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
I definitely recommend Dr. Kaan, PA Montana Merrick, and the whole office with 5 stars. I had my gallbladder taken out, and they were super kind and nice, very professional, and knowledgeable about the whole process from start to finish. I felt taken care of and comfortable with asking questions. Thanks again!
Dr Kaan and his staff are awesome to work with as they are very professional, courteous, respectful and thoroughly go over the process with you when having surgery. They answer all your questions and make you feel at ease. The post op follow up visit after surgery with PA Merrick was also outstanding. PA Merrick listens to any and all concerns you have post op and addresses your concerns carefully and fully with knowledgeable responses.
I was sent to Mountain West Surgical via the Cheyenne VAMC for inguinal hernia repair. . Every step, from initial consult to post surgery follow up, was outstanding. Every person was extremely professional, yet personable and friendly. I have already recommended this place to friends. ⭐️ ⭐️⭐️⭐️⭐️
Fantastic! Top notch surgeon and care, the entire staff is helpful and, most importantly, they truly care about their patients and never rush you through the process. They really listen and take the time to help you understand the process. I'm VERY grateful to Dr Gates and Merrick!
Dr. Kaan recently took a cyst off the back of my knee. It has healed up nicely. From my first appointment to my post-op, he was absolutely incredible. He was kind, friendly and patient with me as I asked all my questions and concerns. He has great bed side manner and has a good sense of humor. His staff were very professional and friendly as well. I highly recommend him and his practice at Mountain West Surgical Specialists for any general surgery needs.
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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.