Can anal fissures be cured completely?

Written by Li Xiao Jie
Internal Medicine
Updated on September 15, 2024
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Anal fissures are a curable condition, so do not worry. Anal fissures are relatively common in clinical practice and are a frequently occurring disease. Fresh anal fissures, which are of short duration and have small fissures, can be treated and cured using methods such as fumigation, oral medications, or rectal insertion. For older, chronic anal fissures, surgical treatment can be administered, including methods like the Milligan-Morgan technique or fissurectomy, all of which can achieve a cure. However, anal fissures are related to lifestyle and dietary habits, so even after healing, it is important to be cautious of various triggering factors to prevent recurrence.

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Written by Lin Shao Qiang
Internal Medicine
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What fruits to eat for anal fissures?

With anal fissures, it is important to maintain smooth bowel movements. Consume more fresh fruits and vegetables, such as bananas, kiwis, strawberries, celery, and spinach, as their rough fibers help lubricate the intestines and facilitate bowel movements. Avoid spicy and irritating foods, foods that cause internal heat, especially avoid chili peppers, onions, ginger, and garlic, and do not drink alcohol, as these can exacerbate constipation and worsen symptoms of anal fissures. Additionally, keep the affected area dry and clean to prevent bacterial infection, and wash with warm water. If there is inflammation in the area of the anal fissure, a sitz bath with potassium permanganate can be used.

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Written by Chen Tian Jing
Colorectal Surgery
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Anal fissure bleeding symptoms

The most common clinical symptoms of anal fissure, apart from the intense tearing pain in the anal area, include bleeding during bowel movements. The bleeding from anal fissures is typically bright red, and the amount of blood can increase with the severity of the condition due to repeated stretching of the fissure. Particularly during acute episodes of anal fissures or after defecation, bleeding from the local fissure can be more significant. Patients with bleeding anal fissures generally have a history of dry stools, so the first step in treating anal fissure bleeding is to lubricate the stool. Additionally, topical medications should be applied to the bleeding fissure to promote healing, and hemorrhoid creams with hemostatic properties can be used locally to help stop the bleeding. (Please use medications under the guidance of a professional physician, and do not self-medicate.)

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Written by Chen Tian Jing
Colorectal Surgery
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What should be paid attention to for anal fissures usually?

Patients with anal fissures primarily develop the condition due to a history of dry stools or straining during early bowel movements. Therefore, it is important for patients to ensure smooth bowel movements and avoid excessive dryness of stools. Diet adjustments should include consuming more bland vegetables and fruits, and avoiding spicy foods such as chili peppers, seafood, and mutton, which are irritants. Additionally, ensuring adequate daily water intake is crucial to prevent dryness in the intestinal feces. Besides dietary and bowel adjustments, patients with anal fissures should actively seek medical treatment during acute episodes to prevent the recurrence of early fissures and the formation of chronic fissures. Early-stage fissures may be treated with topical medications to alleviate symptoms, while chronic fissures may require surgical intervention. (Medication should be administered under the guidance of a doctor.)

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Written by Chen Tian Jing
Colorectal Surgery
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What should I do about anal bleeding and anal fissures?

If a fissure is visible to the naked eye at the anal sphincter during a digital rectal examination, it is primarily considered an anal fissure. Anal fissures generally cause severe local pain and bleeding from the fissure. The fissure is primarily due to the local crack being stretched or opened, causing bleeding from small blood vessels, and the blood from the fissure is usually bright red. To treat bleeding from an anal fissure, it is first necessary to soften the stool, as the occurrence of an anal fissure is mainly related to dry stools and difficulty defecating. Once the stool is lubricated, it can reduce the need to exert excessive force during defecation, lowering the possibility of stretching the local fissure. Topical application of hemorrhoid cream at the fissure, or combined with oral medications that cool the blood and stop bleeding, may be used. If there is repeated bleeding from an anal fissure, surgical treatment is also recommended. (Please use medications under the guidance of a professional physician, and do not self-medicate.)

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Written by Hu Xiang Dang
Colorectal Surgery Department
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What is an anal fissure?

What is an anal fissure? In clinical practice, we often encounter patients asking this question. An anal fissure is a crack in the skin around the anal canal; simply put, it is a split in the skin at the anus. The direction of the split aligns with the direction of the anal skin's folds. Of course, not all cracks in the anal skin are called anal fissures. It is only considered an anal fissure if there is a full-thickness split in the skin at the anus. If it is a superficial skin split, it is referred to as an anal skin laceration or fissuring, such as those caused by certain anal itching diseases, which are in fact fissures in the anal skin. Anal fissures commonly occur at the “anterior and posterior midline” of the anus, which is similar to the directions of 6 o'clock and 12 o'clock as described on a clock face. Doctors often describe these as positions at 6 o'clock and 12 o'clock.