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  • Home
  • Providers
    • Vishvinder Sharma, MD
    • Dipesh Banker, MD
    • Ranadev Mukherjee, MD
    • Shahid Wahid, MD
    • Nikhil Karanth, MD
    • Nasim McDermott, DO
    • Brian Carlson, MD
    • Jawad Jilani, DO
    • Eladio Carrera, MD
    • Marcella Pomeranz, DNP, APRN
    • Daisy Vo, FNP-BC
    • Francess E. Ehixojie, MSN, APRN, BC-FNP
    • Payton Cerda, PA-C
    • Steven Evans, PA-C
    • Manushak Avanesyan, MPAS, PA-C
    • Nicole Nelson, PA-C
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    • Treatments & Tests
      • Capsule Endoscopy
      • Colon Cancer Screening
      • Colonoscopy
      • Endoscopic Ultrasound
      • Esophageal pH Monitoring
      • Lactose Tolerance Tests
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    • Procedure Preparations

PHONE: 702-633-0207
FAX: 702-633-0254

Anal Fissure

Definition Collapse

An anal fissure is a small split or tear in the thin moist tissue (mucosa) lining the lower rectum (anus).

Causes Expand

Anal fissures are very common in infants, but they may occur at any age.
In adults, fissures may be caused by passing large, hard stools, or having diarrhea for a long time.

Other factors may include:

  • Decreased blood flow to the area
  • Too much tension in the sphincter muscles that control the anus

The condition affects males and females equally. Anal fissures are also common in women after childbirth and in people with Crohn disease.

Symptoms Expand

An anal fissure can be seen as a crack in the anal skin when the area is stretched slightly. The fissure is almost always in the middle. Anal fissures may cause painful bowel movements and bleeding. There may be blood on the outside of the stool or on the toilet paper (or baby wipes) after a bowel movement.

Symptoms may begin suddenly or develop slowly over time.

 

Exams and Tests Expand

The health care provider will perform a rectal exam and look at the anal tissue.

Other medical tests that may be done include:

  • Anoscopy -- examination of the anus, anal canal, and lower rectum
  • Sigmoidoscopy -- examination of the lower part of large intestine
  • Biopsy -- removal of rectal tissue for examination
  • Colonoscopy -- examination of the colon
Treatment Expand

Most fissures heal on their own and do not need treatment.
To prevent or treat anal fissures in infants, be sure to change diapers often and clean the area gently.

CHILDREN AND ADULTS
Worrying about pain during a bowel movement may cause a person to avoid them. But not having bowel movements will only cause the stools to become even harder, which can make the anal fissure worse.

Prevent hard stools and constipation by:

  • Making dietary changes -- eating more fiber or bulk, such as fruits, vegetables, and grains
  • Drinking more fluids
  • Using stool softeners

Ask your provider about the following ointments or creams to help soothe the affected skin:

  • Numbing cream, if pain interferes with normal bowel movements
  • Petroleum jelly
  • Zinc oxide, 1% hydrocortisone cream, Preparation H, and other products

A sitz bath is a warm water bath used for healing or cleansing. Sit in the bath 2 to 3 times a day. The water should cover only the hips and buttocks.

If the anal fissures do not go away with home care methods, treatment may involve:

  • Botox injections into the muscle in the anus (anal sphincter)
  • Minor surgery to relax the anal muscle
  • Prescription creams such as nitrates or calcium channel blockers, applied over the fissure to help relax the muscles
Alternative Names Expand

Fissure in ano; Anorectal fissure; Anal ulcer

Office Locations

Las Vegas

5440 W Sahara Ave, Suite 302
Las Vegas, Nevada 89146
Mon - Fri : 8:00 AM - 5:00 PM

Summerlin

653 N Town Center Dr, Suite 204
Las Vegas, Nevada 89144
Contact the office for hours.

North Las Vegas

2031 N McDaniel, Suite 140
North Las Vegas, Nevada 89030
Mon - Fri : 8:00 AM - 5:00 PM

Henderson

866 Seven Hills Dr, Suite 104
Henderson, Nevada 89052
Mon - Fri : 7:00 AM - 4:00 PM

Pahrump-Lola Ln

330 S Lola Ln, Suite 200
Pahrump, Nevada 89048
Contact the office for hours.

Pahrump-Loop Rd

1397 S Loop Rd
Pahrump, Nevada 89048
Contact the office for hours.

702-633-0207

Call Today To Make An Appointment At Any Of Our Locations.

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