Anal fissure

What is an anal fissure?

An anal fissure (Fissura ani) is a painful lesion in the Mucosa of the Anal canals or a tear of the skin at the anus. This clinical picture can have several causes. Anal tears and anal fissures are among the most frequently diagnosed conditions in the rectal area. An anal fissure is a painful tear of the skin or mucosa of the anus.

What causes an anal fissure/tear? 

A clear cause for the development of the anal fissure is not known. Among other things, too hard stool consistency or too bulky stool, or excessive straining with frequent constipation or diarrhea are said to contribute to its development. Also, anal sex, existing Hemorrhoidal disease or persistent diarrhea can trigger the disease. Stress also plays an important role, and local circulatory disorders are also described as causes.

How can one recognize an anal fissure? What are the symptoms of an anal fissure?

The main symptom of the anal fissure is severe, stabbing pain at the anus. As a result, stool passage is only possible with pain. Characteristic symptoms of the anal fissure and lesions of the anal mucosa are pain in the anal area that occur during bowel movements. The intensity can range from mild to stabbing, burning pain. In some cases, these can also lead to an extremely painful anal spasm. The complaints can occur for a longer period after bowel movements but can also be present without bowel movements. Blood deposits on the stool may also occur. Accompanying lesions at the anus, itching at the anus often occurs as well anal itching.

What is the difference between a sudden anal crack and a long-lasting anal crack?

An anal fissure occurs as an acute form of disease as well as a recurring, i.e., chronic form. Depending on the form, the medical treatment measures differ. Depending on the clinical course, a distinction is made between the acute anal fissure, which often heals spontaneously, and the chronic anal fissure. A chronic anal fissure is diagnosed when the condition persists for more than 6-8 weeks.

What does the doctor do for an anal fissure? How does an anal fissure heal the fastest?

Depending on the type of anal fissure, the medical treatment measures differ. In most cases, suppositories such as CANNEFF® SUP CBD suppositories or ointments can achieve healing in acute anal fissures. When an anal fissure occurs, therapy also aims to avoid constipation and diarrhea and to promote and support digestion as best as possible. For this reason, a fiber-rich diet and, if necessary, stool softeners such as ground psyllium husks, alongside prescribed ointments and creams, are also central to anal fissure therapy.

Acute anal fissure

Especially in acute anal fissures, treatment is initially conservative. The elimination of possible triggers is crucial. An essential part of the treatment is stool regulation through a fiber-rich diet, such as psyllium husks, which help achieve soft stools. Furthermore, anti-inflammatory suppositories, as well as CANNEFF® SUP CBD suppositories or anti-inflammatory ointments are administered, which are applied into the anal canal to accelerate the healing process. Sitz baths can also be used as a supplement. 

Chronic anal fissure:

If the symptoms of the anal fissure or anal lesion persist for more than six weeks, spontaneous healing of the now scarred tissue can no longer be expected. At this stage, it is referred to as a chronic anal fissure. This chronic anal fissure can, if it persists for a long time, lead to deep inflammation and also the formation of a Anal fistula worsen at the sphincter muscle. Chronic anal fissures are usually treated surgically. During the operation, the ulcer is removed under anesthesia. After the operation, the clean wound is treated with accompanying measures such as CANNEFF® SUP CBD suppositories, or regular sitz baths as well as stool-regulating measures for healing.

How do CANNEFF® SUP suppositories work in the treatment of anal fissures?

CANNEFF® SUP CBD suppositories for rectal use can relieve symptoms of anal fissures. The suppositories promote and support the healing process of small and deep fissures and lesions in the anus and rectal area. Even after colorectal surgeries, CANNEFF® SUP CBD suppositories Help you support the recovery process and minimize discomfort. Even with ulcers in the rectal area or anal fissures, the CANNEFF® SUP CBD suppositories support the healing process with the unique combination of CBD and hyaluronic acid.