&lt;h1&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Anal Fissure &amp;ndash; Causes, Symptoms, and Treatment&lt;/strong&gt;&lt;/span&gt;&lt;/h1&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com.sg/anal-fissure-causes-symptoms-treatment&quot;&gt;&lt;strong&gt;Anal fissures&lt;/strong&gt;&lt;/a&gt;&lt;/span&gt;&lt;span style=&quot;color: #003366;&quot;&gt; are small tears in the skin around the anus, often causing pain, bleeding, and discomfort during bowel movements. They are common in Singapore and can affect people of all ages and genders.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;While the exact prevalence is unclear, anal fissures occur at similar rates to other developed countries.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Causes include constipation, diarrhea, straining, anal sex, childbirth, certain medical conditions, and sometimes &lt;/span&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://pulse-clinic.com.ph/most-common-sexually-transmitted-infections-in-the-philippines&quot;&gt;&lt;strong&gt;sexually transmitted infections (STIs)&lt;/strong&gt;&lt;/a&gt;&lt;/span&gt;&lt;span style=&quot;color: #003366;&quot;&gt;.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;What Causes Anal Fissures?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Several factors can contribute to the development of anal fissures:&lt;/span&gt;&lt;/p&gt;
&lt;ol&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Constipation&lt;/strong&gt; &amp;ndash; Hard or large stools can tear the anal lining.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/travellers-diarrhea&quot;&gt;Diarrhea&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;color: #003366;&quot;&gt; &amp;ndash; Frequent loose stools can irritate the skin.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Straining&lt;/strong&gt; &amp;ndash; Excessive pressure during bowel movements can cause trauma.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Anal sex&lt;/strong&gt; &amp;ndash; Repeated or forceful penetration may cause tears.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Childbirth&lt;/strong&gt; &amp;ndash; Vaginal delivery can stretch the anal canal, leading to fissures.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Inflammatory conditions&lt;/strong&gt; &amp;ndash; Diseases like Crohn&amp;rsquo;s disease can cause chronic anal inflammation.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;STIs&lt;/strong&gt; &amp;ndash; Certain infections may increase risk.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Medications&lt;/strong&gt; &amp;ndash; Drugs like opioids or anticholinergics can lead to constipation.&lt;/span&gt;&lt;/li&gt;
&lt;/ol&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;If you notice signs of an anal fissure, it&amp;rsquo;s important to consult a doctor promptly for an accurate diagnosis and proper treatment.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;STIs and Anal Fissures&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Some STIs can cause anal fissures or ulcers, including:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://pulse-clinic.com.ph/gonorrhea-testing-in-philippines&quot;&gt;&lt;strong&gt;Gonorrhoea&lt;/strong&gt;&lt;/a&gt;&lt;/span&gt;&lt;span style=&quot;color: #003366;&quot;&gt; &amp;ndash; Can lead to anal inflammation and sores.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://pulse-clinic.com.ph/herpes-in-the-philippines-symptoms-testing-and-treatment&quot;&gt;&lt;strong&gt;Herpes&lt;/strong&gt;&lt;/a&gt;&lt;/span&gt; &amp;ndash; Causes painful blisters or sores.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://pulse-clinic.com.ph/syphilis-in-the-philippines-symptoms-testing-risks-and-effective-treatment&quot;&gt;&lt;strong&gt;Syphilis&lt;/strong&gt;&lt;/a&gt;&lt;/span&gt; &amp;ndash; Leads to ulceration and anal inflammation.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://pulse-clinic.com.ph/hpv-vaccination&quot;&gt;&lt;strong&gt;HPV&lt;/strong&gt;&lt;/a&gt;&lt;/span&gt;&lt;span style=&quot;color: #003366;&quot;&gt; &amp;ndash; May cause anal warts or lesions that bleed.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;If you suspect an STI, it&amp;rsquo;s crucial to get tested. At &lt;strong&gt;PULSE Clinic&lt;/strong&gt;, our medical team can perform a physical exam and the appropriate tests, including rectal swabs, blood tests, PCR tests, or biopsies, to determine the cause and recommend the best treatment.