How to cure anal fissure bleeding

Written by Deng Heng
Colorectal Surgery
Updated on May 28, 2025
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Anal fissures are a common anorectal disorder, primarily characterized by the formation of small ulcers due to skin lacerations below the dentate line. The main symptoms are bleeding and pain during defecation. Generally, the amount of bleeding is small, noticeable on toilet paper or with a trace of blood on stools. The primary principle of treatment is to address the spasms of the internal sphincter to facilitate the healing of the wound. Common treatment methods include anal dilation and surgical excision, with the overall objective being to alleviate sphincter spasms and promote wound healing. Only when the issue of the anal fissure is resolved will the bleeding gradually alleviate.

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Written by Chen Tian Jing
Colorectal Surgery
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How to improve anal fissure bleeding?

To improve anal fissure and bleeding, the first step is to treat constipation by softening the stool, as most anal fissures are caused by dry stools tearing the local skin and mucous membranes of the anus, leading to bleeding from these tears. For those experiencing pain and bleeding due to anal fissures, it is advisable to apply sesame oil around the anus before each bowel movement to prevent irritations from stool aggravating the fissure, which can cause recurrent pain and bleeding. After defecation, hemorrhoid cream can be applied for hemostatic treatment, and medicinal herbal solutions can be used for local compression and hot compresses to promote the growth and healing of the fissure. (Note: Medications should be used under the guidance of a doctor.)

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Written by Li Xiao Jie
Internal Medicine
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Can anal fissures be cured completely?

Anal fissures are a curable condition, so do not worry. Anal fissures are relatively common in clinical practice and are a frequently occurring disease. Fresh anal fissures, which are of short duration and have small fissures, can be treated and cured using methods such as fumigation, oral medications, or rectal insertion. For older, chronic anal fissures, surgical treatment can be administered, including methods like the Milligan-Morgan technique or fissurectomy, all of which can achieve a cure. However, anal fissures are related to lifestyle and dietary habits, so even after healing, it is important to be cautious of various triggering factors to prevent recurrence.

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Written by Chen Tian Jing
Colorectal Surgery
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What should I do if anal fissures keep recurring?

Repeated episodes of anal fissure generally result in the formation of chronic anal fissures. The fissure in chronic anal fissures mainly presents as an ulcer surface, and because the fissure is enclosed within the local sphincter muscles, drainage is poor, thus reducing the likelihood of healing. When patients with anal fissures suffer from long-term recurrent episodes, they also experience spasms of the local anal sphincter and tightening of the anal canal, which can lead to difficulties in bowel movements and dry stools in the anal region. When the spasm of the local anal sphincter worsens, the pain may cause patients to be afraid of defecating voluntarily, thereby creating a vicious cycle of recurrent episodes. The best treatment for recurrent chronic anal fissures is surgical intervention.

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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What should I do if I have bleeding and anal fissures due to excessive internal heat?

If anal fissures with bleeding occur after excessive internal heat, the acute phase can be treated with warm saltwater sitz baths. If the condition is severe, it is still best to visit a local reputable hospital and receive treatment based on a doctor's diagnosis. Regular attention must be paid to the diet, avoiding spicy, irritating, raw, and cold foods, as well as overly greasy or fried foods, to prevent aggravation of the condition. It is advisable to drink more warm water and eat more fresh fruits and vegetables. Paying attention to rest is crucial, especially avoiding staying up late. Regular physical exercise can also help boost the body's resistance.

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Written by Chen Tian Jing
Colorectal Surgery
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How many days can an anal fissure heal?

Mild anal fissures or those with shallow cracks can generally heal within about a week through local heat application or by applying hemorrhoid cream. However, there is another type of anal fissure known as chronic anal fissure. Chronic anal fissures primarily involve ulcer-like infectious changes at the local site, hence, they cannot heal on their own and can only be alleviated by lubricating the stools and applying hemorrhoid cream locally. In some cases, conservative treatment might not be significantly effective for chronic anal fissures. If surgery is performed, the recovery time is approximately 20 days. It is recommended that patients with chronic anal fissures undergo surgical treatment with endoscopic loosening.