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  • Q&A with Australian Health Practitioners

    can an operation on a fissure cause soft bowel movements ie not formed?

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    Crohn's Disease & Ulcerative Colitis Digestive Health
    about 15 years ago I was suffering from anal fissure and sever constipation the specialist I saw operated on my fissure by cutting a muscle?. After the operation I started to notice my stools were no longer formed and were very soft I remember mentioning this to the specialist who said he didin't do anything to cause this. I have now been diagnosed with Ulcerative Colitis / IBD after many years of symptoms and still have fissure abd pain / problems are there any thing I can do to have it removed and could of the operation cause my soft bowel movements.
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    Crohn's & Colitis Australia

    For more than 25 years, Crohn’s & Colitis Australia™ (formerly the Australian Crohn’s and Colitis Association) has been making life more liveable for more than … View Profile

    Anal fissures usually result from constipation and the passage of hard stools, but can also occur from the frequent passage of liquid stools or from wiping too harshly.  The relatively minor operation you had all those years ago is not likely to have caused a change in your stools.  Soft stools (not hard or loose) make passage easier and adopting gentle cleansing methods (toilet paper is too abrasive, so wash/pat dry) and using special creams can help heal a fissure.   If necessary and all else fails, chronic fissures can be removed, but a surgeon would be cautious in any situation where there is a diagnosis of IBD, and particularly so if there is any presence of peri-anal disease or signs of deep, wide fissures that may be more consistent with Crohn’s disease.  The problem should be discussed with your gastroenterologist who can then determine whether you should be referred to a colorectal surgeon. 

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