What does an anal fissure feel like?

Jan 21, 2025 Source: Cainiu Health
Disease description:

I have been experiencing severe pain in the anal area during bowel movements recently, and I have also noticed a small amount of bright red blood around the anus. This might be a symptom of an anal fissure. I would like to know exactly what an anal fissure feels like?

Doctor's answer (1)
Dr. Li Jingxiang

Anal fissure is a common anorectal condition, usually caused by a tear in the skin and mucous membrane of the anus. The main symptom of an anal fissure is severe pain during bowel movements, often described as tearing or knife-like pain, which may persist for some time after defecation. Additionally, anal fissures may be accompanied by minor bleeding, with bright red blood typically found on the surface of the stool or on toilet paper.

In treating anal fissures, it is primarily recommended to maintain regular bowel movements and avoid both constipation and diarrhea to reduce irritation at the site of the fissure. Patients may use warm sitz baths to relieve anal pain and promote healing of the fissure. If symptoms are severe or the fissure does not heal promptly, timely medical consultation is advised.