What should I do if I experience anal fissure bleeding during defecation?

Jan 21, 2025 Source: Cainiu Health
Disease description:

Recently, he noticed significant pain in the anal area during bowel movements, especially when the stool was dry. He observed bright red blood on the toilet paper after defecation, and sometimes even saw blood in the toilet water. What should be done for anal fissure bleeding during bowel movements?

Doctor's answer (1)
Dr. Li Jingxiang

Anal fissure is a common condition characterized by a tear in the skin or mucous membrane of the anal canal. Prolonged defecation or passage of hard stools can easily cause rupture of blood vessels beneath the perianal skin, leading to bleeding.

To address this condition, patients are advised to increase their dietary fiber intake, avoid spicy and irritating foods, maintain regular bowel movements, and reduce irritation to the anus. After defecation, clean the perianal area with lukewarm saline solution. According to the physician's instructions, perform fumigation or sitz baths using potassium permanganate solution at the appropriate dilution. These measures can help promote blood circulation in the perianal skin and accelerate wound healing. If symptoms persist without improvement, or if there is heavy bleeding, continuous fever, or other concerning symptoms, prompt medical attention should be sought.