Anal Fissure Treatment in Glendale & Los Angeles
An anal fissure is a small tear in the tissue lining the anal canal, most often caused by passing a hard or large stool, chronic constipation, or straining. It can also follow childbirth or other trauma to the area. Fissures are common at any age and are usually very treatable.
Common Symptoms
- Sharp pain during or after bowel movements
- Bright red blood on toilet paper or in the stool
- A visible tear or skin tag near the anus
- Spasm or burning that can last minutes to hours after a bowel movement
Treatment Approach
- Fiber supplementation and stool softeners to reduce straining
- Warm sitz baths to relax the anal sphincter and promote healing
- Topical medications to relax the sphincter and improve blood flow
- For fissures that don’t heal with conservative care, a minor surgical procedure (sphincterotomy) to relax the muscle and allow healing
A Note Worth Reading
Most acute anal fissures heal within a few weeks with conservative treatment. Fissures lasting longer than 8 weeks are generally considered chronic and may need a different treatment approach — an evaluation can determine which category yours falls into.
Related Questions
When should I see a colorectal surgeon instead of my primary care doctor?
Your primary care doctor is a good first stop for most symptoms and can refer you if needed. It’s reasonable to seek a colorectal surgeon directly for persistent anorectal symptoms (bleeding, pain, a lump, or drainage that doesn’t resolve), a colonoscopy finding that needs follow-up, a family history that puts you in a higher-risk screening category, or a known condition like inflammatory bowel disease that may eventually need surgical input. When in doubt, a referral from your primary care doctor or gastroenterologist is a reasonable way to confirm whether a surgical consult makes sense.
View this answer on its own page →What happens at a first consultation?
A first visit typically includes a review of your symptoms and medical history, relevant prior test results (bring colonoscopy reports, imaging, or pathology if you have them), and a focused physical exam when appropriate. From there, the surgeon will explain what’s likely going on, what (if any) additional testing is needed, and the range of treatment options — from conservative management to procedures or surgery — so you can make an informed decision together.
View this answer on its own page →See more on our main site, or request an appointment to discuss this with Dr. Gregorian directly. lacolorectaldoctor.com →
This page is general health information, not medical advice, and does not create a doctor-patient relationship. It is not a substitute for an in-person evaluation. If you are experiencing a medical emergency, call 911.
Discuss Anal Fissure With Dr. Gregorian
Call the office or send a message to request an appointment with Dr. Armen Gregorian, MD, FACS, FASCRS.