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An anal stricture is a narrowing of the end of the tube (anal canal) that takes stool out of the body. It’s also known as anal stenosis. It’s caused by scar tissue in the anal canal. This can cause pain and other problems with passing stool.

The most common cause of anal stricture is surgery to remove hemorrhoids, warts, or a fistula. The surgery can create stiff scar tissue that causes the narrowing. Other causes include scar tissue from redness and swelling (inflammation). This can happen if you have an inflammatory bowel disease such as Crohn’s disease. It can also be caused by an infection or radiation cancer treatment in the area.

Anal dilatation. This is a way to help stretch out the anal canal. For a mild stricture, this is done by placing your finger or an anal dilator into the anus, 2 times a day for 2 months. This helps to stretch the area. For a more severe stricture, dilatation may be done in a hospital. You are given medicine (general anesthesia) to let you sleep during the procedure.

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