Anal fissure bleeding symptoms

Written by Chen Tian Jing
Colorectal Surgery
Updated on October 25, 2024
00:00
00:00

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.)

Other Voices

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
55sec home-news-image

How to treat postpartum constipation and anal fissures?

In cases of postpartum constipation, if it becomes severe and leads to an anal fissure, it is necessary to visit the hospital's proctology department for an examination. When an anal fissure occurs, it generally requires the use of medications to invigorate blood and dissolve stasis to facilitate wound healing. You can also apply some grease around the wound to increase the lubrication of the muscles around the anus, which can alleviate some of the difficulties experienced during defecation. In daily life, it is important to drink more water, consume plenty of fresh vegetables and fruits, avoid spicy and irritating foods that can cause internal heat, and you can also use a potassium permanganate solution for sitz baths to alleviate local pain. If the condition of the anal fissure is severe, surgical treatment may be necessary.

doctor image
home-news-image
Written by Wang Hui Jie
Gastroenterology
1min 1sec home-news-image

What should I do about rectal bleeding from an anal fissure?

Firstly, if rectal bleeding occurs before a doctor's diagnosis, it is imperative to seek medical attention promptly to rule out other conditions. The cause of the bleeding could be from a site above the anus or other diseases related to the anus, and it might not necessarily be an anal fissure. If diagnosed with an anal fissure, treatment generally involves the local application of ointment. It is important to avoid conditions in daily life that could lead to constipation or diarrhea, as these can irritate the mucous membrane of the anus and exacerbate the symptoms of an anal fissure. Dietarily, it is beneficial to eat more vegetables, fruits, and foods high in rough fiber to ensure that stools are well-formed. If anal fissures recur, do not avoid seeking medical help, as this could lead to the formation of scars and contractions around the anus, causing anal stenosis, at which point surgery would be necessary.

doctor image
home-news-image
Written by Li Xiao Jie
Internal Medicine
39sec home-news-image

What should not be eaten with anal fissure?

Patients with anal fissures should be cautious with their diet, avoiding spicy and irritating foods to prevent exacerbation. They should also consume foods rich in roughage, such as cornmeal, sweet potatoes, celery, leeks, and cabbage, which can facilitate bowel movements and prevent the aggravation of anal fissures due to dry stools. Additionally, alcohol should be avoided as it may dilate blood vessels and lead to increased bleeding. It is essential for patients with anal fissures to maintain smooth bowel movements and avoid sitting or squatting for extended periods.

doctor image
home-news-image
Written by Yu Xu Chao
Colorectal Surgery
1min 13sec home-news-image

The differences between stages one, two, and three of anal fissures.

In clinical practice, anal fissures are not categorized into stages one, two, or three; they are primarily classified as either acute or chronic anal fissures. Acute anal fissures, which occur in the early stages of the condition, are characterized by pain during defecation and minor bleeding. For such cases, the pain usually doesn’t last long, and conservative treatment with medication can be chosen. Topical applications such as dragon's pearl ointment or nitroglycerin ointment are generally used. It is also important to keep the anal region dry and clean, perhaps by using anal washes for sitz baths, while ensuring that the stool is soft to maintain smooth bowel movements. Chronic anal fissures, on the other hand, are mainly due to the development of scars on the ulcer surface. This condition involves prolonged pain and may include some narrowing of the anus. In such cases, surgical excision of the fissure may be necessary. Post-surgery treatment may include changing dressings with medications like red oil gauze strips, golden ointment, and anal washes. (Under the guidance of a doctor for medication use)

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
46sec home-news-image

What should pregnant women do about constipation and anal fissures?

During pregnancy, due to some special reasons, pregnant women are prone to constipation, and severe cases may develop anal fissures, bleeding, and pain. In such cases, it is first necessary to change the diet to a light one, eat more vegetables and fruits, drink more water, and develop good bowel habits. Avoid squatting for long periods. Additionally, enemas can be used to help with bowel movements, and anti-inflammatory ointments can be applied locally to the anal fissure area for disinfection. Using warm water for sitz baths can also relieve the pain from constipation and anal fissures. Routine abdominal and anal massages can alleviate symptoms and promote bowel movements.