Anal Fissures & Pregnancy

Do you feel pain when you urinate or are you unable to sit for prolonged periods of time? Anal fissures or hemorhoids may be an issue for pregnant women. These issues are common during pregnancy, and hormonal shifts may increase your chance of developing them.

Anal fissures refer to small tears in the anus’ lining. Anus is sensitive and thin so even a small tear can cause pain, itching and bleeding.

These conditions are more common in pregnancy than ever before. However, you can still do your best to manage them. We share the information you need about pregnancy-related anal health issues.

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Anal Fissures & Pregnancy

Anal fissures can be very common in pregnancy. Anal fissures are more common in the third trimester, which is from week 29 through birth. Anal fissures can also occur after childbirth. This is because of the increased pressure on your muscles, which sometimes results in the tearing of your anus.

Anal fissure refers to a tear or ulcer that occurs in the lining the anal canal just outside your anus. These pregnancy fissures are very painful, especially if you have to pass stools or for a long time afterwards. The sharp sensation is usually replaced by a burning sensation that lasts for several hours or longer after you’ve gone to the bathroom. Minor bleeding can also occur from anal fissures. You may feel it on the stool or on your toilet paper.

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Anal fissures typically only have the main symptoms of bleeding and pain.

There are many ways to classify anal fissures during pregnancy:

Acute anal fissures are those that have been present for less 6 weeks.
Chronic anal fissure refers to a person who is six weeks old or older.
Primary anal fissures are those that have no identifiable cause. However, they can be caused by the way your muscles work. Sometimes, the internal sphincter (muscle surrounding the anus) contracts too strongly.
The anal canal is more vulnerable to tearing when there is increased pressure from the spasm.
The increased pressure can also reduce blood flow to the anus, which will prevent your body from healing in the normal manner and heal the fissure simultaneously.
Secondary anal fissures are named after underlying causes such as constipation or inflammatory bowel disease, pregnancy, or even sexually transmitted infections.