The pain is a result of muscle spasms in the pelvic floor muscles. Treatment consists of reassurance, application of heat, and local massage. An anal fissure is a tear or a cut in the anoderm Figure 1. Open versus closed lateral sphincterotomy performed as an outpatient procedure under local anesthesia for chronic anal fissure: Hemorrhoids are very common. You should also see your doctor if you have:. Injection of botulinum toxin type A into the internal sphincter can lead to symptomatic relief and healing of some fissures.
When to see your doctor.
Chronic constipation, diarrhea, genetic factors, and aging may also lead to hemorrhoids. In addition to direct visualization of the fissure, the clinician may note a sentinel pile or tag just distal to the fissure and a hypertrophied anal papilla just proximal to it Figure 1. What is a Gastroenterologist? Solitary rectal ulcer syndrome. This pain may be triggered by bowel movements. They can assess your symptoms and advise you on any next steps.