What is Anal Fissure or Anus Fissure?

Anus fissure, also called anal fissure and breech tear, is a crack-shaped wound in the breech, the second most common disease among breech diseases. It is more common in women than men.

Breech crack is also called “breech tear” and “breech vein crack”. Although it is called by a different name, it describes the same disease.

It is one of the most painful diseases of the anus region.

Causes of Ankle Fissure

The most common cause of breech cracks with 95% is STRESS, PSYCHOLOGICAL TENSION. Although constipation is wrongly blamed, it is more common after bouts of diarrhea. Our patients state that their complaints started and increased during pregnancy, childbirth, preparation for the exam, appointment, relocation and preparation for marriage, which they consider to be turning points in their lives.


Clap your palm tightly, wait 10-15 seconds and open it, what do you see? When you open your palm, you see that the palm of your hand is pale, blood is drawn, and color comes to your palm, and blood circulation improves. Here, there is excessive tightening that you are not aware of, like a tic in the breech at high times. While people normally squeeze their anus at 50-70 cm water pressure during the day, this pressure is very high in patients with anus cracks. Anesthesia pressure is very high in these patients even during sleep at night. Since this prevents the blood needed to maintain the vitality of the tissues in their rectum from spreading to the tissues sufficiently, the crack that starts in the breech cannot be repaired and deepens. Patients are treated with medical treatment and simple hot water baths at the time of breech cracking before the crack deepens and becomes chronic. However, this situation can start again on another stressful, tense day. If the disease is advanced or chronic, patients describe a painful swelling in the anus the size of lentils or chickpeas. They are ashamed to show this swelling that they know to others, they just describe it. According to the recipe, the name of this disease is “BASUR”. While describing his doctor on the phone, he asks what should I do if I have hemorrhoids.

How to Recognize An Anus Crack

The most common (99%) symptom is pain and soreness. During defecation, there is a pain as if “scratching a piece of glass”, and pain that lasts for 1-5 hours after defecation. The pain sometimes radiates from the hips to the legs. The second common complaint is itching and can be seen at any time of the day. The patient notices a small painful breast with his hand, which indicates that the breech crack has become chronic. Patients incorrectly describe this breast as hemorrhoids when telling each other. Bleeding is infrequent and small in amount. Most of the time, bleeding is like a swab or line on the stool.

Breech Crack Prevention

Stress is the most important cause of breech cracking. It is often impossible to prevent. However, it is possible to prevent it from becoming chronic with simple measures to be taken when the complaints start.

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