Is It Normal For A Fissure To Last This Long?

Posted on 5 days ago

Question: Was diagnosed with an anal fissure about 8weeks ago. The initial intense burning has cleared but I’m still experiencing at random times a dull ache and Ian intense sense of pressure. Is it normal for a fissure to last this long?

Answered by Dr. Dr.P.Ratnakar Kini (3 hours later)

Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Yes, symptoms of anal fissure can last long.
Are you taking laxatives and stool softeners?
How are your bowel movements now?
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)

I am taking stool softeners I have one movement per day which is easily passed. My question is if the aching sensation is related to the fissure?

Answered by Dr. Dr.P.Ratnakar Kini (12 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Yes, the dull ache and the intense sense of pressure are due to anal sphincter spasm which is a feature of anal fissure.
Sphincter spasm can be seen if digital rectal examination is attempted and it would be painful. Hence digital rectal examination is usually not attempted in anal fissure when the lesion is active.

Relief from this spasm is achieved with sitz bath and application of topical diltiazem at the anal verge.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (33 minutes later)

Thanks for the follow up one last question I’m scheduled for a colonoscopy in a few weeks will this worsen fissure?

Answered by Dr. Dr.P.Ratnakar Kini (10 hours later)

Brief Answer:
No

Detailed Answer:
Hi,
No, colonoscopy will not worsen anal fissure.
But if there is active spasm of the anal sphincter, the doctor may not proceed with the procedure as it would be difficult to introduce the scope inside and would be painful.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (36 hours later)

Will being sedated for the procedure make a difference?

Answered by Dr. Dr.P.Ratnakar Kini (11 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Certain people feel discomfort during colonoscopy. This discomfort will not be there if you are sedated.
But sedation does not relieve the anal sphincter spasm. So even if you are sedated, the doctor will preform the procedure only if there is no anal sphincter spasm.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr.P.Ratnakar Kini (14 hours later)

Also as I up fiber I seem to be getting very bloated and have lots of gas how can I aid bowel movements without all of the extra gas

Answered by Dr. Dr.P.Ratnakar Kini (4 minutes later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Abdominal bloating is a common side effect of fiber.
So you have to adjust the dose appropriately to get good bowel movements and at the same time not get abdominal bloating.
Alternatively you can take a combination of laxatives ( fiber + prucalopride) and stool softener like Colace.
Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar