Anal Fissures – Frequently Asked Questions (Part 2)

Anal fissures are among the most common problems people experience, but they hesitate to share about the same, even with their doctor. And this lack of communication leads to severe problems in future. Here are the answers to majorly ask questions, easing out your way to get rid of the skin issue in a faster manner.


It is necessary for you to understand that anal fissures can be excruciating painful. The one suffering from this condition knows how embarrassing it can be, especially when you are in public place.

Basically anal fissures are defined as a tear in the lining of the anus, i.e. the opening where feces are excreted. Usually, the tear extends into a circular ring of muscle which is also known as the internal anal sphincter. In case it has been present for less than six weeks, it is stated to be in acute condition. However, if it takes time greater than six weeks, the fissure is described as chronic.

As stated in the earlier post that there are no miracle cures, here is the list of few frequently asked questions and answers about anal fissures. Check them out;

What are the causes?

This skin condition has been known to be caused by a variety of situations;

  • Hard stools: Stretching and tearing of the rim of the back passage (anus) occur when a person passes hard stools. Mostly, the skin damage caused heals itself and quickly, without causing any major problems. But for some, who have a higher than normal pressure of the muscle around the anus or whose muscle is bit ‘tighter’ than usual, it can turn more painful.
  • Constipation: Are you dealing with constipation on regular basis? This can make anal fissures more likely to develop.
  • Childbirth: Around 1 in 10 cases the fissure are said to be occur during childbirth.

Besides, sometimes fissures can occur if you have bad diarrhea.

What are the different ways to diagnose?

Usually caused by trauma which stretches the anal canal after passage of large or hard bowel movement or explosive diarrhea, fissures are diagnosed based on the symptoms.

  • As far as the physical examination is considered, it involves gentle separation of the buttocks. With this, the doctor visually inspects the region around the anus.
  • A rectal examination is also done in some cases. This basically includes insertion of a gloved finger into the anus.
  • Anoscopy or the insertion of a small instrument to view the anal canal is also recommended. But this is often avoided in the initial diagnosis. Reason being, it can cause increased pain.

Still, if the diagnosis is unclear, doctors might recommend you a sigmoidoscopy or colonoscopy. This is often done in case of rectal bleeding, and is preferred in patients above 50 years. For younger patients, it is generally avoided.

What are the initial treatments?

It is up to doctors and patients, what they pick together find out the best course of action to take. However, to ease pain and discomfort, here is a list of things to try.

  • Warm baths: These are highly soothing and provide immediate relief. Also, it might help the back passage to relax, easing out pain significantly.
  • Anesthetic Cream: If it starts paining late night, and you cannot rush to the doctor, you can go for a safe and natural ointment like Dr. Numb. Being a topical anesthetic solution it carries lidocaine which eases the pain.
  • Steroids: These are often useful in reducing inflammation. You can consider them when it is about reducing any swelling around a fissure. And yes, this help get rid of itch and pain too. But you should not use it for longer.

In any case it turns severe you should always seek the advice of a medical professional. It is important to arm yourself with knowledge. These answers will help you, and take the right action as soon as possible.

IMPORTANT: This product may not be right for you. Always read and follow the label.

Healthcare professionals and aestheticians use Dr. Numb® Topical Anesthetic Cream 5% Lidocaine for a number of off-label uses such as medical and cosmetic treatments. Always carefully read the label and heed all directions and cautions. Seek the advice of physician or a qualified healthcare practitioner prior to its application or use.