These home treatments include a high fiber diet, stool softeners, laxatives, taking in plenty of fluids, and sitting in a warm bath two to three times a day. If the cause is constipation or diarrhea, treating those conditions frequently cures the fissure within about 4 to 6 weeks. Most anal fissures can be treated medically and over 80% don’t require surgery. Causes of fissures located in these places include Crohn’s disease, which is the most common, but can also be caused by other inflammatory bowel diseases, syphilis, tuberculosis, leukemia, cancer, and human immunodeficiency virus (HIV).

Sometimes fissures are found in uncommon places in the anus.

Anal fissures can be diagnosed through history and physical examination. You may also experience intense pain or spasms for several hours after a bowel movement. Symptoms include pain during bowel movements accompanied by blood on the toilet paper. Among the more common causes are hard or large stools passing through the anal canal, straining during bowel movements when you are constipated, chronic diarrhea, and inflammation in the area of the anus as a result of Crohn’s disease or other inflammatory process. Fissure:Īn anal fissure is a cut or split in the lining of the anal canal and is one of the most common causes of severe anorectal pain. Common anorectal conditions include fissures, fistulas, hemorrhoids, pruritis ani (anal itching), pilonidal disease, rectal pain, and condyloma/ AIN (Anal Intraepithelial Neoplasm). Although they can often be treated in the outpatient setting, they sometimes require surgical intervention.

Most anorectal conditions are quite common and frequently caused by benign disorders.

Cut at top of buttocks