Anal Fissure
An anal fissure often begins with sharp pain. This is usually following a bowel movement. It often causes bright red blood stained stools. It is the most common cause of rectal bleeding. One common cause of this is passage of a large, hard stool. It can also be caused by having frequent diarrheal stools. Anal fissures that occur for a longtime (chronic) may require surgery.
CAUSES
- Passing large, hard stools.
- Frequent diarrheal stools.
- Constipation.
SYMPTOMS
- Bright red, blood stained stools.
- Rectal bleeding.
HOME CARE INSTRUCTIONS
- If constipation is the cause of the rectal fissure, it may be necessary to add a bulk-forming laxative. A diet high in fruits, whole grains, and vegetables will also help.
- Take warm sitz baths for 15 minutes 4 times per day may.
- Increase your fluid intake.
- Only take over-the-counter or prescription medicines for pain, discomfort, or fever as directed by your caregiver. Do not take aspirin as this may increase the tendency for bleeding.
- Avoid constipating foods such as bananas and cheese.
- Using medications prescribed by your physician results in healing in most cases within 4-6 weeks. If medical treatment is unsuccessful and/or pain is debilitating, outpatient surgery to be required.
SEEK MEDICAL CARE IF:
Rectal bleeding continues, changes in intensity, or becomes more severe.
MAKE SURE YOU:
- Understand these instructions.
- Will watch your condition.
- Will get help right away if you are not doing well or get worse.