What causes an Anal Fissure?Īnal fissures are thought to be caused by trauma to the anus or anal canal, including but not limited to: Additionally, anal fissures generally resolve on their own, while haemorrhoids may require treatment.
One of the main differences between the two is that anal fissures generally show symptoms during bowel movements, while haemorrhoids are painful throughout the day.
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On the other hand, a chronic anal fissure usually has deeper tears, and old scarring and may have internal or external fleshy growths known as skin tags. What does an Anal Fissure look like?Īn acute anal fissure has the appearance of a paper cut and may have some redness and blood when examined. Both types of fissures have unique appearances.
Further tests are rarely required to reach this diagnosis.Īnal fissures can be acute or chronic - acute fissures are those present for under 6 weeks, while chronic fissures persist beyond 6 weeks or recur frequently. It involves the insertion of a clear, lubricated instrument into the anus to allow your doctor to visualise the anus and rectum. Burning, painful and itching sensation around the anusĪn anal fissure is diagnosed by examining the skin around the anus and performing a proctoscopy.A visible tear in the skin around the anus.Blood-coated stools or blood when wiping.Common Symptoms of Anal Fissures in SingaporeĬlassically, patients describe anal fissures as a ‘paper cut on their anus’, with a searing or tearing pain when passing motion. However, in severe cases, surgery may be required.ĭr Benjamin Yip cautions: “whilst anal fissures are benign and can cause rectal bleeding, colorectal cancer or other more sinister colorectal conditions can cause rectal bleeding as well.” If in doubt, do seek advice from your Gastroenterologist and consider a colonoscopy. The injury causes the sphincter to spasm and enlarge the fissure, causing further pain and discomfort.Īnal fissures generally heal after making lifestyle modifications or taking some medications. It is uniquely painful as the tear exposes the anal sphincter, which is the muscle around your anus. Anal fissures are a painful, but rarely serious condition that happens when there is a cut or tear in the skin surrounding your anus.
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