Anal fissures result from trauma to the inner lining of the anus. When to see your doctor. A perianal hematoma occurs when a collection of blood drains into the tissues around the anal opening. Where medical management fails to resolve symptoms and help heal the fissure, referral to secondary care for surgery or botulinum toxin treatment is usually required. What Causes Rectal Pain? Under such circumstance, carrying out the examination causes needless suffering and often cannot be completed despite the perseverance of the examiner. Open in a separate window.
Non-surgical therapy for anal fissure.
Anal Fissure: A Common Cause of Anal Pain
Surgical versus chemical botulinum toxin sphincterotomy for chronic anal fissure: The most effective surgical treatment of chronic anal fissure is LIS Figure 2. Atypical fissures warrant a complete medical workup and often require an examination under anesthesia, with biopsies and cultures. You should also see your doctor if you have:. STDs may spread from the genitals to the rectum, or the infection can be transmitted during anal sex.