{"id":111,"date":"2025-09-26T14:02:49","date_gmt":"2025-09-26T13:02:49","guid":{"rendered":"https:\/\/actiproct.com\/uk\/?p=111"},"modified":"2025-09-29T11:10:36","modified_gmt":"2025-09-29T10:10:36","slug":"anal-fissures","status":"publish","type":"post","link":"https:\/\/actiproct.com\/uk\/about-haemorrhoids\/conditions\/anal-fissures\/","title":{"rendered":"Anal fissures"},"content":{"rendered":"\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat bg-box bg small is-style-transparent\" style=\"background-image:url(https:\/\/actiproct.com\/cdn-cgi\/image\/format=auto\/app\/uploads\/sites\/9\/2025\/09\/background-faq.jpg)\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<h1 class=\"wp-block-heading has-text-align-center is-style-heading-huge\">Anal Fissures<\/h1>\n\n\n\n<p>Anal fissures&nbsp;are cuts or tears in the delicate lining of the anus. It is estimated that around 1 in 10 people will have one at some point in their life. Most are shallow, although in more severe cases they can be deep enough to expose the&nbsp;anal sphincter&nbsp;muscle beneath.&nbsp;<\/p>\n\n\n\n<p>These types of fissures can happen at any age for a variety of different reasons. Although sometimes painful, uncomfortable and\/or itchy, in most cases, a&nbsp;rectal fissure&nbsp;is not serious and can be successfully treated at home. <\/p>\n\n\n\n<p>However, a&nbsp;chronic anal fissure that\u2019s not healing&nbsp;can sometimes be a cause for concern, so it\u2019s important to get them checked by a doctor.&nbsp;<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat  small\" style=\"background-image:url()\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<h2 class=\"wp-block-heading has-text-align-left is-style-heading-h2\">Read on to discover:<\/h2>\n\n\n\n<ul class=\"wp-block-list is-style-icon\">\n<li><a href=\"#section1\">Anal fissures causes <\/a><\/li>\n\n\n\n<li><a href=\"#section2\">Anal fissures symptoms <\/a><\/li>\n\n\n\n<li><a href=\"#section3\">Anal fissures treatment<\/a><\/li>\n\n\n\n<li><a href=\"#section4\">Prevent anal fissures<\/a><\/li>\n\n\n\n<li>FAQ &#8211; <a href=\"#section5\">anal fissures<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat  small is-style-primary\" style=\"background-image:url()\" id=\"section1\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<h2 class=\"wp-block-heading is-style-heading-h1\">Anal fissures causes<\/h2>\n\n\n\n<p>There are many different possible causes of&nbsp;anal fissures, and you might not always be able to pin down the exact reason yours occurred. Generally speaking, a&nbsp;rectal fissure&nbsp;is the result of damage to the lining of the anal canal or anus, and this can happen in several ways.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading is-style-heading-h3\">Constipation<\/h3>\n\n\n\n<p>One of the main causes of&nbsp;anal fissures&nbsp;is constipation. This is because when you\u2019re constipated, your stools often become hard, dry, and larger than normal. Consequently, it\u2019s easy for them to tear the lining of the anus when you have a bowel movement \u2013 particularly if you\u2019re straining quite hard.&nbsp;<\/p>\n\n\n\n<p>At the other end of the spectrum, it\u2019s also possible for severe diarrhoea to cause a&nbsp;rectal fissure,&nbsp;for instance, by drying out the skin or because of the acidic nature of the stools.<\/p>\n\n\n\n<h3 class=\"wp-block-heading is-style-heading-h3\">Tight sphincter muscles&nbsp;<\/h3>\n\n\n\n<p>Having unusually tight&nbsp;anal sphincter muscles&nbsp;can lead to increased tension in the anal canal and a greater risk of developing a&nbsp;rectal fissure.<\/p>\n\n\n\n<p>Plus, spasms in the anal sphincter muscles can both cause fissures and exacerbate existing ones.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading is-style-heading-h3\">Anal sex&nbsp;<\/h3>\n\n\n\n<p>Engaging in anal sex can result in a person experiencing anal fissures. In fact, inserting any sort of object into the anus could be the cause of anal fissures.&nbsp;<\/p>\n\n\n\n<p>If safe sex is also not carried out and you contract a sexually transmitted infection, you could also go on to experience anal fissures. Certain sexually transmitted infections have been linked to&nbsp;anal fissures.