Fissures are primarily caused by trauma to the anal lining. However, it is the **spasm of the muscle** that prevents it from healing, turning it into a chronic condition.
It starts with a Hard Stool causing a tear. The pain causes the anal muscle to go into Spasm (tightness). This tightness cuts off blood flow to the area, preventing healing.
The #1 cause. Passing a large, hard stool stretches the anal canal beyond its limit, causing the delicate lining (mucosa) to tear.
Frequent bowel movements and the acidic nature of loose stools can erode and inflame the anal lining, making it prone to tearing.
Women are prone to fissures after vaginal delivery due to the immense pressure and stretching of the perineum during labor.
Some people have naturally tight anal muscles. This high pressure reduces blood flow to the area, preventing small cuts from healing.
A diet low in fiber and water leads to hard stools. Excessive spicy food consumption can also cause burning and inflammation.
The Role of Spasm
"We treat the muscle tightness, not just the cut. Once the muscle relaxes, the blood flow returns, and the cut heals itself."
Dr. Jaya Maheshwari explains why applying ointments alone isn't enough if the anal muscle remains tight and how we treat the root cause.
