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When to Seek Emergency Care for Anal Fissures

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BY: ARMEN GREGORIAN | April 9, 2024 | Anal Fissure


Anal fissures, though often not discussed openly, are a common and painful condition affecting many people. As a leading Glendale anal fissures specialist, Dr. Armen Gregorian, MD, emphasizes the importance of understanding when this condition requires emergency medical attention. This post will guide you through identifying the signs that warrant a visit to the emergency room and how to prevent anal fissures from reaching a critical point.

Anal fissures are small tears in the lining of the anus, causing severe pain and bleeding during and after bowel movements. While they can be uncomfortable, most anal fissures are manageable with proper care and do not require emergency intervention. However, certain symptoms and complications associated with anal fissures necessitate immediate medical care.

Symptoms of Anal Fissures

Common symptoms include:

  • Sharp, burning pain during bowel movements
  • Light bleeding, noticeable on toilet paper or in the stool
  • Itching or irritation around the anus

When to Seek Emergency Care

While most cases of anal fissures can be treated with at-home care and over-the-counter medications, there are specific instances when seeking emergency medical attention is crucial. Dr. Gregorian highlights the following symptoms as red flags:

  • Excessive Bleeding: If the bleeding is heavy or continuous, it may indicate a more severe issue than a simple anal fissure.
  • Signs of Infection: Fever, swelling, severe pain, drainage of pus, or redness around the anus are signs of an infection or abscess, which require immediate medical attention.
  • Persistent Symptoms: Fissures that do not improve with standard treatments over a few weeks can lead to chronic conditions, necessitating professional intervention.
  • Underlying Conditions: Individuals with underlying health issues, such as Crohn’s disease or weakened immune systems, should seek prompt medical care if they suspect an anal fissure, as their condition may complicate treatment.

Preventative Measures

To minimize the risk of developing anal fissures or prevent existing ones from worsening, Dr. Gregorian recommends the following preventative measures:

  • Incorporate Fiber into Your Diet: A diet enriched with fiber helps in softening the stool, facilitating easier bowel movements and reducing the strain on the anal region. Consider including fruits, vegetables, whole grains, and legumes in your daily intake.
  • Stay Hydrated: Drinking ample water throughout the day softens stool consistency, which is crucial in preventing anal fissures. Aim for at least eight glasses of water daily to maintain proper hydration.
  • Maintain Anal Hygiene: Keeping the anal area clean and dry is vital in avoiding irritation and potential infections that can exacerbate fissures. After bowel movements, gently clean the area with water or a soft, damp cloth.
  • Avoid Excessive Straining: Straining during bowel movements can create significant pressure on the anal canal, leading to tears. To prevent this, do not force bowel movements, and consider using over-the-counter stool softeners if you’re experiencing hard stools.
  • Regular Exercise: Engaging in regular physical activity can help facilitate regular bowel movements and reduce the risk of constipation, thereby lowering the chances of developing anal fissures.

Final Thoughts

Anal fissures, while painful, are often manageable with the right care. However, recognizing when the condition warrants emergency medical attention is critical. Dr. Armen Gregorian, MD, a distinguished Glendale anal fissures specialist, urges anyone experiencing severe symptoms or complications associated with anal fissures to seek emergency care promptly. With the right approach, most individuals can recover from anal fissures without the need for emergency intervention.

Don’t hesitate to seek professional advice and treatment. If you are in the Glendale area and suspect you might have an anal fissure or if you’re experiencing severe discomfort, Contact Dr. Armen Gregorian, MD, at 818-847-7067. As a leading specialist in the management of anal fissures, Dr. Gregorian and his team are dedicated to providing the care and support you need to recover.

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