Will an anal fissure heal on its own?

Many acute fissures heal within a few weeks with conservative care. Symptoms lasting longer than this should be evaluated.

When should I see a doctor for anal fissure?

Persistent pain or bleeding lasting more than two to three weeks, fever, or signs of infection require in-person evaluation. Recurrent fissures should also be assessed for underlying causes.

Anal Fissure (Tear in the Anal Lining)

An anal fissure is a small tear in the lining of the anal canal, typically causing sharp pain during defecation and small amounts of bright red bleeding. Most acute fissures heal with conservative care; chronic fissures may need additional interventions.

Typical symptoms

Sharp, tearing pain during and shortly after defecation
Small amounts of bright red blood on tissue or stool
Spasm of the anal sphincter
Itching or discomfort between bowel movements

Acute vs chronic fissure

An acute fissure is recent and superficial. A chronic fissure has been present for several weeks and may show a small skin tag or internal changes. The distinction influences treatment.

Treatment options

Conservative care includes high-fibre diet, adequate fluids, warm sitz baths and topical agents to relax the sphincter. Chronic or unresponsive fissures may need additional medical or surgical options selected case by case.

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Op.Dr.Gökhan ATEŞ provides individual evaluation in Antalya.

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