Prevention Tips for Anal Fissure After Delivery
                     Anal Fissure After 
Delivery: Causes, 
Symptoms and 
TAnarl fiessuare taftmer deelivenry ist a common postpartum condition. 
Learn about causes, recognize symptoms early, and discover 
effective treatment options for safe healing and recovery. Your 
health remains the priority.
What Is an Anal Fissure?
An anal fissure is a tiny tear in the lining of the anal canal that occurs during or 
after childbirth. The injury happens when passing hard stool or when excessive 
pressure stretches anal tissues beyond their limits.
These tears are common after vaginal delivery and can also develop after C-
section due to delayed bowel movements and pain medications.
Why Anal Fissures Are 
Common After Childbirth
Childbirth places immense stress on the pelvic floor and rectal 
area. Several factors combine to increase risk:
Hard Stools Straining
Dehydration and iron Pressure during bowel 
supplements cause movements tears delicate 
constipation tissue
Medications Fear of Pain
Pain relievers slow bowel Anxiety causes stool 
function withholding and muscle 
tightening
Key Symptoms to Recognize
Sharp Pain Bleeding
Intense pain during or after bowel movements that Bright red blood visible on toilet paper or in the bowl
may last hours
Burning Sensation Muscle Spasms
Continuous burning or itching around the anal area Spasm-like pain that persists long after bowel 
movement
Early recognition is critical. If symptoms persist beyond two weeks, the fissure may become chronic and 
require specialized care.
How Fissures Become 
Chronic
A fissure heals only when pressure reduces and blood flow improves. 
Many postpartum women delay treatment, preventing healing:
Pain Causes Stool Withholding
Fear of pain leads to constipation and harder stools
Muscles Tighten Continuously
Anal sphincter muscles spasm, reducing blood flow
Healing Cycles Break
Repeated strain prevents tissue repair and recovery
Treatment Options
Non-Surgical Treatment Surgical Treatment
For first-time fissures, conservative management works When conservative management fails after 2 months:
for 95% of patients:
Lateral Internal Sphincterotomy: Cut part of 
• Stool softeners for comfortable bowel movements internal sphincter (3% risk of gas/stool control issues)
• Increased fluid and fiber intake BOTOX injection: Chemical muscle relaxation for 3 
• Warm sitz baths to relax muscles months
• Topical medications to enhance healing Fissurectomy: Remove chronic unhealthy tissue
Why Professional 
Treatment Matters
Accurate Diagnosis
Physical examination confirms condition and rules out other 
anal diseases
Personalized Treatment
Individualized approach based on severity and patient needs
Prevention of Chronic Disease
Early intervention prevents long-term suffering and complications
Safe Recovery
Effective treatment options compatible with breastfeeding
Take Control of Your Recovery
Postpartum anal fissure pain worsens with delayed treatment, affecting 
daily routine, bonding with your baby, and overall recovery. Advanced, 
patient-centered treatment is specifically designed for women who have 
experienced anal fissures after vaginal delivery or C-section.
Through precise diagnosis and individualized treatment, long-lasting 
relief is possible using the best treatment options available. The goal is 
safe healing, quicker recovery, and lasting comfort after childbirth.
Frequently Asked Questions
What causes an anal fissure after delivery? Can an anal fissure occur after C-section?
Straining, hard stools, reduced mobility, and pelvic Yes. Anal fissure after C-section often develops due to 
pressure during childbirth are common causes. delayed bowel movements and pain medications.
How to cure fissure after delivery? How long does a postpartum anal fissure 
take to heal?
Early fissures heal with stool softeners, hydration, and 
topical care. Chronic cases need professional Acute fissures may heal in weeks. Chronic fissures 
treatment. take longer without specialized care.
When should I see a doctor? Is treatment safe after delivery?
If pain or bleeding lasts more than two weeks, a Yes. Safe, effective treatment options are available 
medical evaluation is important. even during breastfeeding.
Healing Is Achievable
Anal fissure after delivery is painful but treatable. Early recognition and proper care make all the difference. With 
the right approach, healing is achievable, and motherhood becomes more comfortable and confident.
Dr. Daniel Serralta
Address Phone No. Website
C/o - Saudi German Hospital, +971 568 05 4323 https://drdanielserralta.com/
Hessa Street 331, West Al Barsha 
3, Exit 36, Sheikh Zayed Rd, 
opposite American School, Dubai