Anal Fissure

An anal fissure is a small split or tear in the lining of the anal canal.  Anal fissures may be caused by constipation, the passing of large, hard stools, or by prolonged diarrhea.  An Anal fissure may occur secondary to decreased blood flow or trauma to the area.

Anal fissures are also common in women after childbirth and persons with Crohn’s disease.

Symptoms

An Anal fissure may cause painful bowel movements and bleeding. There may be blood on the outside of the stool or on the toilet tissue following a bowel movement.

Diagnosis and Treatment

To diagnose, your health care provider will perform a gentle inspection of the anus.

Home care treatments:

  • A diet high in fiber
  • Increased hydration
  • Numbing cream, if pain interferes with normal bowel movement
  • Warm sitz baths
  • Stool softeners

Physician treatments may involve:

  • Botox injections into muscle in the anus (anal sphincter)
  • Different prescription topical  medications
  • Surgery if the fissure fails to heal

Prevention

To prevent fissures:

  • Take a fiber supplement daily
  • Keep the anal area dry
  • Wipe with soft materials or a moistened cloth or cotton pad

 

Do I need a Colorectal Surgeon or a Gastroenterologist?

What is the difference between a colorectal surgeon and a gastroenterologist? This is a very common question that we receive and often patients are unsure of which field is appropriate for their needs. Although these fields overlap in some areas, the specialties are actually very different in the conditions they treat and their method of training. In order to address this issue, we have added some useful information to decide which type of physician treats your condition.

A Colorectal Surgeon, formerly known as a proctologist, is a general surgeon who has undergone further training in the diagnosis and treatment of diseases of the colon, rectum and anus. Colon and rectal surgeons are experts in the surgical and non-surgical treatment of colon and rectal problems. Colon and rectal surgeons treat benign and malignant conditions, perform routine colon screening examinations and surgically treat problems when necessary.

A colorectal surgeon will evaluate, diagnose and treat the following symptoms and conditions:

Anal Abscess/Fistula Anal Cancer Anal Fissure
Anal Pain Anal Warts Bowel Incontinence
Colorectal Cancer Constipation Crohn’s Disease
Diverticular Disease Hemorrhoids Irritable Bowel Syndrome
Pelvic Floor Dysfunction Pilonidal Disease Pruritus Ani
Rectal Prolapse Rectocele Ulcerative Colitis

A gastroenterologist is a doctor who has completed initial training in internal medicine and further training in gastroenterology. Gastroenterologists do not operate on patients. A gastroenterologist specializes in diseases of the digestive system (gastrointestinal (GI) tract). Gastroenterologists diagnose and treat many conditions that affect the esophagus, stomach, small intestine, large intestine (colon), and biliary system (e.g., liver, pancreas, gallbladder, bile ducts).

 

 

Fixed Price Colonoscopy

Dr. Perryman participates with Parker Adventist Hospital in the fixed price colonoscopy program. Fixed price colonoscopies are for patients who do not have insurance coverage. There is a set fee of $1,000.00 which covers all expenses related to the procedure. Please call our office at 303-840-8822 if you need any further information or want to schedule.