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Fast, Gentle Relief From Painful Anal Fissures for Patients in Tomball and Houston
An anal fissure is a small tear in the thin lining of the anus, usually caused by passing hard or large stools. It is a common and very treatable condition that causes sharp pain during bowel movements, often with a small amount of bright red bleeding. While fissures can be intensely uncomfortable, most heal with simple treatment.
Anal fissures most often result from constipation and straining to pass hard stools. Other causes include chronic diarrhea, childbirth, and, less commonly, inflammatory bowel disease or infections. Tight or spasming anal muscles can slow healing, which is why some fissures become chronic and need medical care.
Anal fissures are closely linked to constipation, diarrhea, and, less often, Crohn disease. Most are minor, but see a gastroenterologist if pain or bleeding lasts more than a few weeks, keeps returning, or is severe. Bleeding should always be evaluated, since it can also come from hemorrhoids, polyps, IBD, or colorectal cancer.
At Shaya Digestive & Liver Clinic, evaluation begins with a detailed discussion of symptoms, diet, medical history, medications, and lifestyle factors. Diagnostic evaluation may include:
Comprehensive Medical History
Understanding symptom patterns often provides valuable clues.
Blood Testing
Laboratory studies may help identify:
H. pylori Testing
Testing may be recommended when stomach-related symptoms are present.
SIBO Breath Testing
Used to evaluate bacterial overgrowth within the small intestine.
Colonoscopy
May be recommended depending on age, symptoms, family history, and risk factors.
Upper Endoscopy (EGD)
Can help evaluate reflux, gastritis, ulcers, and upper digestive tract disorders.
Dr. Saranya Addepally is a board-certified gastroenterologist with six years of clinical experience, treating a broad range of digestive and liver conditions. She is especially passionate about women’s GI health—areas where patients often feel overlooked or hesitant to seek care.
Her medical journey began in India, where she completed her training before moving to the United States to pursue advanced education in medicine and Gastroenterology at the University of Arkansas.
After several years in practice, she relocated to Houston to continue serving patients in the community. Following two years with a local group, she established her own practice, grounded in the principles and core values she believes are essential to delivering thoughtful, patient-centered care.
An anal fissure is a small tear in the lining of the anus, usually from passing hard stools. It causes sharp pain during bowel movements and sometimes bright red bleeding.
Most fissures are minor and heal with simple care. However, any rectal bleeding should be evaluated to rule out other causes.
They are most often caused by constipation and straining to pass hard stools, but chronic diarrhea, childbirth, and IBD can also cause them.
Most acute fissures heal within a few weeks with fiber, fluids, and topical care. Chronic fissures that last longer may need additional treatment.
See a doctor if pain or bleeding lasts more than a few weeks, keeps coming back, or is severe, so the cause can be confirmed and treated.
Not always, but if you have rectal bleeding, a colonoscopy may be recommended to rule out other causes, especially if you are over 45.
Most fissures heal with simple, conservative care, and effective options are available for those that do not. After examining you, your gastroenterologist recommends a personalized plan that may include:
At Shaya Digestive & Liver Clinic, we provide:
There is no single “quick fix” for anal fissures, and most heal quickly with proper care. See a gastroenterologist if pain or bleeding lasts more than a few weeks, keeps returning, or is severe. At Shaya Digestive & Liver Clinic we focus on practical, lasting solutions. To help prevent fissures:
Offering Fast Track GI appointments
Specialized Gastroenterology Appointments Within 3–5 Business Days
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