What Is An Anal Fissure?

An anal fissure is a small tear in the lining of the anus that causes symptoms of severe, sharp pain, and bleeding during or after bowel movements. A burning sensation, or itchiness, can also be felt around the anus. In chronic cases, a small lump or skin tag can form near the fissure.

What Causes An Anal Fissure?

Severe diarrhoea, and/or the passing of large, hard stools due to constipation can cause a tear in the anal lining. Other possible risk factors include anal intercourse, childbirth, and inflammatory bowel disease (IBD).

Relieve Anal Pain Today

With over 16 years of experience as a colorectal specialist, Dr Toh Ee-Lin provides timely diagnosis and targeted treatment to patients with anal fissures, with the goal of reducing the chances of recurrence.

What Happens If An Anal Fissure Is Not Treated?

When the tear in the anal lining fails to heal, and becomes deeper and more severe, it will cause persistent pain and bleeding. When left untreated over time, the anal canal may stenose and faecal impaction may occur.

Diagnosing Anal Fissures

A physical examination of the anal region, coupled with symptoms evaluation, are required for diagnosing an anal fissure. A gentle digital rectal examination may be performed to assess the anorectal region as well.

Can An Anal Fissure Heal By Itself?
When diagnosed and treated early, acute cases of anal fissures can heal completely with conservative treatment. To seek prompt diagnosis from an experienced colorectal specialist,
Call +65 6908 6106 or WhatsApp +65 8022 2866

Treating Anal Fissures

For most acute cases of anal fissure, non-surgical care may include the use of:

  • Stool softeners to help prevent or ease constipation
  • Sitz baths to soothe the discomfort in the anal area and increase blood flow through the anal tissues
  • Medicated ointments to help relieve anal muscle spasm and facilitate fissure healing.

Chronic anal fissures which persist more than six weeks would require surgical treatment via:

  • Lateral anal sphincterotomy which works by making a small cut in the anal sphincter muscle to reduce tension in the anal canal and improve blood supply to the fissure to stimulate healing.
  • Botox injection which involves injecting botulinum toxin into the anal sphincter muscle to reduce muscle tension and aid fissure healing.
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Comprehensive Colorectal Care In Singapore

We understand your anxieties and our team is here to support you throughout your health journey through our comprehensive screening services, diagnostic tools and treatment plans.

Our Location - Colorectal Clinic Singapore

We Are Located At

Mount Elizabeth Novena Hospital38 Irrawaddy Rd, #07-23Singapore 329563

Colorectal Clinic - Contact Information

Contact Information

Tel : +65 6908 6106
Fax : +65 6908 6107
Whatsapp : +65 8022 2866
Email : drtoh.eelin@gmail.com
EL Colorectal Surgery Clinic - Consultation Hours

Consultation hoUrs

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Sat : 8:30am - 12:00pm
Sun & PH : Closed

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