An anal fissure refers to a minor rupture or split in the delicate, damp lining (mucosa) of the anus, which can cause significant discomfort. If these fissures start to itch, they contribute further to the discomfort experienced by the person affected by them.
Causes of Itchy Anal Fissures
- Passing large or hard stools: This often leads to anal fissures. When someone is constipated and exerts too much force while passing stools, it heightens the chances of ripping the lining of the anus.
- Chronic diarrhea: Consistently watery bowel movements might agitate the anal area and result in small tears.
- Childbirth: During childbirth, women can develop anal fissures as a result of the anal canal being stretched and ripped.
- Crohn’s disease or other inflammatory bowel diseases conditions: These circumstances could lead to the swelling of the area around the anus and rectum, potentially causing tears.
- Reduced circulation to the area around the anus and rectum: Inadequate blood flow among elderly individuals can lead to the formation of cracks or small tears.
Symptoms of Itchy Anal Fissures
- Itching: Continuous scratching near the anal area is frequently associated with fissures.
- Pain: Pain is particularly intense during and following the act of defecation. It may be experienced as a harsh and extreme sensation.
- Bleeding: Observing a slight trace of vivid red blood on toilet paper or within feces is possible.
- Discomfort: Including a sensation of heat or a raw feeling in the region.
Diagnosis of Itchy Anal Fissures
The majority of anal fissures are identified through a physical exam that includes examining the area surrounding the anus. Should there be worries about possible associated issues such as inflammatory bowel disease, further testing might be performed.
Treatment of Itchy Anal Fissures
- Topical creams: These may aid in loosening the anal muscle to foster recovery, diminish discomfort, and relieve scratchiness.
- Stool softeners: Using stool softeners may alleviate the pressure on the fissures when passing stools.
- Warm Sitz baths: Sitting in warm water for the anal region multiple times daily can help with recovery and reduce discomfort.
- Fiber supplements: Consuming more fiber may help to ease the consistency of bowel movements and facilitate smoother passage.
- Increased water intake: Staying adequately hydrated helps to maintain soft stools and avoid constipation.
- Surgery: When conservative methods do not yield results, performing a surgical procedure that involves creating a tiny cut in the internal anal sphincter can help alleviate spasms and discomfort, proving to be a successful intervention.
Individuals can avert uncomfortable anal tears by ensuring healthy bowel function, refraining from exerting too much pressure during bowel movements, maintaining cleanliness of the anal region, and promptly addressing any digestive system concerns.
Should the discomfort of a persistent itchy anal tear continue or if there is substantial bleeding, one must consult a healthcare professional. This is crucial to exclude other potential issues like hemorrhoids or anal cancer and to obtain the necessary medical care.
