What Are Anal Fissures?
Our board-certified surgeons at Mountain West Surgical Specialists encounter patients with various concerns, which vary in severity and complexity. Among the conditions frequently treated at our Cheyenne, WY office are anal fissures. An anal fissure refers to a small tear or rip in the delicate tissue lining the anus known as the mucosa. Despite their small size, these tears can cause significant pain and are prevalent across all age groups, from infants to the elderly. Anal fissures typically develop due to trauma or stretching of the anal canal, often resulting from passing hard stools, experiencing difficult bowel movements, suffering from constipation, or engaging in sexual activity. Fortunately, many fissures can heal over time with interventions, such as a high-fiber diet, stool softeners, supplements, or in chronic cases, minor surgery.
How Are Anal Fissures Treated?
Once your anal fissure has been evaluated by one of our surgeons, we will formulate a personalized treatment plan tailored to your specific needs. Depending on the severity of your condition, we may explore both nonsurgical and surgical approaches. Typically, anal fissures respond well to interventions, such as a high-fiber diet, increased water intake, stool softeners (available with or without a prescription), and certain supplements aimed at easing bowel movements. Additionally, we may prescribe medications or topical ointments to alleviate discomfort and promote relaxation of the sphincter muscles during the healing process.
An anal fissure that persists beyond eight weeks is classified as chronic. In such cases, our colorectal surgeons may recommend a minimally invasive surgical procedure to address the issue. Options may include BOTOX® injections, often used for chronic fissures, or a lateral internal sphincterotomy. The latter involves dividing a portion of the anal sphincter. Both procedures are minimally invasive.
What Are the Symptoms of Anal Fissures?
Those dealing with constipation, diarrhea, or straining during defecation are at increased risk of injuring the delicate lining of the anus. Furthermore, engaging in sexual activity or inserting foreign objects can also lead to fissure formation. While external examination typically facilitates diagnosis, the symptoms can mimic those of other conditions, like Crohn's disease or hemorrhoids. Seeking guidance from a surgeon is essential for an accurate diagnosis.
Signs of an anal fissure may include:
- Pain during or following bowel movements, which may persist for hours
- Presence of blood in the stool or on toilet paper post-defecation
- Identification of a lump or skin tag near the anus
- Observable crack in the delicate perianal skin
Mountain West Surgical Specialists Reviews
Dr Kaan is the best. He clearly and patiently answered all my questions and what my diagnoses was.
I recently underwent a recent colonoscopy with Dr. Gates. The entire process from the referral, consult, pre-procedure and afterwards was great. Everyone was very nice and really good at what they do. Thank you!
Dr. Gates is an excellent doctor. He took the time to explain his thoughts, listened to me and my concerns, and clearly cared about my health and well being.
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Dr. Kaan listened to my husband & myself, answered all our questions, explained everything including pro's & con's. He is a caring & compassionate man/physician. I highly recommend him.
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Seek Treatment Now
An anal fissure can be painful to live with. If you or a loved one are seeking treatment for anal fissures in Cheyenne, WY, we can help. For help with your condition, contact Mountain West Surgical Specialists to connect with a surgeon who will help you obtain the relief you need to have normal bowel movements. Reserve an appointment today to get started.