What Causes An Anus Fissure, How Is It Treated?

Anal fissure literally means “breech fissure”. The breech area is a very sensitive area because it is rich in sensory nerve endings. For this reason, a crack that will occur here has the feature of being extremely sensitive and painful and may impair the entire comfort and quality of life of the patient.

The patients complain of bleeding and itching during defecation, which they describe as “severe pain and pain in the rectum tearing or pulling out a small piece of glass”. General Surgery and Surgical Oncology Specialist Prof. Dr. İlker Sücüllü explained the symptoms and treatment methods, saying that defecation turned into a nightmare for the patient due to these problems.


The disease usually occurs after a long period of constipation or after diarrhea, that is, when the breech region works excessively and forcefully outside of its normal functioning. In the meantime, a tear occurs in the border area between the anus and the skin, and this usually causes throbbing pain that lasts for at least a few hours after each stool. This happens due to excessive contraction (spasm) in the inner breech muscle. Pain causes contraction and contraction causes the tear to enlarge.

The diagnosis of the disease is made by listening to the history of the disease and by examination. The most important issue to be considered here is that the anal fissure should not be confused with other diseases that may occur in this region.


Constipation, irregular stools, occasional episodes of diarrhea, and other underlying factors may cause anal fissure. For this reason, many people may experience short-term acute crack-related problems when they change their standard living environment such as vacation, business travel, and change in toilet habits, and these problems can even be observed in infants. However, the prolongation or settlement of this picture results in a deeper, persistent and chronic anal fissure.


As with all diseases of this region, treatment begins with the correction of constipation. It is aimed to correct constipation, increase fluid and fiber intake, and ensure that the person performs soft stool once a day.

The goal of treatment is to eliminate the spasm in the inner breech muscle. For this, first of all, hot applications (shower head and hot water application to the anus) and special pomades are used.

Another minimally invasive treatment method is botox application. With the proper application of this procedure to the appropriate patient by a specialist experienced in colorectal surgery, highly satisfactory results can be obtained. Thus, the patient can get rid of their complaints in a short time and is not exposed to surgical stress. However, it should not be forgotten that patients should carefully follow the recommendations of the physician after botox application in the anal fissure, since the disease is prone to relapse.

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