<\/p>\n\n\n\n<h3 class=\"wp-block-heading is-style-heading-h3\">Other causes of&nbsp;anal fissures<\/h3>\n\n\n\n<p>Some additional reasons why you might suffer from&nbsp;anal fissure pain&nbsp;include:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-icon\">\n<li>Pregnancy and childbirth<\/li>\n\n\n\n<li>Underlying health conditions such as inflammatory bowel disease<\/li>\n\n\n\n<li>Anal cancer (in rare cases)<\/li>\n<\/ul>\n\n\n\n<p>&nbsp;<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat  small\" style=\"background-image:url()\" id=\"section2\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<h2 class=\"wp-block-heading is-style-heading-h1\">Anal fissures symptoms<\/h2>\n\n\n\n<p>There are a number of symptoms that can be caused by&nbsp;anal fissures. You may experience some, all, or none of these \u2013 and to different degrees \u2013 depending on the severity of your&nbsp;rectal fissure. The most common are:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-icon\">\n<li>Sharp pain when defecating<\/li>\n\n\n\n<li>Anal fissure pain&nbsp;when wiping your bottom<\/li>\n\n\n\n<li>Bleeding when defecating (usually bright red blood, which you can see either on the toilet paper or in your stool)&nbsp;<\/li>\n\n\n\n<li>A deep, burning pain after bowel movements (this can last several hours)<\/li>\n\n\n\n<li>A visible crack in the skin in and\/or around the anus<\/li>\n\n\n\n<li>A small lump next to the&nbsp;rectal fissure<\/li>\n\n\n\n<li>The area around the&nbsp;anal fissure itching<\/li>\n<\/ul>\n\n\n\n<p>The pain from&nbsp;anal fissures&nbsp;can be particularly bad if the tear is deep and exposes the sphincter muscle or if the muscle spasms.&nbsp;<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat  is-style-secondary\" style=\"background-image:url()\" id=\"section3\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<h2 class=\"wp-block-heading is-style-heading-h1\">Anal fissures treatment<\/h2>\n\n\n\n<p>In most instances, the symptoms of a rectal tear will go away without the need for medical intervention. However,&nbsp;anal fissure treatment&nbsp;can be a helpful way to relieve pain and speed up the healing process. <\/p>\n\n\n\n<p>In rare cases where a tear is chronic, recurring, or resistant to home remedies,&nbsp;anal fissure surgery&nbsp;might be recommended.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading is-style-heading-h3\">How to diagnos anal fissures<\/h3>\n\n\n\n<p>If you notice symptoms of&nbsp;anal fissures, such as those outlined above, it\u2019s sensible to book an appointment with your doctor. There are several conditions that may present with similar symptoms, so this will enable you to find out whether you have a&nbsp;haemorrhoid,&nbsp;fissure, or something else.&nbsp;<\/p>\n\n\n\n<p>Your GP will first want to talk to you about the specific symptoms you\u2019re experiencing \u2013 such as the type of pain and amount of blood \u2013 and how long you\u2019ve had them. They may also ask about your current toilet habits, for example, whether you\u2019re also suffering from constipation.<\/p>\n\n\n\n<p>In most cases, the doctor will then want to do a visual examination in order to make a diagnosis.&nbsp;Anal fissures&nbsp;can normally be seen by gently parting the buttocks.<\/p>\n\n\n\n<p>A relatively recent&nbsp;rectal fissure&nbsp;looks a little bit like a paper cut, whereas a more chronic one might be deeper and have a lump or skin tag alongside it.<\/p>\n\n\n\n<p>The GP may also wish to perform an internal examination depending on what they find. This could be either using a gloved finger to check for abnormalities inside the anus or a more thorough check with a small camera or an instrument with a light. <\/p>\n\n\n\n<p>However, in the majority of circumstances, this won\u2019t be necessary.<\/p>\n\n\n\n<p>Once they have a definite diagnosis and assessment of the severity of your condition, the doctor will be able to suggest the&nbsp;best cream for piles and fissures&nbsp;along with some home remedies you can try. This is normally enough for a full recovery.<\/p>\n\n\n\n<h3 class=\"wp-block-heading is-style-heading-h3\">How do you treat and heal anal fissures?<\/h3>\n\n\n\n<p>For most people, the recommendation will be&nbsp;anal fissure treatment at home. This might include remedies such as the following:<strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list is-style-icon\">\n<li>Soak the affected area in a warm bath to promote healing and provide&nbsp;anal fissure pain relief.<\/li>\n\n\n\n<li>Use moist wipes rather than dry toilet paper when wiping your bottom to avoid irritating the&nbsp;rectal fissure.<\/li>\n\n\n\n<li>Wipe your anal region with a patting motion rather than rubbing it. This is a delicate part of the body, so treat it gently.<\/li>\n<\/ul>\n\n\n\n<p>Your doctor may prescribe laxatives in order to help soften your stools and allow you to defecate more easily. <\/p>\n\n\n\n<p>They might also suggest painkillers, suppositories that you insert inside the rectum or a topical&nbsp;anal fissure cream&nbsp;that you can put directly on the affected area. Both suppositories and topical cream can provide effective pain relief as you heal. Most people find that their&nbsp;anal fissures&nbsp;clear up within a few weeks this way.