A fissure is a tear that splits or cracks to form a long, narrow opening.
Fissures can be shallow or deep, may bleed or be painful.
They can appear especially between toes, around heel of feet, fingertips, palms, external ear, eyelids, breasts nipples, anus and vulva.
Skin fissures are cracks that form due to intense dryness and thickened skin.
Extreme dryness is seen in women due to loss of oestrogen who are entering the menopause.
Anal fissure is one of the most common conditions.
It is a small tear in the thin, moist tissue – mucosa that lines the anus.
Anal fissures are very common in young infants and middle-aged adults but can affect people of any age.
Most Common signs & symptoms of Anal Fissures
- Pain and bleeding during and even hours after bowel movement
- Spasms in the ring of muscle or the anal sphincter at the end of your anus.
- A visible crack or tear in the anus or anal canal
- Burning and itching that may be painful
- Discomfort when urinating, frequent urination, or inability to urinate
- Foul-smelling discharge
- Bright red blood on the stool or toilet paper after a bowel movement.
- A small lump or skin tag on the skin near the anal fissure.
Common Causes of general skin fissures:
- Weather: Living in a cold, dry climate.
- Frequent exposure to water.
- Certain vitamins deficiencies can lead to dry, itchy skin that does not heal as quickly as healthy skin.
- Overuse: Any area of skin that is continually used.
- For example, walking barefoot increases the stress on your feet and puts you at a higher risk of developing heel fissures.
Medical disorders of fissures may include:
- Diabetes: People with diabetes are at higher risk of developing skin fissures.
- Psoriasis is an autoimmune condition that leads to thick plaques of dead skin cells.
- Eczema causes itchy, inflamed dry patches of skin.
An effective holistic approach is to identify and treat the causative factors!
Common Causes and risk factors of anal fissures
- Constipation – Passing large or hard stools during bowel movement.
- IBD – Inflammatory bowel diseases
- Tight anal orifice
- Chronic, long-lasting frequent diarrhoea
- Straining during bowel movements
- Anal cancer
- Leukaemia – cancer of blood cells
- Insertion of foreign objects into the anus
- Scarring in the anorectal area
- STD’s – sexually transmitted or infectious diseases such as syphilis, gonorrhoea, Chlamydia, chancroid, HIV, herpes, tuberculosis etc
- Pregnancy
- Anal fissures are more common in women after they give birth.
- Crohn’s disease and ulcerative colitis – inflammatory bowel diseases may cause chronic inflammation of the intestinal tract.
- Anal intercourse / stretching
- Decreased blood flow to the anorectal area
Further Complications of an anal fissures
- Once you’ve experienced an anal fissure, you are prone to having another one.
- An anal fissure tears may extend into the ring of muscle that holds your anus closed. If this happens, it makes it more difficult to heal.
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We help individuals explore a range of natural and holistic healing approaches to encourage balance and long-term wellness that may complement your healing journey.
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Natural remedies—including homeopathic remedies, herbal supplements, and aromatherapy products—are generally safe for most people, including children and older adults. Still, consult your GP or healthcare provider before use, especially if pregnant, breastfeeding, or managing chronic or serious conditions.
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