Pain when defecating or red blood

Pain when defecating or red blood in the stool or wiping? Cracks in the mucosa of the anus thereof may be the cause. We also call them fissures. Anus cracks are annoying, but fortunately often innocent.

A chap or tear in the anus can have various causes. By constipation or constipation and hard squeeze a fissure may occur. Also, an increased tension of the sphincter muscle at, for example, anal sex, may result in wounds. People with inflammatory bowel disease – such as patients with Crohn’s disease – also often suffer from chapped and cracked. Anal fissures occur mainly in young people and middle-aged people.


While defecating anus cracks can give a cutting sharp pain, especially if the is thick and hard. You can also have substantial blood loss, a puddle of bright red blood in the toilet or on the toilet paper as a result.

Itching, pain and a burning sensation are also common complaints. Sometimes tense the sphincter through the pain, causing the symptoms become chronic.However, usually an anal fissure heals itself.


Based on the symptoms often can you ask all the diagnosis. A doctor does this with complaints and conduct physical examination. The doctor looks at the area around the anus, and possibly examine a finger inside the anus and rectum (DRE). Sometimes, more research is needed: a check examination of the anus and rectum (proctoscopy or sigmoidoscopy).

Do it yourself

If you suffer from anal fissures, it is very important to have a regular bowel movement and soft stools have. You need less than pressing and have fewer problems with symptoms.

Try to keep the following advice:

  • Drink enough (1.5-2 liters per day).
  • Provide exercise (half an hour or more).
  • Eat high fiber (whole grains, vegetables, fruits).
  • do not skip breakfast.
  • immediately go to the toilet when you feel pressure.
  • Take your time and relax on the toilet.
  • Avoid perfumed or wet toilet paper.
  • Wash the anus after using the toilet with warm water and pat it dry afterwards.
  • Use self-care products as ointments, creams and suppositories only on the advice of the doctor.
  • Wear cotton underwear and not too tight clothing.


An anal fissure usually heals spontaneously within a few weeks, but can also be treated with an ointment. The ointment can work anesthetic and analgesic, but also ensure that the skin remains dry. Also, there are ointments that inhibit the inflammation or promote blood flow to the anus, so that the wound to recover faster. For a large part of the creams is require a prescription.

Sometimes a botulinum ( offer) injection also help. Botulinum reduces the tension in the sphincter, thereby eliminating the spasm, improves blood flow and heal the chap. Also, there exists an operation method in order to reduce the tension on the sphincter muscle. These so-called LIS method is however hardly used.

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