Anal Fissures

An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. This condition causes sharp pain and often bright red bleeding during or after bowel movements. While uncomfortable, most fissures heal with the right treatment and self-care within a few weeks.

Causes and Triggers

• Passing large or hard stools (constipation).
• Chronic diarrhea.
• Straining during bowel movements or childbirth.
• Anal intercourse.

Effective Treatments

Treatment focuses on relieving pain and relaxing the anal sphincter muscle to allow healing:

• GTN Ointment: Rectogesic is a common prescription treatment that helps relax the muscle and increase blood flow to the area to promote healing.
• Topical Anaesthetics: Treatments like Xyloproct or Anusol HC contain lidocaine or steroids to reduce pain and inflammation locally.
• Stool Softeners: Often recommended alongside topical treatments to make bowel movements easier.

Self-Care Tips

• Increase fiber intake (fruits, vegetables, whole grains) to avoid constipation.
• Drink plenty of fluids throughout the day.
• Take warm baths (sitz baths) for 10-20 minutes several times a day to relax the sphincter.
• Avoid straining during bowel movements.

Online Medical Consultation

Discussing anal health can feel sensitive, which is why our online service provides a completely discreet way to access professional medical care. Complete a confidential assessment, and our UK doctors can prescribe the necessary ointments to help you heal comfortably.