  4. Plenty of fluids at least 2 litres per day can prevent constipation.
  5. Daily 40 min of exercise or walking.
  6. Timely meals
  7. Avoiding excessive junk foods.
  8. Do not hold the urge to pass stools.

How to manage if Diagnosed as Anal Fissure?

  • Keep the area clean with soft cloth or tissue paper
  • Do not itch or rub the area 
  • Apply coconut oil /aloe vera 
  • Ointments prescribe by your doctor  available in pharmacies
  • Don’t strain to pass stools or it will worsen the fissure
  • Sitz bath : with warm water
  • Stool softeners as recommended by the doctor
  • A good squatting position to pass stools

Surgical options:

Surgery for Anal fissure is the last option to choose. Surgery is indicated only when:

  • Chronic fissures
  • Tight sphincter due to spasm
  • Chronic constipation

Consult your doctor before taking any treatment to get a better solution.