An anal fissure is a tear in the anal canal. Anal fissures are common in children. They are most often caused by passing large stools or constipation.

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What are the signs and symptoms of an anal fissure?

Symptoms of an anal fissure may include:

• Blood in the stool or on toilet paper
• Itchiness
• Pain

What causes anal fissures?

Anal fissures are caused when the tissue around the anus stretches too much, causing a tear. This most commonly occurs from constipation or passing large or hard stool.

How are anal fissures treated?

In most cases, anal fissures can be treated at home. But if your child has chronic symptoms, your child’s doctor may discuss surgical treatment options. Treatment depends on how severe your child’s symptoms are. Doctors at Connecticut Children’s can determine the right plan if your child requires treatment for an anal fissure.

  • Your child’s doctor may prescribe ointments or creams for the area.
  • Fiber supplements or stool softeners can help with constipation.
  • Drinking lots of fluids and eating foods high in fiber (beans, vegetables, fruits) can also help with constipation.
  • Sitting in a few inches of plain, warm water a few times a day can help ease soreness.

If your child’s anal fissure is severe or chronic, surgery may be needed to repair the anus