How to treat anal fissure bleeding during bowel movements

Jan 21, 2025 Source: Cainiu Health
Disease description:

I have recently noticed significant pain during bowel movements, accompanied by bright red blood dripping. I am very concerned that this might be caused by an anal fissure, and I would like to understand how to treat it effectively.

Doctor's answer (1)
Dr. Li Jingxiang

Fecal anal fissure bleeding is a common anorectal disease, usually caused by factors such as constipation and excessive straining during bowel movements, leading to injury of the anal sphincter and rupture of capillaries causing bleeding.

For patients experiencing fecal anal fissure bleeding, it is recommended to increase dietary fiber intake, ensure adequate hydration, and soften stools. At the same time, patients should develop regular bowel habits, defecating at the same time each day, avoiding excessive straining or prolonged time on the toilet. If constipation persists, mild laxatives may be used under a doctor's guidance. If the anal fissure lasts for several weeks or the above self-management measures are ineffective, prompt medical attention is advised.