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Symptoms of Anal Fissures&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Common signs include:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Pain during bowel movements, ranging from mild to severe.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Bright red bleeding on toilet paper or in the toilet bowl.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Itching or burning around the anus.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Difficulty passing stools or pain while doing so.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Swelling, redness, or irritation of the anal skin.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Untreated anal fissures may lead to chronic pain, infections, fistulas, or even fecal incontinence. Early diagnosis and treatment are key to preventing complications.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;strong&gt;&lt;span style=&quot;color: #003366;&quot;&gt;What do anal fissures look like?&lt;/span&gt;&lt;/strong&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;div&gt;
&lt;div dir=&quot;auto&quot; data-message-author-role=&quot;assistant&quot; data-message-id=&quot;676e17aa-844f-4431-af70-c01ed1bfd116&quot; data-message-model-slug=&quot;gpt-4o&quot;&gt;
&lt;div&gt;
&lt;div&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;A recent anal fissure typically resembles a fresh tear, similar to a paper cut. In contrast, a chronic anal fissure, which persists for more than eight weeks, is usually deeper and may be accompanied by internal or external fleshy growths.&lt;/span&gt;&lt;/p&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;table style=&quot;border-collapse: collapse; width: 100%;&quot; border=&quot;1&quot;&gt;
&lt;tbody&gt;
&lt;tr&gt;
&lt;td style=&quot;width: 25%; text-align: center;&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Botox%20for%20Anal%20Fissure/Anal%20fissures/32096.jpg&quot; width=&quot;200&quot; height=&quot;150&quot; /&gt;&lt;/td&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Botox%20for%20Anal%20Fissure/Anal%20fissures/32120.jpg&quot; width=&quot;200&quot; height=&quot;150&quot; /&gt;&lt;/td&gt;
&lt;td style=&quot;width: 25%; text-align: center;&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Botox%20for%20Anal%20Fissure/Anal%20fissures/32122.jpg&quot; width=&quot;200&quot; height=&quot;150&quot; /&gt;&lt;/td&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Botox%20for%20Anal%20Fissure/Anal%20fissures/32118.jpg&quot; width=&quot;200&quot; height=&quot;150&quot; style=&quot;display: block; margin-left: auto; margin-right: auto;&quot; /&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;
&lt;p&gt;&lt;span style=&quot;color: #808080;&quot;&gt;Brender, E. (2000). &lt;em&gt;Chronic anal fissure&lt;/em&gt;. Society of American Gastrointestinal and Endoscopic Surgeons. Retrieved December 19, 2024, from https://www.sages.org/image-library/chronic-anal-fissure/.&lt;/span&gt;&lt;/p&gt;
&lt;/td&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;
&lt;p&gt;&lt;span style=&quot;color: #808080;&quot;&gt;Brender, E. (2000). &lt;em&gt;Chronic Anal Fissure&lt;/em&gt;. Retrieved December 19, 2024, from https://www.sages.org/image-library/chronic-anal-fissure-2/.&lt;/span&gt;&lt;/p&gt;
&lt;/td&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;
&lt;p&gt;&lt;span style=&quot;color: #808080;&quot;&gt;Elliott. (2009). &lt;em&gt;Fibrotic chronic anal fissure&lt;/em&gt;. Society of American Gastrointestinal and Endoscopic Surgeons. Retrieved December 19, 2024, from https://www.sages.org/image-library/fibrotic-chronic-anal-fissure/.&lt;/span&gt;&lt;/p&gt;
&lt;/td&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;&amp;nbsp;
&lt;p&gt;&lt;span style=&quot;color: #808080;&quot;&gt;Brender, E. (2009). &lt;em&gt;Anal Fissure with Sentinel Pile 2&lt;/em&gt;. Society of American Gastrointestinal and Endoscopic Surgeons. Retrieved December 19, 2024, from https://www.sages.org/image-library/anal-fissure-with-sentinel-pile-2/.&lt;/span&gt;&lt;/p&gt;
&lt;/td&gt;
&lt;/tr&gt;
&lt;/tbody&gt;
&lt;/table&gt;
