Symptom 5: Fissures or Cracks
The anal region, with its folds and flexibility, is designed to perform specific functions seamlessly. However, with pruritus ani, this area can develop fissures or small tears. These cracks, while tiny, can be incredibly painful. Each bowel movement can feel like passing shards of glass, leading to dread and anxiety.
What causes these fissures? A combination of factors. The previously mentioned skin thickening can make the skin less pliable. This rigidity, combined with the act of passing stool, can lead to cracks. Furthermore, aggressive cleaning, especially with harsh soaps or wipes, can strip the skin of its natural oils, making it prone to tearing.
Managing fissures involves a multi-pronged approach. Firstly, it’s essential to keep the area clean and dry. This can prevent infections, which can exacerbate the condition. Using a mild, fragrance-free cleanser and patting the area dry post-cleansing is crucial. Additionally, applying a barrier cream can protect the skin during bowel movements, reducing the risk of further tears.
But it’s not just about topical solutions. Addressing constipation or ensuring smooth bowel movements can reduce the strain on the anal region, preventing further fissures. Increasing fiber intake or consulting with a healthcare professional about stool softeners might be beneficial. (5)
