Anal fissure

An anal fissure primarily presents with a sharp, burning pain during and after defecation, which can last from a few minutes to several hours. It is often accompanied by minor bleeding in the form of bright red marks on toilet paper. Unlike hemorrhoids, which usually cause only discomfort or itching, an anal fissure is characterized by severe pain and a feeling of spasm of the anal sphincter. If symptoms persist, consult a proctologist to avoid a chronic condition and complications.

Treatment for an anal fissure depends on the stage of the disease. Initially, conservative treatment includes a high-fiber diet, increased fluid intake, and the use of antispasmodic and pain-relieving ointments. In chronic cases, if the wound does not heal within several weeks, the doctor may recommend botulinum toxin, laser therapy, or surgery (lateral sphincterotomy), which reduces anal sphincter tone and accelerates healing.

Yes, anal fissures can recur, especially if the habits that contribute to their development are not changed. Prevention is key, meaning avoiding constipation through a healthy, fiber-rich diet, regular hydration, and moderate physical activity. Avoiding excessive straining during bowel movements and maintaining good anal hygiene are also important. If you are prone to recurrence, it’s worth regularly consulting a proctologist to implement preventative measures early.