Specialist assessment and surgical treatment for anal fissures, with a focus on long-term relief and recovery.
An anal fissure is a small tear in the lining of the anal canal. It can cause sharp pain during and after opening the bowels, and is often associated with constipation or straining.
Many fissures heal with conservative treatment. Where a fissure does not heal, or keeps returning, a specialist assessment can help you understand the options available.
People commonly seek advice for one or more of the following:
The right approach depends on your symptoms, examination findings and preferences. Not every option is suitable for every patient.
A careful assessment to confirm the diagnosis. If examination is too uncomfortable, this will be discussed with you.
Softening the stool and prescription ointments to relax the anal muscle are commonly used as first-line treatment.
Where appropriate, other options such as botulinum toxin injection may be discussed.
Surgery may be considered for chronic fissures that have not responded to other treatment. The benefits and risks will be explained in detail.
Please speak to your GP or another healthcare professional if you notice:
If you have heavy bleeding, severe pain, or feel very unwell, seek urgent medical help by calling NHS 111 or, in an emergency, 999.
A consultation is the best way to understand your symptoms and the options that may be suitable for you.
Make an enquiryThis page provides general information only and does not replace individual medical advice.
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