Symptom 7: Anal Fissures
Anal fissures, in the world of Crohn’s, are more than just painful cracks or tears in the skin surrounding the anus. These fissures, often resulting from the strain of passing large or hard stools, bring with them sharp, burning pain, especially during and after bowel movements. The tender, open sores can make even sitting an uncomfortable ordeal.
While anyone can develop an anal fissure, those with Crohn’s are at an elevated risk. The frequent bouts of diarrhea, coupled with periods of constipation, strain the anal region. Over time, this repeated strain can lead to these painful tears. Additionally, the inflammation characteristic of Crohn’s can weaken the skin in the area, making it more susceptible to fissures.
If left untreated, these fissures can lead to a host of complications. Infections are a primary concern, given the open nature of the sores. There’s also the potential for an abscess to form, a painful, pus-filled swelling that can further complicate matters. Moreover, the pain and discomfort can exacerbate constipation, as individuals might avoid bowel movements to escape the associated pain. (7)