Treatment of anal fissure

Anal fissure is a defect of the rectal mucosa in the sphincter of the anus. More often a crack develops on the middle or back surface. The causes of the disease can be trauma in childbirth, hemorrhoids, chronic constipation, prolonged diarrhea, weight lifting, abuse of spicy food, sedentary lifestyle. In acute fissures, the pain associated with defecation, drops of blood in the stool, spasm of the sphincter. If you do not carry out any treatment process goes into a chronic form.

In a chronic crack, pruritus, maceration is added, the crack is scarred, its walls are densified, but at any time, damage and the appearance of bloody discharge during defecation can occur. The person starts to be afraid to go to the toilet and frantically look for a remedy for cracks in the anus.

When the process is acute, at the beginning of the disease, the treatment of the anal fissure is conservative, prescribe candles in the morning, half an hour before defecation. And after the toilet is useful to wash and take a bath with potassium permanganate, then lubricate the crack with ointment. In the evening, you need to douche with a decoction of chamomile, after which it is useful to be like that the medicine affects the crack for an hour. Then again lubricate the crack with ointment.

To treat the crack in the anus pass successfully, it is important to follow the diet, normalize the stool and carefully observe personal hygiene after the toilet. Very good for cracks in the candles with anesthesin in the morning before defecation and microclysters in the evening with collargol. With severe pain, you can make manganese baths several times a day. The course of treatment is usually prescribed for a month.

In a chronic process, the treatment of an anal fissure is rarely effective in the conservative management of patients. Therefore, often resort to surgical intervention, excise cicatricial changes, partially dissect the sphincter. Fresh wound in the absence of spasm of the sphincter perfectly heals.

Proctologists often answer the question of patients about how to cure an anal fissure is quite simple. Immediately offer surgical treatment if it is a chronic fissure, which repeatedly and unsuccessfully treated conservatively. I think it's right to avoid complications, it's easier to do the operation and forget about the problem. Than in some years all the same to come to surgeons, but already with polyps, fistulas or a tumor. Then a more complicated operation is required, perhaps plastic, irradiation or chemotherapy.

I will tell in more detail about conservative treatment of a crack of an anus at a chronic process. First of all, you must follow the diet, immediately abandon the acute and smoked food. Several times a day make manganese warm sessile baths. From ointments apply nitroglycerin ointment, capable of removing spasm of the sphincter of the rectum. But do not get involved in it. Firstly, when it is absorbed into the blood, it causes severe headaches. And secondly, with the expressed removal of the spasm of the sphincter, it is possible to cause its incontinence, which will lead to a stool on the linen.

The same effect and side effects are given by Botox, which is injected into the sphincter, which lasts three months. For the speedy healing of the cracks prescribed methyluracil ointment, sea buckthorn oil. Analgesics are used for analgesic effect in the form of suppositories, injections, ointments.

To normalize the stool, laxatives should not be resorted to, they can exacerbate pain due to loose stools. It is much better to use cleansing enemas with cool water. Warm water will be absorbed into the intestines along with toxins, which will aggravate the situation.

The fissure of the anus is not as harmless as it might seem at first glance. If it is found on a preventive examination, even in the absence of symptoms, one should treat it to avoid more serious complications.