You probably won't hear random discussions about anal fissures at your local coffee shop. Yet, this intimate condition is very common. In a 1994 Nelson survey of 102 random participants, 29 percent claimed they had in the past, or were currently experiencing, anal or rectal disorder. Most had not sought treatment. Anal fissures are small tears in the lining of the rectum that develop from stools that are hard, dry or too large. These stools cause painful bowel movements, itching and burning. Blood on the stool or toilet tissue is a sign that you may have fissures. Fissures typically heal on their own, but you can avoid this unpleasant condition with a few simple lifestyle changes.
Step 1
Increase the fiber in your diet by eating more fruits, vegetables and whole grains. Fiber makes you feel full faster during meals, slows digestion and adds bulk to stools. According to the National Institutes of Health, most Americans are well under the daily recommended intake of fiber. They recommend 20-35g of fiber daily for adults and older children. Many commercial foods are fortified with fiber and multiple supplements are available as well. Increase fiber slowly to avoid excess gas and bloating from the added bulk.
Step 2
Drink more water. Since more fiber adds more bulk to an already difficult situation, increasing your water intake is an absolute necessity. Not drinking enough water leads to both constipation and fissures. The NIH states the general recommendation is six to eight glasses a day. They add that if you are no longer thirsty and urine is clear you are probably well hydrated. If the thought of water consumption sounds dull, try adding sliced cucumbers for a refreshing, mild twist.
Step 3
Avoid straining during bowel movements. Once you have increased your water intake and fiber, this step should be a lot easier. Ideally, healthy bowel movements should flow easily and smoothly without strain or pain.
Tips and Warnings
- As with general overall healthy, exercise will help you avoid developing anal fissures. The improved circulation and strength that results form exercise will improve your process of elimination. The Mayo Clinic recommends a warm bath, without soap, for easing pain from anal fissures.
- If anal fissures develop or worsen see your physician. Depending on your age, your physician may suggest a diagnostic procedures, such as colonoscopy or sigmoidoscopy, to rule out other conditions. In extreme cases, medication or surgery is necessary to relieve symptoms.
