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Anal Fissures

From the Pelvic Floor Articles List

Anal FissuresWhat is an anal fissure, and how is it treated?


An anal fissure is a small tear in the tissue of the anus. Anal fissures usually cause painful bowel movements and bright red blood on the toilet paper when wiping. Since fissures can be caused or aggravated by pressure on the lower rectum, such as from pelvic prolapse or rectocele protrusions, hemorrhoids may be present as well.

Home remedies for anal fissures include sitz baths, fiber drinks for regularity, stool softeners, not straining on the toilet, and topical numbing creams applied to the anus. However, fissures recur often for some people and can be quite severe. If this is the case for you, your doctor may prescribe nitrate cream to help heal your fissures. You will need to apply the cream inside the anal sphincter, which can be uncomfortable, in order to be sure to get it on the entire fissure. A common side effect of nitrate cream is a rapid-onset headache that occurs soon after application and can last about 10–20 minutes. Nitrate cream can trigger migraines for those who are prone to migraines already; if this happens to you, discontinue use and contact your doctor. Many women who have used nitrate cream report that it is effective in healing their fissures quickly but if a fissure is particularly large or refuses to heal, it can be repaired surgically.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

08-03-2011 - 02:21 AM


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