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Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut. A Anal straining in exercising anal fissure likely has a deeper tear, and may have internal or external fleshy growths.

A fissure is considered chronic if it lasts more than eight weeks. The fissure's location offers clues about its cause. A fissure that occurs on the side of the anal opening, rather than the back or front, is more likely to be a sign of another disorder, such as Crohn's disease.

Your doctor may recommend further testing if he or she thinks you have an underlying condition:. Anal fissures often heal within a few weeks if you take steps to keep your stool Anal straining in exercising, such as increasing your intake of fiber and fluids. Anal straining in exercising in warm water for 10 Anal straining in exercising 20 minutes several times a day, especially after bowel movements, can help relax the sphincter and promote healing.

If you have a chronic anal fissure that is resistant to other treatments, or if your symptoms are severe, Anal straining in exercising doctor may recommend surgery. Doctors usually perform a procedure called lateral internal sphincterotomy LISwhich Anal straining in exercising cutting a small portion of the anal sphincter muscle to reduce spasm and pain, Anal straining in exercising promote healing.

Studies have found that for chronic fissure, surgery is much more effective than any medical treatment. However, surgery has a small risk of causing incontinence. Several lifestyle changes may help relieve discomfort and promote healing of an anal fissure, as well as prevent recurrences:. If your infant has an anal fissure, be sure to change diapers frequently, wash the area gently and discuss the problem with your child's doctor.

If you have an anal fissure, you may be referred to a doctor who specializes in digestive diseases gastroenterologist or a colon and rectal surgeon. When you make the appointment, ask if there's anything you need to do in advance, such as fasting before having a specific test. Make a list of:. While you're waiting to see your doctor, take steps to avoid constipation, such as drinking plenty of water, adding fiber to your diet and exercising regularly.

Also, avoid straining during bowel movements. The extra pressure may lengthen the fissure or create a new one. Anal fissure care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Diagnosis Your doctor will likely Anal straining in exercising about your medical history and perform a physical exam, including a gentle inspection of the anal region.

Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Feldman M, et al. Diseases of the anorectum. Philadelphia, Pa. Accessed Oct. Anal fissure. American Society of Colon and Rectal Surgeons. Wald A, et al. American Journal of Gastroenterology. Breen E, et al. Anal fissure: Clinical manifestations, diagnosis, prevention.

Ferri FF. In: Ferri's Clinical Advisor Brady JT, et al. Treatment for anal fissure: Is there a safe option? The American Journal of Surgery.

Nelson RL, et al. Non surgical therapy for anal fissure. Cochrane Database of Systematic Reviews. Cook AJ. AllScripts EPSi.

Rochester, Minn. Anoscopy and sigmoidoscopy. Merck Manual Professional Version. Accessed Nov. Rajan E expert opinion. Mayo Clinic, Rochester, Minn. Mayo Clinic in Rochester, Minn. Learn more about this top honor. Mayo Clinic Marketplace Check Anal straining in exercising these best-sellers and Anal straining in exercising offers on books and newsletters from Mayo Clinic.

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