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Anal Fissure What is an Anal Fissure? An anal fissure is a small tear in the lining of the anal canal. Anal fissures are common in infants between 6 and 24 months. Anal fissures are less likely to develop in older children. What causes Anal Fissures? Anal fissures may develop in adults from passing hard or large stools during bowel movements. Anal fissures are also caused by:
Symptons of an Anal Fissure The most common symptoms of an anal fissure are:
When to see a doctor If you think you have an anal fissure, you should see a doctor. It is especially important to see a doctor if you have pain during bowel movements or blood on stools or toilet paper after a bowel movement. Treatments for Anal Fissures Topical cremes or suppositories can be used to to help reduce inflammation and provide relief while the anal fissures heal. About 90 percent of anal fissures heal without surgery. If you develop an anal fissure that doesn't heal, surgery may relieve your discomfort. Surgery usually involves cutting a portion of the anal sphincter muscle. Surgery may also include removal of the fissure and any scar tissue resulting from it. Anal fissures that fail to heal may become chronic and cause considerable discomfort. The most common risk factors for developing anal fissures:
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