When anal fissure is left untreated or unidentified, you may eventually develop complications. Likewise, sometimes after surgery, complications emerge. These anal fissure complications might worsen the pain and other ill effects to the patient. Thus, it is a must to know everything necessary to prevent further anal fissure complications.
1. Failure to heal
Anal fissure that has failed to heal within 6-7 weeks is considered chronic. It is considered the main complication associated with the fissures. When the fissures become deeper, they may form ulcers.
2. Recurrence
Anal fissures are most likely to occur again. Also, once a fissure closes, it may open up again and burst. Various factors contribute to the recurrence of anal fissures. Sometimes, due to the pressure being applied on the anus, the fissures are forcibly opened.
3. Infection
When anal fissures are left untreated, or can’t be healed due to recurrence, infection occur. The fecal bacteria found on the stool may infect the wounds. In addition, after surgery, infection could occur because of the uncleanliness of the area.
4. Bleeding
Bleeding occurs when the wound has been strained too much. It also happens after surgery.
5. Fistula
The formation of anal fistula at the area where the surgery has been done could also happen. Fistulas are abnormal ‘tunnels’ or deep holes on the area where the anal canal meet the surrounding organs. These fistulas could be treated with another surgery fistulotomy.
6. Incontinence
Incontinence or involuntary urination and defecation could also occur. This is because of the uncontrollable stretching of the sphincter muscle.
7. Anal stenosis
Because anal muscle or anal sphincter spasms, the anal canal tends to be abnormally narrowed. This causes difficulty in defecation.
8. Impair of blood supply
When the anal tear or fissure extends to the sphincter muscle, it may prevent or impair blood flow to the fissure. This results into the inability of the fissure to heal quickly, as antibodies are transported mainly through the bloodstream.
9. Complications from surgery
After surgery, complications such as abscesses, haemorrhage, hematoma, and slow healing of the incision could happen.
10. Botulinum toxin
Botulinum toxin, which is used for anal fissure treatment, may also cause various complications. These complications include flatulence, gas incontinence, blood clotting, and bruising.
11. Nitroglycerin
When topical nitroglycerin is used to relax and soothe the anal sphincter muscle, minor headaches, nausea, dizziness, allergies, anal itch, and low blood pressure may be experienced.
12. Fiber intake
When there is an increase in one’s fiber intake (mainly in an attempt to improve digestion), flatulence and bloating may also be experienced.
These are the complications that are (or could be) experienced when you have anal fissures. As made clear, complications could arise due to surgeries as well as other treatments that are meant to heal anal fissures. Be informed and know what complications might happen to you. That’s the only way you’ll be ready for what might come. If you are well prepared, you’ll surely mitigate the problems and even minimize the hassles.