Anal Fissure

An anal fissure is a small tear in the tissue that lines the anus that causes pain with bowel movements. A tear can cause blood in the stool.

What is an anal fissure?

An anal fissure refers to a small tear or cut in the lining tissue of the anus. The anus is lined with a delicate layer of tissue known as mucosa, which can develop tears due to various reasons, such as passing large stools during a bowel movement. Typically, anal fissures cause pain during bowel movements and may result in the presence of blood in the stool. In addition, an anal fissure can trigger spasms in the anal sphincter muscle located at the end of the anus.

If an anal fissure persists for 6 to 8 weeks or if it frequently recurs, it is considered a chronic condition. If you suspect you have an anal fissure, it is advisable to reach out to The Gut Clinic UK and arrange an appointment with a gastrointestinal specialist.

What are the causes of an anal fissure?

An anal fissure can be caused by various factors. Some common causes include:

– Constipation
– Straining during bowel movements
– Passing large and/or hard stools
– Anal intercourse
– Childbirth
– Chronic diarrhea

In addition to these causes, several factors can increase an individual’s risk of developing an anal fissure. These risk factors include:

– Constipation
– Age (anal fissures are more common in infants and middle-aged adults)
– Childbirth
– Inflammatory bowel disease (IBD)
– Anal intercourse
– Sexually transmitted diseases (STDs) and HIV

What are the symptoms of an anal fissure?

The symptoms of an anal fissure typically include:

– Pain during bowel movements
– A visible crack or tear in the skin surrounding the anus
– Bright red blood in the stool
– Persistent pain after a bowel movement

If you experience any combination of these symptoms or if they become severe, it is advisable to contact a specialist at The Gut Clinic UK. It is always important to consult a doctor if you notice blood in your stool.

What are the possible complications of an anal fissure?


Anal fissures typically do not give rise to serious conditions but can be highly uncomfortable. However, there are a few potential complications associated with anal fissures, including:

– Failure to heal: In some cases, anal fissures may not heal properly, leading to prolonged symptoms and discomfort.
– Recurrence of the fissure: After healing, there is a possibility of the fissure reoccurring, resulting in similar symptoms.
– Tear in the surrounding muscles: Severe or chronic anal fissures can extend into the surrounding muscles, causing further complications.

If you have concerns regarding possible complications from your anal fissure, it is recommended to discuss them with your specialist at The Gut Clinic UK.

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