Symptoms related to this sensitive area can be very troubling, yet many people are reluctant to discuss them. Itching pruritis ani , painful defecation, stained underwear, spotting of blood, and odor add up to embarrassment, distress, social restrictions, and anguish. These problems of anal discomfort are very common. Symptoms may coexist with irritable bowel syndrome IBS , accidental leakage bowel incontinence , or other functional bowel disorders. Diarrhea and constipation may worsen them. Anal discomfort symptoms are not part of these conditions as they may occur independently.
Anal Fissure: Symptoms, Causes, Diagnosis, and Treatment
Anal fissure fissure-in-ano is a very common anorectal condition. The exact etiology of this condition is debated; however, there is a clear association with elevated internal anal sphincter pressures. Though hard bowel movements are implicated in fissure etiology, they are not universally present in patients with anal fissures. Half of all patients with fissures heal with nonoperative management such as high fiber diet, sitz baths, and pharmacological agents. When nonoperative management fails, surgical treatment with lateral internal sphincterotomy has a high success rate.
Digestive Tract: Rectal and Colon Diseases and Conditions
Many Americans have difficulty moving their bowels. Many things contribute to this problem, including diet and activity level. Other causes are unknown. The large bowel consists of the colon 5 feet long and the rectum 8 inches long.
Fissures result from the stretching of your anal mucosa beyond its normal capacity. This often happens when stools are hard due to constipation. Once the tear happens, it leads to repeated injury. The exposed internal sphincter muscle beneath the tear goes into spasm.