How do fissures happen?

Hi, Abhinav Jain here… founder of The Heal Company.

How do fissures happen?

One guy from Indore called me once. Voice was low… he said, “I feel like something is cutting me every time I go to toilet.” He was scared. Thought something big problem is there.

But it was fissure.

Very small thing… but pain feels big.

That day I understood… people don’t know how fissures actually start. And because they don’t know… they keep making it worse.

So let’s talk simple.

What is a Fissure? (easy words)

Fissure means… a small cut.

Just like when your lips crack in winter… same type… but in a very sensitive area.

So even small cut = big pain.

You may feel:

• sharp pain during toilet
• burning after
• sometimes little bleeding
• fear of going toilet

That fear… makes things worse.

How Do Fissures Actually Happen?

I will explain like real life… not big theory.

1. Hard Stool (Most Common Reason)

This is number one.

When stool is hard… it stretches the skin.

And then… crack.

Simple.

I have seen this again and again. People from Jaipur, Nagpur, even smaller towns… same story.

Why stool becomes hard?

• not drinking water
• less fiber
• too much outside food

One chemist in Ahmedabad told me… “people forget water, then they suffer.”

True.

2. Straining Too Much

Some people sit in toilet for long time.

Force lagate hai… pressure create hota hai.

Skin cannot handle that pressure.

Then cut happens.

Very common with people using phone in washroom.

Go, finish, come out.

3. Constipation Cycle

This is dangerous loop.

Hard stool → pain → fear → holding stool → more hard stool → bigger cut

Cycle keeps going.

One customer from Pune told me he started skipping meals because he was scared to go toilet.

That is how bad it can get.

4. After Delivery (Women)

This is something many people don’t talk about.

After normal delivery… body goes through lot of pressure.

Sometimes:

• strain
• stitches
• weak tissue

All this can lead to fissure.

Deepika also faced discomfort… that is how we came to know about sitz bath deeply.

5. Long Sitting Lifestyle

Office job… driving… long sitting.

Pressure stays on same area for hours.

Slowly irritation starts… then small crack.

People in cities like Bangalore, Hyderabad, Chennai face this more now.

6. Not Cleaning Properly

After toilet… some people use only dry tissue.

Rubbing hard.

That creates irritation.

Skin becomes dry… weak… then crack happens easily.

One pharmacy owner in Kolkata told me… “people clean wrong… then blame medicine.”

He is right.