How long does an acute fissure take to heal?

Many acute fissures improve within a few weeks with consistent conservative measures, but healing time varies between individuals.

Why does the pain return each time?

Persistent sphincter spasm and hard stools repeatedly reopen the tear, which is why bowel regulation is central to treatment.

Is surgery always needed for chronic fissure?

No. Treatment is stepwise and selected according to findings, prior treatments and sphincter function.

Cutting Pain During Defecation

Patients often describe this pain as being cut by glass. It typically starts with the passage of stool and may continue as burning or spasm for a period afterwards.

The pain cycle

A tear causes pain, pain causes sphincter spasm, spasm reduces blood flow and delays healing, and fear of pain leads to postponed defecation and harder stools. Treatment aims to interrupt this loop.

Conservative measures

Fibre and fluid intake to keep stools soft
Warm sitz baths to relieve spasm
Topical treatments prescribed after examination
Avoiding straining and prolonged toilet sitting

When further treatment is considered

If pain and bleeding persist beyond several weeks despite conservative measures, or if the fissure is chronic with a sentinel tag, additional treatment options are discussed individually after examination.

Would you like to schedule a consultation?

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

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