Our Gastroenterology Blog

Posts for tag: Anal Fissure

By Digestive Disease Associates of York County
February 19, 2021
Tags: Anal Fissure   Anal Fistula  
What Is an Anal Fistula
The inside of the anus is lined with small glands. These glands can be infected when the mucus they secrete gets blocked. This leads to an abscess. Unfortunately, if the abscess isn’t treated it can often form a fistula. A fistula is a tunnel that connects the skin around the anus with an infected gland inside the rectum. If you are dealing with pain and swelling around the anus, a fistula could be to blame. Since anal pain and swelling can be caused by a variety of things, ranging from benign to more serious, it’s a good idea to see a gastroenterologist for an evaluation.

What are the signs and symptoms of a fistula?

The most common symptoms are pain, swelling, and redness around the anus. Of course, everything from a tear in the tissue to hemorrhoids can also cause similar symptoms, so it’s not always easy to spot the difference. This is why you should always consult a gastroenterologist for a proper diagnosis.

If you have a fistula, you may also notice these symptoms,
  • Pain with bowel movements (and sometimes urination)
  • Bleeding
  • Fever
  • Liquid draining from the anus
If you are experiencing these symptoms, it’s time to see your gastroenterologist.

How is an anal fissure diagnosed?

Some anal fissures can be spotted through a simple rectal exam; however, this isn’t always the case. If so, your gastroenterologist may recommend imaging tests such as a CT scan or a colonoscopy. A colonoscopy is a diagnostic procedure that allows your doctor to examine the lining of the rectum and colon to spot bleeds, ulcers, and other problems.

How are fistulas treated?

The only way to treat a fistula is with surgery, which is typically performed in your gastroenterologist’s office. Several surgical strategies can be used, depending on whether you have a simple or more complicated fistula. Simple fistulas can be removed through excision, while complicated fistulas may require a tube to drain the fluid for several weeks. This is something that your doctor will talk with you about once you’ve come in for an evaluation.

Whether you are experiencing symptoms of a fistula or you are noticing changes in bowel habits that have you concerned, a gastroenterologist is an ideal doctor to turn to for answers. Call your gastroenterologist today to discuss your symptoms and find out if you should come into the office for care.
By Digestive Disease Associates of York County
December 24, 2020
Tags: Anal Fissure  
What Is an Anal FissureDo you notice spots of bright red blood when you wipe? Do you experience anal itching? If so, these could be signs of an anal fissure. The lining of the anus is delicate and has the ability to tear, especially when straining or dealing with constipation. This is so common that gastroenterologists often see more patients presenting with anal fissures than hemorrhoids.
 
What can cause an anal fissure?
If you’ve ever had an anal fissure before you know just how uncomfortable they can be. By knowing what causes an anal fissure you may also be able to prevent one from happening in the future. A fissure typically results from trauma to the anus caused by,
  • Constipation
  • Passing hard stools or straining during a bowel movement
  • Persistent or recurring diarrhea
  • Childbirth
  • Anal intercourse
  • Crohn’s disease
How do I know that I have an anal fissure?

You may be dealing with an anal fissure if you notice pain with a bowel movement. The pain can be quite sharp and intense, and you may even experience burning or pain for hours after. Other symptoms include anal itching and drops of blood when wiping (typically bright red blood). If you notice black or dark stools, this is a sign of internal bleeding and it’s important to see a gastroenterologist right away.
 
How is an anal fissure treated?

Most fissures will heal on their own with proper care. There are things you can do to help promote healing. These include,
  • Staying hydrated and drinking lots of fluids
  • Getting daily exercise
  • Consuming a high-fiber diet
  • Avoiding straining with a bowel moment
  • Go to the bathroom when you need to (do not hold it in)
  • Relax in a Sitz bath
  • Use baby wipes rather than toilet paper (which may be too dry and rough) after a bowel movement
  • Sometimes, stool softeners and fiber supplements can be helpful
The majority of anal fissures will heal by themselves; however, if you’ve been dealing with this problem for more than eight weeks then it’s time to see a gastroenterologist for treatment. There are specific prescription creams or medications that can be used to help treat the fissure. In rare cases, surgery is needed.
 
If you are experiencing rectal bleeding or pain you must turn to a gastroenterologist to find out what’s going on, as these can also be symptoms of other more serious digestive and intestinal issues.