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FISSURE

FISSURE

An anal fissure or Fissure-in-ano is a tear or cut in the skin of the anal canal. The condition affects men and women equally and can occur at any age (infants too). Anal fissures are commonly found in the back part of your anus, in line with the cleft of your buttock.

A fissure which is present for less than 6 weeks is called an acute fissure. That which is more than 6 weeks old is called a chronic fissure. The Chronic fissure is usually hard to feel and may have a skin tag like growth called Sentinel Pile.

Symptoms of Fissure

  • Painful defecation – This pain while passing stools may be so severe that patients are frightened of a bowel movement and avoid one. However this further causes constipation and hard stools, leading to a vicious cycle of trauma and hard stools. The pain during defecating may be severe, pricking or searing and the post defecation burning may last for a few hours.
  • Bleeding, sometimes seen as a streak of blood on stools or blood on the tissue.
  • Need to strain while passing stools – This is because the anal sphincter goes into a spasm.
  • Malodorous discharge
  • Sentinel pile – In long-standing cases, a skin tag-like growth can be felt at the edge of the fissure

Symptoms

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