The most common reason for pain and bleeding with bowel movements is an anal fissure. A fissure is a tear in the lining of the anus. The pain is often severe and many patients describe it as passing razor blades. This discomfort can linger for a couple of hours until the next bowel movement. Anal fissures affect people of all ages, regardless of their general health.
Most Anal Fissures Do Not Require Surgery
using stool softeners, sitz baths and prescription ointments. These treatments cause the anal sphincter muscle to relax, allowing the fissure to heal. When a fissure doesn’t heal with conservative treatment, surgery may help. If surgery is needed, the Lehigh Valley Hemorrhoid Treatment Center’s board-certified physicians are experienced with a procedure called lateral internal sphincterotomy or even may inject botox to treat your fissure.