Causes Fissures result from the stretching of your anal mucosa beyond its normal capacity. This often happens when stools are hard due to constipation. Once the tear happens, it leads to repeated injury. The exposed internal sphincter muscle beneath the tear goes into spasm. This causes severe pain.
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Prevention[ edit ] For adults, the following may help prevent anal fissures: Avoiding straining when defecating. This includes treating and preventing constipation by eating food rich in dietary fiber , drinking enough water, occasional use of a stool softener , and avoiding constipating agents. Careful anal hygiene after defecation, including using soft toilet paper and cleaning with water, plus the use of sanitary wipes. In cases of pre-existing or suspected fissure, use of a lubricating ointment It is important to note that hemorrhoid ointment is contraindicated because it constricts small blood vessels, thus causes a decrease in blood flow, which prevents healing.
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