Anal Fissure After Delivery: Causes, Symptoms and Treatment
After giving birth, different women tend to concentrate on different aspects. Mostly, it is the healing from the delivery that gets the attention of the mothers. However, I come across new mothers very often who tell me that they suffer from very painful bowel movements, experience a burning sensation, and they bleed from the rectum. In some instances, the origin of the problem is an anal fissure after childbirth. The situation in question is among the most frequent ones, but it is being hardly acknowledged or understood adequately, as in many cases.
In this article, I elaborate on the reasons why an anal fissure after delivery occurs, how to identify the symptoms at an early stage, and which therapies eventually bring the desired effect of the problem being solved for a considerable period of time.
Understanding Anal Fissure After Delivery
Anal Fissure After Delivery is the representation of a tiny rip in the lining of the anal canal that occurs either during or after giving birth. The injury usually happens when we pass hard wide stool or diarrhea, but also when the over-the-top pressure continues to stretch the tissues of the anus more than they can withstand.
I come across this ailment very frequently after a normal vaginal delivery and also in women with anal fissure after C-section. Hormonal changes, decreased bowel movement frequency, and the fear of pushing can aggravate the problem. A tear that has been left without treatment can eventually become a chronic fissure.
Why Anal Fissures After Childbirth Are Common
Childbirth places immense stress on the pelvic floor and rectal area. Several factors combine to increase the risk of anal fissures after childbirth.
Common contributing causes of Postpartum anal fissure include:
- Hard stools due to dehydration or iron supplements
- Straining during bowel movements
- Reduced physical activity after delivery
- Pain medications are slowing bowel function
- Fear of pain while passing stool
In women who undergo surgery, an anal fissure after delivery can develop due to delayed bowel movements and abdominal discomfort. These factors together increase anal pressure, leading to tearing.
Key Symptoms of Anal Fissure After Delivery
Early recognition of symptoms of anal fissure after c-section allows faster healing. I advise new mothers not to ignore rectal discomfort.
Common signs of an Anal Fissure After Delivery include:
- Sharp pain during or after bowel movements
- Bright red blood on toilet paper
- Burning or itching around the anus
- Spasm-like pain lasting hours
- Fear of passing stool due to pain
If these symptoms persist beyond a few weeks, the fissure may evolve into a chronic fissure after childbirth, requiring specialised care.
How Postpartum Anal Fissure Becomes Chronic
A fissure heals only when pressure reduces and blood flow improves. Unfortunately, many postpartum women delay treatment. This delay prevents healing.
A postpartum anal fissure becomes chronic when:
- Pain causes stool withholding
- Muscles around the anus tighten continuously
- Blood flow to the fissure reduces
- Healing cycles repeatedly break
Once this happens, simple remedies may no longer work. Early intervention is critical to prevent long-term suffering from Anal Fissure After Delivery.
Diagnosis of Anal Fissure After Delivery
Determining the condition is simple. Typically, I verify Anal Fissure After Childbirth by a mild physical check. For the majority of situations, there is no need for any intrusive tests.
But if the agony continues or the signs become severe, a comprehensive assessment is carried out to exclude the possibilities of other diseases of the anus. Prompt recognition means that the right treatment can be implemented quickly and the patient gets better faster.
Postpartum Anal Fissure Treatment Options
Treatment varies if the patient is suffering from a chronic fissure after childbirth. As a rule, I refrain from aggressive interventions and start treatment conservatively.
1. Non-Surgical Treatment
In the case of first fissures, the main aim of treatment is to alleviate pain and promote healing:
Stool softeners to make bowel movements comfortable
- Increased fluid and fibre intake
- Warm sitz baths to relax the muscles
- Specific topical medications to enhance blood flow, relax muscles in the anus and promote tissue repair
At this point, around 95% of patients recover. Nevertheless, these symptoms of anal fissure after C-section require further care.
2. Surgical treatment
When an appropriate conservative management has been tried (at least for 2 months) but the fistula is not healed, its time to take action through surgery. There are diferent techniques that are used in an individualised way adapted to each patient’s situation:
Lateral Internal Sphincterotomy: In this technique, we cut part of the internal sphincter to reduce spasm and improve blood flow. Although the risks are low, it is a chance that the control of gasses/stool will be decreased after surgery (around 3% risk).
BOTOX injection of anal sphincters: it provides a chemical relaxation of the muscles, providing the proper environment for healing the fistula. However, the effect lasts only around 3 months, which is usually enough for the complete healing.
Fissurectomy: It consists of removing the tissue surrounding the fissure, which is chronic unhealthy tissue that is not properly healing. It can be combined with the LIS
Best Treatment for Anal Fissure in Dubai
Chronic fissure after childbirth needs precision care. I focus on treatments that relieve pain while preserving normal bowel function. The Best Treatment for Anal Fissure in Dubai combines medical expertise with modern techniques.
This approach ensures:
- Faster pain relief
- Reduced muscle spasm
- Improved healing rates
- Lower recurrence risk
Proper postpartum care significantly improves outcomes and quality of life.
Why Professional Treatment Matters After Delivery
Many women try home remedies for months. Unfortunately, this delay often worsens the condition.
Professional care for Anal Fissure After Delivery ensures:
- Accurate diagnosis
- Personalised treatment
- Prevention of chronic disease
- Safe recovery while breastfeeding
Expert care protects both physical comfort and emotional well-being.
Take Control of an Anal Fissure After Delivery
If you have gone through the pain of an anal fissure after childbirth, then I would like to advise you to get treatment as soon as possible. Postpartum anal fissure pain can go from bad to worse if you keep delaying treatment, and can affect your daily routine, bonding with your baby, and even your recovery in general. I offer advanced, patient-centered Anal Fissure Treatment in Dubai, which is specifically designed for women who have experienced anal fissures after vaginal delivery or anal fissure after C-section.
Through precise diagnosis and individualized treatment, I make it possible for patients to get relief that lasts long using the Best Treatment for Anal Fissure in Dubai, whether that is through conservative management or minimally invasive procedures. My aim is to be able to deliver safe healing, quicker recovery, and longer-lasting comfort after the period of confinement.
Conclusion
Anal Fissure After Delivery is painful, but it is treatable. Early recognition and proper care make all the difference. Whether symptoms are mild or persistent, timely treatment prevents complications and restores comfort.
With the right approach, healing is achievable, and motherhood becomes more comfortable and confident.
Frequently Asked Questions
1. What causes an anal fissure after delivery?
Straining, hard stools, reduced mobility, and pelvic pressure during childbirth are common causes.
2. Can an anal fissure occur after C-section?
Yes. Anal fissure after C-section often develops due to delayed bowel movements and pain medications.
3. How to cure fissure after delivery?
Early fissures heal with stool softeners, hydration, and topical care. Chronic cases need professional treatment.
4. How long does a postpartum anal fissure take to heal?
Acute fissures may heal in weeks. Chronic fissures take longer without specialised care.
5. When should I see a doctor for an anal fissure after childbirth?
If pain or bleeding lasts more than two weeks, a medical evaluation is important.
6. Is professional anal fissure treatment safe after delivery?
Yes. Anal Fissure Treatment in Dubai offers safe, effective options even during breastfeeding.
