What happens if an anal fissure is left untreated?

Jan 21, 2025 Source: Cainiu Health
Disease description:

Recently, I have experienced pain during bowel movements, and sometimes even noticed bleeding. I suspect that I might have developed an anal fissure, but due to a busy work schedule, I haven't had time to visit a hospital. What could happen if an anal fissure remains untreated?

Doctor's answer (1)
Dr. Li Jingxiang

Anal fissure is a common condition characterized by a tear in the skin or mucous membrane around the anus. If left untreated, it can lead to a series of serious consequences.

Anal fissures can cause severe pain during bowel movements. If untreated, the pain may worsen over time and significantly affect quality of life. Additionally, there is an increased risk of infection, with purulent discharge appearing locally, which can lead to perianal abscess. Moreover, anal fissures that remain unhealed for a prolonged period may develop into chronic anal fissures, which are more difficult to treat and may require surgical intervention.

Patients are advised to seek timely medical attention and follow a doctor's guidance regarding conservative treatments or surgical options to promote healing of the anal fissure.