Fissure / फिशर

Anal Fissure: Symptoms, Causes and Acute vs Chronic (Fissure Kya Hai)

By Dr. Bhupendraa PrrasadBombay Hospital, IndoreReviewed Sep 20263 min read

If passing stool feels like passing glass, followed by burning that lasts minutes to hours, you likely have an anal fissure — a small tear in the lining of the anus. It is one of the most painful common conditions, yet one of the most treatable.

Quick answer: an anal fissure is a small tear in the anal lining, usually caused by passing a hard stool or by repeated diarrhoea. The typical symptoms are sharp pain during stool, burning pain lasting minutes to hours afterwards, and a little bright red blood. A fissure present for more than 6–8 weeks is called chronic.

Typical symptoms फिशर के लक्षण

Sharp, cutting pain while passing stool.मल त्याग के समय कटने जैसा तेज़ दर्द।
Burning or throbbing pain afterwards, often lasting 30 minutes to a few hours.बाद में घंटों तक जलन।
A streak of bright red blood on the stool or toilet paper.थोड़ा चमकीला लाल खून।
Fear of passing stool, leading to holding back — which makes stools harder.मल त्याग से डर।
A small skin tag at the anal edge in long-standing fissures.पुराने फिशर में छोटा मस्सा।

Why does the pain last so long? दर्द इतनी देर क्यों रहता है?

The tear irritates the internal sphincter muscle, which goes into spasm. The spasm causes pain and also reduces blood flow to the tear, so it heals slowly — a vicious cycle. Treatment aims to relax that muscle and keep stools soft.

Common causes आम कारण

Constipation and hard stools.कब्ज़।
Repeated diarrhoea.बार-बार दस्त।
Straining, especially with long toilet sitting.ज़ोर लगाना।
Childbirth — fissures are common after delivery.प्रसव के बाद।
Low-fibre diet, too little water.कम फाइबर, कम पानी।

Acute vs chronic fissure नया और पुराना फिशर

	Acute fissure	Chronic fissure
Duration	Less than 6 weeks	More than 6–8 weeks
Appearance	Fresh, clean tear	Deeper, with raised edges
Extra signs	None	Skin tag (sentinel pile), small papilla
Usual treatment	Diet, sitz bath, ointments	Ointments first; procedure often needed

Fissure or piles? फिशर या बवासीर?

Piles usually bleed without pain; a fissure hurts a lot and bleeds a little. Many patients call every anal problem "piles" and use the wrong treatment. See the full piles, fissure or fistula comparison.

Unusual fissures need a closer look. Most fissures are at the back (6 o'clock position). Multiple fissures, fissures at the sides, or those that don't heal despite treatment may need tests to rule out other conditions such as inflammatory bowel disease or infection.

Next, read how long a fissure takes to heal and quick relief for fissure burning.

हिंदी में सारांशफिशर गुदा की अंदरूनी त्वचा में छोटा कट है, जो अक्सर सख़्त मल या बार-बार दस्त से होता है। लक्षण हैं — मल त्याग के समय कटने जैसा दर्द, बाद में घंटों जलन और थोड़ा चमकीला खून। 6–8 हफ़्ते से पुराना फिशर क्रॉनिक कहलाता है। बवासीर में अक्सर दर्द नहीं होता, पर फिशर में बहुत दर्द होता है — इसलिए सही जांच ज़रूरी है।

📍 Looking for treatment in Indore? Dr. Bhupendraa Prrasad sees patients at Bombay Hospital, Vijay Nagar, Indore — including patients from Dewas, Ujjain, Dhar, Mhow and Pithampur. See Fissure Doctor in Indore or the full Laser Piles, Fissure & Fistula Treatment page.

Have a question about your condition?

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Frequently asked questions सवाल-जवाब

What does a fissure feel like?+

Most people describe a sharp cutting or tearing pain during stool, followed by burning or throbbing that can last from minutes to a few hours.

What is the main cause of anal fissure?+

Passing hard stool due to constipation is the commonest cause, followed by repeated diarrhoea and childbirth.

What is a chronic fissure?+

A fissure that has lasted more than about 6–8 weeks, often with a skin tag or raised edges, is called chronic.

Is fissure the same as piles?+

No. A fissure is a tear causing pain; piles are swollen cushions that usually bleed without pain. They need different treatment.

Please note: This article is general health information in simple language, not a substitute for a doctor's advice. Please consult Dr. Bhupendraa Prrasad for diagnosis and treatment of your specific condition.