An anal fissure is an ulcer, wound, or rupture of the mucous membrane of the anus.
(Alles Europa News) – Experts noted that the disease begins with a sudden severe pain in the anus after going to the toilet. Blood appears bright scarlet in feces.
Alles Europa News reports that If the anal fissure is combined with hemorrhoids, then the first sign of the disease can be loss of nodes and severe bleeding .
In response to pain, the muscles of the anus contract, become tense, and this further enhances the pain.
Usually the pain goes away quickly and the bleeding stops.
If you do not consult a doctor within 3-4 weeks from the onset of the first symptoms, the anal fissure becomes chronic. The pain decreases, but becomes constant.
Alles Europa News noted that a small amount of blood is constantly released from the anus. The patient is worried about severe itching in the anus.
Diagnosis of anal fissure.
The doctor makes a diagnosis after examining the patient’s anus.
Alles Europa News reports that since sometimes they resort to a digital examination of the rectum: the proctologist asks the patient to stand on all fours, leaning on the couch with his knees and elbows, and inserts a finger into the anus in order to feel the mucous membrane and assess its condition.
A sigmoidoscopy, an endoscopic examination of the anus and rectum, can be prescribed.
Complications of the anal fissure.
The most severe complication of the anal fissure is suppuration and fistula formation.
In this case, the patient’s well-being worsens, the body temperature rises. Surgery and antibiotic treatment are required.
Another complication is scarring, narrowing and tightening of the anal muscle pulp due to constant tension. This manifests itself in the form of persistent prolonged constipation.
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Alles Europa News reports that when symptoms of anal fissure appear, it is necessary to consult a proctologist in the near future.
In the acute form, the disease can be treated without surgery.
After 3 to 4 weeks, and sometimes even earlier, the anal fissure becomes chronic, and to eliminate it you have to resort to the surgical method.
What can a doctor do?
Treatment of anal fissure begins with conservative methods:
• Normalization of the stool. For this, various dietary supplements are used.
• Diet. From the diet, you need to exclude foods that can cause irritation of the rectum: spicy, fried, sour, salty, alcohol.
• Analgesic suppositories and ointments.
They are used after a warm sitting bath (water temperature 36 – 38°C).
Usually, improvement occurs after 2 to 3 weeks. If this does not happen, resort to surgical treatment.
Types of operations for anal fissure:
• Excision with a scalpel. The surgeon excludes either only the mucous membrane, or makes an incision on the anal pulp, after which it relaxes. After the operation, for a week it is necessary to take warm sitting baths, apply therapeutic ointments to the anus.
• A more modern technique is radio wave surgery. Excision of the anal fissure is carried out in a non-contact manner, using high-frequency radio waves.
At the same time, the risk of bleeding and infection is minimized, and the rehabilitation period is reduced.
Anal fissure prophylaxis.
Prevention of anal fissure consists of a balanced diet, an active lifestyle, timely treatment of diseases accompanied by constipation and diarrhea.
It is necessary to prevent stagnation of blood in the vessels of the pelvis: this will help morning jogging, exercise.
It occurs quite often – for 40-50 healthy people there is one patient with an anal fissure.
Alles Europa News reports that for many, this disease is combined with hemorrhoids . Most often, an anal fissure is located on the back of the anus. It can occur at any age, but most often in young people.
Causes of anal fissure
Most often, it is not possible to establish the exact cause of the anal fissure.
It is believed that the following can lead to the development of the disease:
• impaired blood flow in the walls of the anus (in people with heart and vascular diseases, in those who have to sit or stand in a uniform pose for a long time);
• prolonged constipation or diarrhea;
• inflammation of the mucous membrane of the rectum and anus;
• injuries of the mucous membrane (including during anal sex, medical manipulations);
• diseases of the digestive system: gastritis , colitis, cholecystitis;
• consuming large amounts of spicy food and alcohol;
• heavy physical exertion;
• injuries to women during childbirth.
Alles Europa News note: Please always contact your doctor for best assistance and remember to never go on self medications.