Anal fissure primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]


Effective measures for the primary prevention of anal fissure include frequent diaper change in infants and preventing constipation. In adults, the approach is to prevent constipation and treating it appropriately by adopting dietary measures like eating diet rich in fibers, drinking water and also stool softener if needed. Treating diarrhea and to prevent straining in the toilet. Keeping anal hygiene and avoiding anal intercourse.

Primary Prevention

  • In infants under one year old, frequent diaper change can prevent anal fissure.
  • Effective measures for the primary prevention of anal fissure in adults include:
    • Treating constipation by eating food rich in dietary fiber, avoiding caffeine (which can increase constipation), drinking a lot of water and taking a stool softener.
    • Treating diarrhea promptly.
    • Lubricating the anal canal with KY Jelly or other water-based lubrication before inserting anything (ex: vibrator, penis) into your anal canal. Petroleum jelly is not recommended because it can harbor harmful bacteria.
    • Avoiding straining or prolonged sitting on the toilet.
    • Using a moist wipe instead of perfumed and harsh toilet paper.
    • Keeping the anus dry and hygienic.
    • When using Analpram (cream), do not use the dispenser which can injure the area. Instead, use a finger to insert a pea size amount of cream.
    • Carmex lip ointment (the version without sunscreen-protection chemicals) also helps and is much less expensive than Analpram ($70.00 small tube).


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