&lt;h2&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;&lt;br /&gt;Treatment Options&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Most anal fissures can be managed with &lt;strong&gt;conservative treatments&lt;/strong&gt;, including:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Increasing &lt;strong&gt;dietary fibre&lt;/strong&gt; and water intake to ease bowel movements.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Using &lt;strong&gt;stool softeners&lt;/strong&gt; and &lt;strong&gt;topical ointments&lt;/strong&gt;, such as &lt;strong&gt;Rectogesic&lt;/strong&gt;, to relieve discomfort.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Regular &lt;strong&gt;exercise&lt;/strong&gt; to prevent constipation.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;If conservative methods are ineffective, &lt;strong&gt;surgical options&lt;/strong&gt; may be considered, such as:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Lateral internal sphincterotomy&lt;/strong&gt; &amp;ndash; Reduces pressure on the fissure.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Botulinum toxin injections&lt;/strong&gt; &amp;ndash; Relaxes anal muscles to promote healing.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Early treatment can significantly reduce pain and accelerate recovery.&lt;/span&gt;&lt;/p&gt;
&lt;h2&gt;&amp;nbsp;&lt;/h2&gt;
&lt;h2&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Protect Your Sexual Health&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Since some anal fissures may be linked to STIs, it&amp;rsquo;s essential to practice &lt;strong&gt;safe sex&lt;/strong&gt; and get tested regularly. PULSE Clinic offers &lt;strong&gt;comprehensive STD and HIV testing&lt;/strong&gt; in a safe, confidential, and non-judgemental environment.&amp;nbsp;Early detection allows for effective treatment and reduces the risk of complications.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Conclusion&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/anal-fissure-causes-symptoms-and-treatment&quot;&gt;&lt;strong&gt;Anal fissures&lt;/strong&gt;&lt;/a&gt;&lt;/span&gt;&lt;span style=&quot;color: #003366;&quot;&gt; are painful but treatable conditions. Identifying the cause, whether from constipation, trauma, or an STI, is crucial for effective treatment. If you experience pain, bleeding, or discomfort, consult a healthcare professional immediately.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;For those concerned about potential STIs, &lt;strong&gt;book a confidential test at PULSE Clinic&lt;/strong&gt; to ensure your sexual health is protected.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Early action leads to faster recovery, fewer complications, and peace of mind.&lt;/span&gt;&lt;/p&gt;
&lt;p data-pm-slice=&quot;0 0 []&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;If you&amp;rsquo;re experiencing anal pain, bleeding, or discomfort, don&amp;rsquo;t wait&amp;mdash;book a confidential consultation and STD/HIV test at PULSE Clinic today.&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot; data-pm-slice=&quot;0 0 []&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://pulse-clinic.com.ph/booking&quot;&gt;&lt;img src=&quot;https://cms.eu-health.org/Files/Buttons/Booking-an-appointment-at-PULSE-CLINIC.png&quot; width=&quot;300&quot; height=&quot;33&quot; style=&quot;display: block; margin-left: auto; margin-right: auto;&quot; /&gt;&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Early evaluation ensures proper treatment, faster healing, and peace of mind.&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;Please email us at&amp;nbsp;&lt;/span&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;mailto:info.ph@pulse-clinic.com&quot;&gt;&lt;strong&gt;info.ph@pulse-clinic.com&lt;/strong&gt;&lt;/a&gt;&lt;/span&gt;&amp;nbsp;&lt;span style=&quot;font-weight: 400;&quot;&gt;or chat with us on your preferred platforms.&lt;/span&gt;&lt;a href=&quot;https://wa.me/66842262569&quot;&gt;&lt;/a&gt;&lt;/span&gt;&lt;/p&gt;
&lt;h2 style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://wa.me/639171245497&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com.ph/Files/Button/WhatsApp.png&quot; width=&quot;60&quot; height=&quot;60&quot; /&gt;&lt;/a&gt;&lt;a href=&quot;viber://chat?number=+639171245497&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com.ph/Files/Button/VIBER%20ICON%20PH.png&quot; width=&quot;58&quot; height=&quot;58&quot; /&gt;&lt;/a&gt;&lt;a href=&quot;tel:+639171245497&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com.ph/Files/Button/Call%20ICON.png&quot; width=&quot;59&quot; height=&quot;59&quot; /&gt;&lt;/a&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com.ph/Files/Button/WeChat_App_Icon.png&quot; width=&quot;54&quot; height=&quot;54&quot; /&gt;&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;

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