Understanding the Causes of Anal Fissures

Anal fissures are small tears in the lining of the anus. They cause pain and bleeding during bowel movements. Many people in Kolkata and nearby areas face this problem. Understanding the causes helps in managing and preventing fissures effectively. I will explain the main causes, how to avoid fissures, and what you can do if you experience symptoms.

What Are Anal Fissures?

An anal fissure is a small cut or tear in the skin around the anus. This tear can cause sharp pain, especially when passing stools. You may also notice bright red blood on the toilet paper or in the stool. Fissures often result from trauma to the anal canal.

The pain can be severe and last for minutes to hours after a bowel movement. If untreated, fissures can become chronic and harder to heal. It is important to identify the causes early to prevent complications.

Common Causes of Anal Fissures

Several factors can cause or contribute to anal fissures. These include physical strain, medical conditions, and lifestyle habits. Here are the most common causes:

1. Constipation and Hard Stools

Passing hard or large stools puts pressure on the anal lining. This pressure can cause small tears. Constipation is a leading cause of fissures. It often results from low fibre intake, dehydration, or lack of physical activity.

2. Frequent Diarrhoea

On the other hand, frequent diarrhoea can irritate the anal skin. The constant wiping and moisture weaken the skin, making it prone to tears.

3. Straining During Bowel Movements

Straining to pass stools increases pressure in the anal canal. This strain can cause or worsen fissures. It is common in people with irregular bowel habits.

4. Childbirth

Women may develop fissures after childbirth. The pressure and trauma during delivery can cause tears in the anal area.

5. Anal Intercourse

Anal intercourse can sometimes cause trauma to the anal lining, leading to fissures.

6. Medical Conditions

Certain medical conditions increase the risk of fissures. These include:

• Crohn’s disease and other inflammatory bowel diseases

• HIV infection

• Tuberculosis

• Anal cancer (rare)

  
  

7. Poor Anal Hygiene

Inadequate cleaning or harsh wiping can irritate the skin. This irritation may lead to fissures.

If you want to learn more about anal fissure causes this resource provides detailed information and treatment options.

How to Avoid a Fissure Problem?

Preventing anal fissures involves simple lifestyle changes and good habits. Here are practical steps you can take:

1. Maintain a High-Fibre Diet

Eating plenty of fibre softens stools and makes them easier to pass. Include fruits, vegetables, whole grains, and legumes in your diet. Fibre helps prevent constipation, a major cause of fissures.

2. Stay Hydrated

Drink enough water throughout the day. Proper hydration keeps stools soft and reduces straining.

3. Avoid Straining

Do not force bowel movements. Take your time and relax. If you feel constipated, try natural remedies or consult a doctor.

4. Practice Good Anal Hygiene

Clean the anal area gently after bowel movements. Use soft toilet paper or moist wipes without alcohol or fragrance.

5. Exercise Regularly

Physical activity improves digestion and bowel function. Aim for at least 30 minutes of moderate exercise most days.

6. Manage Diarrhoea

If you have frequent diarrhoea, seek medical advice. Treating the underlying cause helps protect the anal skin.

7. Avoid Prolonged Sitting

Sitting for long periods increases pressure on the anal area. Take breaks and move around regularly.

Healthy high-fibre meal to prevent constipation

When to See a Doctor?

If you experience anal pain, bleeding, or discomfort during bowel movements, do not ignore it. Early diagnosis and treatment improve outcomes. You should see a specialist if:

• Pain lasts more than a few days

• Bleeding is heavy or persistent

• You notice a lump or swelling near the anus

• Symptoms worsen despite home care

  
  

A proctologist can examine you and recommend appropriate treatment. In Kolkata, Dr. Arnab Ray offers expert Ayurvedic care for anal fissures and related conditions. His approach combines traditional wisdom with modern techniques for effective healing.

Treatment Options for Anal Fissures

Treatment depends on the severity and duration of the fissure. Most acute fissures heal with conservative care. This includes:

• Increasing fibre and fluid intake

• Using stool softeners

• Applying topical ointments to reduce pain and inflammation

• Taking warm sitz baths to relax the anal muscles

  
  

If fissures become chronic, more advanced treatments may be needed. These include:

• Prescription medications to relax the anal sphincter

• Ayurvedic surgical procedures for complex cases

  
  

Dr. Arnab Ray specialises in Ayurvedic proctology and offers trusted treatments tailored to each patient’s needs.

Living with Anal Fissures

Living with an anal fissure can be uncomfortable, but you can manage it well. Follow the prevention tips and seek timely medical advice. Avoid self-medicating with harsh creams or home remedies without guidance.

Remember, fissures are common and treatable. With proper care, you can reduce pain and heal faster.

Taking care of your digestive health and bowel habits is key. Small changes in diet and lifestyle make a big difference. Stay informed and proactive about your health.

By understanding the causes and prevention of anal fissures, you can protect yourself from this painful condition. If you suspect you have a fissure, do not delay seeking help. Early treatment leads to better results and a quicker return to comfort.