How Do You Know If a Fissure is Healing? [Updated] 2022

how to heal a fissure fast

How do you know if a fissure is healing? Feeling excessive pain during a hard owl movement is a clear indication of anal fissure.

There is a possibility of a few drops of blood, which you can notice while wiping or in your toilet bowl.

You will also experience sharp pain afterward, and even sitting is painful too. When a hard stool is passed, there is a small tear in the overlying skin of the anus, causing the anal fissure. Constipation is one of the most common causes of anal fissure.

Let’s explore some of the aspects of the fissure and how do you know if a crack is healing:

Difference Between Hemorrhoids and Fissure

How do you know if a fissure is healing

Hemorrhoids are swollen veins in the lower part of the rectum and anus. It is often referred to as piles. It is equally unpleasant and painful like a fissure. But piles are easy to treat as compared to fissures. Hemorrhoids may last for several days. Fissures may have lasting pain, which can last for a few hours.

While anal fissure is generally a small tear or an open sore in the underlying skin of your anus, piles are the surrounding anus veins and back passage, which get swollen.

Diagnosis of Anal Fissure

The inspection of your anal and your medical history analysis are the only diagnosis which helps in determining the anal fissure. There are not prescribed tests for it.

Treatment of Anal Fissure

As constipation is the root cause of Anal fissure, it is essential to increase your water intake and fiber to avoid it. The idea is to keep your stool soft so that it does not cause any tear-off or injury at the underlying skin of the anus.

There are several stool softeners, laxatives, and fiber supplements are available as medication to treat anal fissures. If the diet and medication remedy are not working, surgery is the only alternative prescribed by the doctors.

What Are The Symptoms of Anal Fissure?

How do you know if a fissure is healing

The main symptom of Ananl fissure is the pain during bowel movement and continuous pain after it. The muscles of the anal go into spasms due to constipation. It is a vicious circle as the spasm and pain make the bowel movements difficult, which further leads to pain and spasm. You may even find it difficult to sit to pass a stool due to excessive strain.

Usually, there are few drops of blood due to tear in the underlying anal tissue. But there is no significant blood loss or bleeding occurs.

What Are The Leading Causes of Anal Fissure?

How do you know if a fissure is healing? Placed towards the body’s exit, it is the last part of the large intestine and very short. The passage of the bowel movements is controlled by the two circular muscles, which are 1-2 inches long.

The contraction of the internal anal sphincter muscle helps in preventing the leakage of bowel movements, and thus, it is not a voluntary muscle.

The external sphincter muscle is not voluntary.

If there is a tear in the skin lining of the anal canal, it is described as an anal fissure. Due to constipation, when you strain your bowel movements, the problem of anal fissure occurs.

When your superficial anal muscle tears, it is an acute anal fissure. It should be healed in time else may lead to prolonged pain and chronic anal fissure.

Chronic anal fissure occurs when the artificial anal fissure does not heal for a prolonged time. It gets deeper into the mucosa towards the line in the muscle of the internal anal sphincter.

Anal Fissure in Infants

If you notice drops of blood in your baby’s diaper, it is an indication of anal fissure. Again constipation of the hard bowel movements is the prime reason for anal fissure in infants.

At the time of passing a hard stool, the child may cry or grunt due to the associated pain. As the blood is not mixed with stool, it is visible on the diaper.

It is essential to arrange a quick visit to the health practitioner, as it could be an anal fissure or some other issue as well.

To relieve constipation, you can add corn syrup to the formula. For older infants of 3-4 months, fruit juice is also helpful in easing bowel movements. Refer to a health practitioner before proceeding with any diet change to understand the complications associated with it.

Referring a Doctor to Treat Anal Fissures

Bleeding while passing a stool is never worth ignoring. You should promptly see a doctor to address the issue. There are generally few drops of blood that do not get mixed with the stool. If you are experiencing significant bleeding, abdominal pain, lightheadedness, or any other trouble, it is imperative to avail of medical emergencies.

Best Cream to Treat Fissures

Nitroglycerin works better than any other conservative fissure treatment. It is considered one of the best creams to treat fissures. It takes a few weeks for fissures to heal. But this ointment comes with the side-effect of headache.

Although, it is recommended to continue with conservative treatments such as high fiber intake and increased fluid intake. Soaking your anal in luke-warm water after every bowel moment helps in easing the sphincter as well as promote its healing. Doing it at least 2-3 times a day helps in the faster healing of fissures.

Are Fissures Too Dangerous?

The development of fissure is primarily accounted for the reduced blood supply to the anus vessels. It also slows down the healing process. The pain and discomfort associated with fissures become unbearable when they persist over a long period. Fissure does not lead to cancer or any other serious problem.


Once you stop experiencing the pain while your bowel movements or there is lesser pain, it is an indication of fissure healing. Avoiding constipating foods such as pop corms, tortilla chips, and nuts are best to escalate the process of healing. There are topical anesthetic creams available to ease the discharge of stool from the anal.

Fissures can be reoccurring. Hence, it is essential not to ignore the signs of fissures if you already experienced them previously. I hope you like the post about “How do you know if a fissure is healing?” Don’t forget to share it with your friends.

7 thoughts on “How Do You Know If a Fissure is Healing? [Updated] 2022”

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