An anal fissure is a tear in the opening at the end of the gastrointestinal tract, called the anus.
Anal fissures in children are most often caused by constipation and the passage of hard or large stools. One-time anal fissures are common in young children, though youth with Crohn's disease may experience multiple, more severe or recurrent tears due to their condition.
A child with an anal fissure may have the following symptoms:
- Blood in the stool
- Painful bowel movements
Diagnosis of Anal Fissures
A pediatric gastroenterologist can diagnose an anal fissure with a physical examination and by talking with the child. The physician may perform tests, including:
- Anal exam. The physician examines the anus to check for tears.
- Rectal exam. This test determines if a fecal impaction (buildup of hard stool) is present. The pediatric gastroenterologist performs the exam by inserting the tip of a gloved finger in the anus. Your child may feel mild discomfort.
Treatments
Treatments
Most anal fissures will heal without treatment over time. Several home treatments can aid healing. Your child's physician may recommend the following:
- Sitz bath. Sitting in a warm bath for 20 minutes, two or three times a day can ease pain and promote healing.
- Ointments. Application of petroleum jelly or zinc oxide ointment can reduce itching and discomfort.
- Stool softener. Use of a stool softener can make bowel movements easier and less painful.
Key Points to Remember
Key Points to Remember
- Constipation is the most frequent cause of anal fissures.
- Most anal fissures heal on their own.
- A one-time anal fissure is a common childhood condition.
Support Services & Resources
Support Services & Resources
Visit the website below to learn more about anal fissures.
Riley at IU Health offers a broad range of supportive services to make life better for families who choose us for their children's care.
The U.S. National Library of Medicine website provides information for patients and families about the causes of and treatments for anal fissures.
Locations
Locations
Locations
In addition to our primary hospital location at the Academic Health Center in Indianapolis, IN, we have convenient locations to better serve our communities throughout the state.
Sort through 6 facilities offering Anal Fissure care by entering your city or zip below.