What are fissures?
Fissures, also known as anal fissures, are tears in the lining of the anus in case trauma or an injury stretches the anal canal. The tears usually come from passing hard stools and can cause intense pain and bleeding before and after bowel movements.
If you experience fissures, it is best to consult a doctor for treatment. View our consultation hours and visit a doctor if you want to know how to cure fissure permanently.
These fissures are classified as follows:
Acute anal fissures – these heal on their own and mainly last up to six weeks
Chronic anal fissures – last longer than acute anal fissures and may require medical and surgical operations to treat them.
Treatment of fissures
The sole purpose of fissure treatment is to rid the torn lining of the intense pain and discomfort and enable it to heal. Because anal fissures are treatable, it’s not right to suffer in silence. The doctor will perform a physical examination of the anal region and also evaluate your medical history to diagnose the extent and type of your fissures. Experts and doctors recommend the following remedies to treat fissures permanently:
Increasing daily fiber and fluid intake
If you take steps to ensure your stool is soft all day long, anal fissures can permanently heal within a few weeks. After bowel movements, you can soak yourself in warm water for 10-20 minutes. This helps relax the sphincter hence speeding the healing of the fissure.
Non-surgical treatment recommended by doctors
This is yet another effective approach recommended by doctors to get your fissures permanently healed. They include:
- Topical application of anesthetic creams
These include Xylocaine to help relieve pain and discomfort to promote healing.
- Blood pressure medication
Such as Procardia and Cardizem. These can relax the sphincter and promote healing.
- Injecting Botox
To relax spasms and the anal sphincter
- Application of nitroglycerin
To enhance blood flow to the anal lining, relax the sphincter and hence promote faster healing.
Surgery is the perfect option for permanent treatment especially if you’re suffering from the chronic type, or if the fissure has become resistant to other forms of treatment. The doctor may recommend a surgical procedure known as lateral internal sphincterotomy, which is carried out by extracting a portion, usually a small one, from the anal sphincter to alleviate spasms, discomfort, and pain to speed up healing.
Meanwhile, you can take steps to prevent fissures, such as avoiding constipation. To avoid constipation, drink adequate water every day, add fiber to your diet and ensure that you exercise regularly. Additionally, avoid straining your bowels to avoid making the fissures longer or even create new ones.