Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut.
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Read about treatments for anal fissures, including having a high-fibre diet to avoid If you have particularly severe anal pain, your GP may prescribe a topical . Anal fissures often heal within a few weeks if you take steps to keep your stool soft, such as increasing your intake of fiber Topical anesthetic creams such as lidocaine hydrochloride (Xylocaine) may be helpful for pain relief.
No laboratory tests are indicated at this time. A majority of anal fissures heal on their own, and no treatment is needed. If treatment is necessary, the goal is to relieve pain and constipation. Maintaining bulky, formed stools is the first-line treatment in medical management of anal fissures and in preventing their reoccurrence.
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Menu Close menu. Back to Anal fissure. Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you don't follow the self-help advice outlined below.