I Am A 44 Year Old Female- I Was Just

Posted on Thu, 5 Nov 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 5 Nov 2020 Answered on

Wed, 14 May 2025 Last reviewed on

Question : I am a 44 year old female- I was just diagnosed with an anal fissure. The burning/stinging pain has lessened but I am still experiencing rectal pressure/tightness. At times it feels like I need to have a bowel movement. Is this feeling of pressure common with anal fissures almost feeling like I need to run off to the restroom? How can I speed up healing?

Answered by Dr. Dr.P.Ratnakar Kini (47 minutes later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

You have mentioned two symptoms -
1. Tightness at the anal verge
2. Urgency - which makes to run to the rest room

The tightness is due to spasm of the anal sphincter. The following may be done for relief-
1. Sitz bath for 10 minutes twice a day
2. Apply topical diltiazem at the anal verge which will relieve the spasm

Urgency is not a symptom of anal fissure. Urgency is a symptom of rectal lesion. If symptoms persist sigmoidoscopy may be done to look in to the rectum to see if it is inflamed.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (47 hours later)

Thanks for your response can internal hemroids cause urgency/ sense of pressure? Can an anal fissure take weeks to heal

Answered by Dr. Dr.P.Ratnakar Kini (52 minutes later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
No, internal hemorrhoids do not cause urgency.
But a grade III and IV hemorrhoids can cause a sense of pressure at the anus. In these cases, you can feel the hemorrhoids as a lump at the anal verge.
Yes, anal fissure takes a long time to heal.
Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar