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 Gates did amazing work. No issues with a quick recovery. All the staff there are great to work with and have helped every step of the way with answers to questions and lend an ear talking into consideration the challenges my family and I have faced during this whole process. I recommend anyone that needs any of their services. Not to mention the hospital nurses have mentioned they have never seen any complications with the work done by Mountain West Surgical. If i have the option to return to them for surgery they have earned my confidence at all levels.
To put it plainly, Jesus and Dr Gates saved my life back in May, 2025 when I had to have emergency surgery and afterwards for my 2nd surgery as well. Dr Gates is a true expert at what he does and he's very personable too. I felt extreme ease in his care and he comes highly reccomended!! PA Montana is also a true gem. You couldn't ask for someone who genuinely cares for her patients the way she does! I REALLY adore her! I'm so happy my care came into the hands of Mountain West Surgical, they are A++++++++!!
I highly recommend Dr. Kaan. My husband was referred to him by his primary physician. Dr. Kaan was very helpful, knowledgeable and made us feel very comfortable.
Dr Gates has done 2 surgeries for me and he is awesome! The first surgery was when I met him at the hospital and I went to him when I found out I needed another surgery. Best choice ever!! Fantastic surgeon and is concerned about the whole patient. He is very caring and patient and has always answered any questions I have. I would recommend him 200%.
Dr. Gates and P.A. Merrick and Dr. Gartener, performed flawlessly. Thank you!!
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Frequently Asked Questions
Are anal fissures the same as hemorrhoids?
No, although they can cause similar symptoms, like pain and rectal bleeding. Hemorrhoids are swollen veins, while fissures are small tears in the tissue. A proper medical evaluation can help differentiate the two.
Can anal fissures heal on their own?
Yes, many acute anal fissures heal with conservative care, such as increasing fiber intake, drinking plenty of water, using stool softeners, and taking warm sitz baths. Chronic fissures may require medical treatment.
How can I prevent anal fissures from returning?
Maintaining soft, regular bowel movements is key. This includes staying hydrated, eating a high-fiber diet, avoiding straining, and practicing good anal hygiene. Promptly treating constipation or diarrhea can also help prevent recurrence.
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.