Anal Fissure: Symptoms, Causes and Treatment Options

  • Dr. Kayomaz M. Mogal

  • Health, Fissure & Anorectal Care

  • September 26, 2026

Anal fissure symptoms, causes and treatment options

An anal fissure is a small tear in the delicate skin lining the anus. It commonly causes sharp pain and bleeding during or after bowel movements. Although fissures are common, delaying treatment can allow an acute fissure to become chronic.

“Pain while passing stool is not something you should learn to live with.”

Common Symptoms of Anal Fissure

Common symptoms of an anal fissure may include:

  • Sharp or burning pain while passing stool

  • Pain that continues after a bowel movement

  • Bright-red blood on stool or toilet paper

  • Itching or irritation around the anus

  • A visible crack near the anal opening

  • A small lump or skin tag near a chronic fissure

What Causes a Fissure?

Anal fissures are commonly caused by:

  • Passing hard or large stools

  • Chronic constipation and straining

  • Frequent diarrhoea

  • Childbirth-related pressure or injury

  • Tightness or spasm of the anal muscles

  • Certain inflammatory bowel conditions

Can a Fissure Heal Without Surgery?

Many acute fissures may improve with proper medical care, a fibre-rich diet, adequate water intake, stool-softening medicines and warm sitz baths. These measures help keep stools soft and reduce pressure on the injured area.

If the fissure does not heal, keeps returning or becomes chronic, the doctor may recommend prescription medicines, Botox treatment or a surgical procedure. The right treatment depends on the duration, severity and cause of the fissure.

Treatment Options for Anal Fissure
  • Diet and lifestyle changes: A fibre-rich diet and adequate water intake can help keep stools soft and reduce straining.

  • Stool-softening medicines: Medicines may be recommended to make bowel movements easier and reduce pressure on the fissure.

  • Warm sitz baths: Warm baths may help relax the anal muscles and provide relief from discomfort.

  • Prescription medicines: Depending on the condition, a doctor may prescribe medicines to support healing and reduce anal muscle spasm.

  • Botox treatment: Botulinum toxin treatment may be considered in selected patients with persistent or chronic fissures.

  • Surgical treatment: If the fissure becomes chronic or does not respond to conservative treatment, a surgical procedure may be recommended based on the patient's condition.

The right treatment depends on the duration, severity and cause of the fissure. A proper examination is important before deciding on a treatment plan.

Consult a Fissure Specialist in Bardoli

If you are searching for a fissure doctor in Bardoli, fissure surgeon in Bardoli, anal fissure treatment in Bardoli or an experienced proctologist in Bardoli, consult Dr. Kayomaz M. Mogal at Shree Anorectal Hospital, Bardoli.

Get a confidential examination, accurate diagnosis and personalised treatment guidance for fissure and other anorectal conditions.

Don’t Ignore Pain or Bleeding

Early diagnosis can help relieve discomfort and reduce the risk of the fissure becoming chronic.

Book your appointment with Dr. Kayomaz M. Mogal at Shree Anorectal Hospital, Bardoli.

Disclaimer: This article is for general awareness and does not replace professional medical consultation. Treatment varies according to the patient's condition.