<\/p>\n\n\n\n<h3 class=\"wp-block-heading is-style-heading-h3\">Constipation treatment<\/h3>\n\n\n\n<p>Constipation is one of the main causes of&nbsp;anal fissures. If you suspect it to be behind yours, then try treating it directly with the following tips:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-icon\">\n<li>Increasing the amount of fibre in your diet<\/li>\n\n\n\n<li>Drinking lots of water<\/li>\n\n\n\n<li>Not ignoring the need to defecate, even if you\u2019re concerned about resulting&nbsp;anal fissure pain<\/li>\n\n\n\n<li>Keeping active to promote bowel movement<\/li>\n\n\n\n<li>Not straining too hard&nbsp;<\/li>\n\n\n\n<li>Not using perfumed products (such as soap or shower gel) that might irritate the area \u2013 treat&nbsp;anal fissures&nbsp;like any other open wound<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading is-style-heading-h3\">Surgery<\/h3>\n\n\n\n<p>If your&nbsp;anal fissure\u2019s not healing&nbsp;or your symptoms are very severe, the GP might recommend that you have surgery. <\/p>\n\n\n\n<p>This is generally an effective method but can carry a small risk of temporary or permanent bowel incontinence. As such, it\u2019s not an option you want to rush into before trying those at-home remedies listed above.<\/p>\n\n\n\n<p>The types of surgery available for rectal tears include:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-icon\">\n<li>Lateral&nbsp;sphincterotomy&nbsp;\u2013 This involves making a small cut in the ring of muscle to help reduce tension in the anal canal and allow&nbsp;anal fissures&nbsp;to heal.<\/li>\n\n\n\n<li>Advancement anal flaps \u2013 This is where healthy tissue from another part of your body is used to repair the fissure and improve the blood supply to the area.<\/li>\n<\/ul>\n\n\n\n<p>There is also a fairly new non-surgical technique available, where botox is used to paralyse the sphincter muscle. This prevents it from spasming, provides&nbsp;anal fissure pain relief, and enables the&nbsp;rectal fissure&nbsp;to heal.<\/p>\n\n\n\n<p>&nbsp;<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat  small\" style=\"background-image:url()\" id=\"section4\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<h2 class=\"wp-block-heading is-style-heading-h1\">Prevent anal fissures<\/h2>\n\n\n\n<p>There are several diet and lifestyle changes you can make to help reduce your risk of developing&nbsp;anal fissures&nbsp;in the first place or preventing them from returning. Many of these relate to preventing constipation. For example:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-icon\">\n<li>Eat a healthy and balanced diet that\u2019s rich in high fibre foods such as brown rice, wholewheat pasta, granary bread, lentils, pulses, fruit, vegetables, and nuts. Avoid foods such as dairy products, meat, and white bread.<\/li>\n\n\n\n<li>Stay hydrated by having six to eight glasses of water a day. Avoid caffeinated drinks and alcohol.<\/li>\n\n\n\n<li>Don\u2019t spend too long on the toilet, strain too hard during bowel movements, or ignore the need to defecate.<\/li>\n\n\n\n<li>Keep your anal region clean and dry.<\/li>\n\n\n\n<li>Exercise regularly in order to keep your digestive system moving and working well.<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-medium pb-none bg-center bg-cover bg-no-repeat  small is-style-primary\" style=\"background-image:url()\" id=\"section5\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<h2 class=\"wp-block-heading is-style-heading-h1\">FAQ &#8211; Anal fissures<\/h2>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-accordions is-style-primary\"><div class=\"container\">\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">What is the main cause of fissure?&nbsp;<\/h2><\/summary><div class=\"accordion-content\">\n<p class=\"is-style-paragraph-body-text\">Out of all of the causes, constipation is considered to be one of the main causes of&nbsp;anal fissures.<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">How do I know if I have a&nbsp;haemorrhoid or fissure?<\/h2><\/summary><div class=\"accordion-content\">\n<p>As these two conditions often present with similar symptoms, it can be hard to tell whether you have haemorrhoids (piles) or an anal fissure. The best way to know is to go to your GP for an official diagnosis. Having said that, there are differences between the two which you might be able to spot yourself, for example:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-default\">\n<li>Anal fissures look like cuts or cracks in the skin, whereas haemorrhoids have the appearance of swollen lumps.<\/li>\n\n\n\n<li>You may find a slimy mucus on the toilet paper after bowel movements with haemorrhoids.<\/li>\n\n\n\n<li>You can sometimes feel a haemorrhoid pop out of your anus and are then able to push it back in.<\/li>\n<\/ul>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">How long do&nbsp;anal fissures&nbsp;last?<\/h2><\/summary><div class=\"accordion-content\">\n<p class=\"is-style-paragraph-body-text\">For most people, a&nbsp;rectal fissure&nbsp;takes a few weeks to heal. You can speed the recovery time up by following the above-mentioned&nbsp;anal fissure treatment at home. If they last for more than six weeks, they are considered to be chronic fissures. This is when medical intervention \u2013 either surgical or non-surgical \u2013 should be considered. Be sure to go to the doctor at this point if you haven\u2019t already.<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">What happens if an&nbsp;anal fissure&nbsp;goes untreated?<\/h2><\/summary><div class=\"accordion-content\">\n<p class=\"is-style-paragraph-body-text\">If your symptoms are not severe, you will likely find that you heal perfectly well without any&nbsp;anal fissure treatment. However, you will generally recover more quickly if you follow the advice above, plus get an&nbsp;anal fissure cream&nbsp;or other medication from your doctor.<\/p>\n\n\n\n<p class=\"is-style-paragraph-body-text\">If you suffer from a&nbsp;chronic anal fissure&nbsp;or very painful symptoms, you may find you are unable to fully recover without some medical intervention. In this case, leaving it untreated is not advised because such&nbsp;anal fissures&nbsp;can have a strong negative impact on your quality of life.<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">Do I need to go to the doctor for&nbsp;anal fissure treatment?<\/h2><\/summary><div class=\"accordion-content\">\n<p class=\"is-style-paragraph-body-text\">People are often embarrassed to go to the GP about an anal fissure. However, in most cases, it\u2019s the best course of action, even when following the at-home remedy recommendations above. <\/p>\n\n\n\n<p class=\"is-style-paragraph-body-text\">Seeking treatment allows the doctor to confirm that you\u2019re definitely suffering from&nbsp;anal fissures&nbsp;and that your symptoms are not a sign of a more serious health condition. <\/p>\n\n\n\n<p class=\"is-style-paragraph-body-text\">This is in addition to prescribing an&nbsp;anal fissure cream or anal fissure suppositories&nbsp;and any other medication necessary, allowing you to achieve a full recovery in the quickest possible time.<\/p>\n<\/div><\/details>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-large pb-small bg-center bg-cover bg-no-repeat  small\" style=\"background-image:url()\"><div class=\"free-text-wrapper container max-w-small text-left\">\n<h2 class=\"wp-block-heading\">References<\/h2>\n\n\n\n<ul class=\"wp-block-list is-style-icon\">\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/anal-fissure\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.nhs.uk\/conditions\/anal-fissure\/<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.bupa.co.uk\/health-information\/digestive-gut-health\/anal-fissure\" target=\"_blank\" rel=\"noreferrer noopener\">www.bupa.co.uk\/health-information\/digestive-gut-health\/anal-fissure<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.healthline.com\/health\/constipation\" target=\"_blank\" rel=\"noreferrer noopener\">www.healthline.com\/health\/constipation<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/anal-fissure\/symptoms-causes\/syc-20351424\" target=\"_blank\" rel=\"noreferrer noopener\">www.mayoclinic.org\/diseases-conditions\/anal-fissure\/symptoms-causes\/syc-20351424<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/anal-fissure\/treatment\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.nhs.uk\/conditions\/anal-fissure\/treatment\/<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/what-is-anal-fissure-and-what-causes-it\" target=\"_blank\" rel=\"noreferrer noopener\">www.medicalnewstoday.com\/articles\/what-is-anal-fissure-and-what-causes-it<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n\n\n<div class=\"product-list wp-block-karopharma-product-list\" data-testid=\"product-list\">\n      <div class=\"swiper-container\">\n      <div class=\"swiper\">\n        <div class=\"swiper-wrapper\">\n                      <div class=\"swiper-slide\">\n              <div class=\"product-card\" data-testid=\"product-card\">\n  <a\n    href=https:\/\/actiproct.com\/uk\/product\/actiproct-gel-tube\/\n    class=\"product-card-link\"\n    title=\"Actiproct Gel Tube\"\n  >\n  <figure class=\"product-card-image\" data-testid=\"product-image\">\n                          <img decoding=\"async\" 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   <\/div>\n  <\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":83,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[18],"tags":[],"class_list":["post-111","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-conditions"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Anal fissures - ActiProct<\/title>\n<meta name=\"description\" content=\"Anal fissures are cuts or tears in the delicate lining of the anus. 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