What is the treatment of anal fissure (a cut or wound in anus or rectum) besides surgery.?

I have anal fissure for last two years. I feel severe pain and burning during and after bowel movement which remains from few minutes to few hours sometimes. I have applied several creams, ointments, herbal ointments but no benefit. I have also chronic constipation. I also eat vegetables, drink lots of water, take fibre but no benefit. Please help I shall pray for this forever.

I feel your pain- been there and it’s horrible. the constipation will unfortunately make you strain for bowel movements and will not help the area heal. Take laxatives to soften your stools because as long as the constipation is there the fissure will not get better. Keep using creams- prep H is a good one and can help soothe the area. I found baths helped a bit as did using lubricant when I had a bowel movement. I also used cold compresses on the affected area. Cold worked for me but I have heard that heat can also help. However, I would recommend seeing a doc. 2 years is a long time to suffer this and it must make you miserable- I remember crying over the pain sometimes and it really got me down.

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Can tensing the muscle that opens/closes the anus irritate external piles?

I have had an external pile for about a year, it never hurts, just feels like a tender lump on my anus. I’ve always had a weird habit of contracting the muscle of my anus when I’m nervous or sometimes when I just sit – Its the muscle which also holds off your pee. I’m wondering if prolonged tension of this can put pressure on the pile and stop it from going, as my stool is always soft and I can’t think of any other reason why its still there!
I’m a 22 year old male by the way, I think I caused the problem from a bad diet!

Ok, a couple of points need to be clarified.

The term ‘external pile’ is often misused to mean a skin tag at the anus. These form following healing of an anal fissure (a tear in the anal lining). Healing causes excessive tissue growth beyond that surrounding it, hence it forms a skin tag, otherwise known as an ‘external pile’ or ‘sentinel pile.’ It sounds like you are a prime candidate to have this, since clenching of the anus compresses small blood vessels, thus reducing blood supply to the anal lining, resulting in anal fissure formation followed by healing and skin tag formation. Anal fissures often itch and may cause slight bleeding, seen on the toilet tissue. Passing stool may sometimes hurt too.

External pile is often also used to describe a ‘prolapsed haemorrhoid.’ These are veins that start off inside the anus and over months or years, they can start to prolapse out. They may initially only appear on passing stool and then return into the anus (and not be noticed). But eventually, they may constantly remain outside the anus. They may bleed (into the toilet or onto the toilet paper) and sometimes a clot can collect inside them (thrombosed pile) causing them to swell and be a real ‘pain in the arse.’ No joke.

Both anal fissure and haemorrhoids are easily treated. I suggest you see a colorectal surgeon who can diagnose and treat you. Often earlier treatment is better and may avoid potential surgery.

Is Piles or Hemorrhoids a Disease Cures and Treatments

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