Anal Fissure Pain? Proven Tips to Soothe, Heal & Prevent It

Even while an anal fissure can seem like a minor problem, people who have experienced it can tell how painful and uncomfortable it is. The majority of anal fissures do heal on their own with the right care and few lifestyle changes.

What Is an Anal Fissure?

An anal fissure is a minor cut or tear in the skin near the anal opening. It is usually a result of passing hard or large stools, straining during bowel movements, or constipation or chronic diarrhea. Fissures can occur in individuals of any age but are more prevalent in infants, young adults, and expectant women.

Symptoms to Look Out For

Typical symptoms of an anal fissure are:

• Sharp or intense pain during or after a bowel movement, which may last for several hours
• Bright red blood on the stool, toilet paper, or in the toilet bowl after passing stools
• A visible cut or split in the skin around the anus
• A small bump or skin tag near the tear
• A burning or itching sensation around the anal area
• Pain or discomfort while urinating
• Unpleasant-smelling discharge from the anus

Tips to Soothe and Heal an Anal Fissure

1. Keep the Area Clean and Dry

After each bowel movement, clean the area softly with lukewarm water. Harsh soaps or alcohol/fragrance-containing wipes should not be used since they can cause skin irritation.

2. Take Sitz Baths

10–15 minute warm water soaks several times a day (after each bowel movement) will relax the anal muscles, reduce pain, and increase blood flow to the area, allowing for healing to take place.

3. Keep Yourself Well-Hydrated and Eat High-Fiber Foods

Stay well-hydrated with lots of water during the day and consume fiber-rich food such as fruits, vegetables, whole grains, and legumes. This makes stools soft and minimizes straining while passing them.

4. Take Stool Softeners (if necessary)

If diet changes do not suffice, your doctor might suggest a mild stool softener or laxative to avoid constipation and enable the fissure to heal on its own.

5. Use Ointments or Creams

Over-the-counter hydrocortisone or lidocaine creams can offer symptomatic relief from pain and itching. On occasion, physicians might prescribe medicated ointments to relax the anal sphincter and enhance healing.

How to Prevent Anal Fissures from Recurring

After an anal fissure heals, it's essential not to repeat habits or conditions that may lead to recurrence. This is how:

• Prevent constipation by eating a healthy, high-fiber diet and exercising regularly.
• When the urge arises, go to the bathroom. Holding it in can cause harder stools and straining.
• Wash the anal area carefully once every day and after bowel movements in order to decrease irritation.
• Sitting for long hours, particularly on rough surfaces, can cause pressure on the anal area. Make an effort to get up and move around frequently.

When to See a Doctor

The majority of anal fissures resolve with home management within a few weeks. But if the fissure becomes chronic (greater than 6–8 weeks), or if bleeding and pain persist, see a healthcare provider. In a few instances, minor surgery may be needed to facilitate healing and avoid recurrence.

Conclusion

Anal fissures hurt but are curable. By making a few uncomplicated changes in your lifestyle, staying clean, and taking good care, you can relieve the pain, accelerate healing, and avoid repeated fissures. If symptoms continue, don't delay consulting your physician for assistance and advice.