An anal fissure - is a problem for many people, but no talks about it has been taken. The patient suffers in silence, which, of course, does not contribute to recovery.
An anal fissure occurs when the integrity of the mucous membrane is violated. The presence of many nerve endings in the anal canal makes the disorder especially unpleasant and painful.
Predisposing factors:
- Constipation, with all its consequences, is the determining cause of anal fissures. It is also important to consider a factor such as abuse of laxatives and the use of enemas to facilitate the act of defecation.
- Diarrhea: when intestinal peristalsis proceeds in an accelerated mode, the reabsorption of water, electrolytes and a small amount of nutrients is incomplete. This contributes to the alkaline reaction of the stool, which is very harmful to the mucous membrane. When diarrhea is frequent, the anal canal tends to contract. In such cases, the sudden passage of stiff and bulky feces is an additional«test» for the mucous membrane.
- Anal sex practices.
- Poor personal hygiene.
Symptoms and diagnosis
The symptomatology of anal fissures is specific in nature, so that the disorder is easily identifiable. The pain associated with bowel movements is especially intense, so the very thought of going to the toilet is already unpleasant for the patient. Such psychological consequences, as a rule, cause secondary constipation, or exacerbate a pre-existing one.
The pain associated with bowel movements has three characteristic points: when passing the stool, it becomes especially acute, then subsides within a few minutes and reappears with varying degrees of intensity over the next three to four hours.
If we consider the actual degree of damage, then the pain associated with anal fissures is often disproportionate.
Another characteristic sign of anal fissure is traces of blood on toilet paper. Such small bleeding, by its nature, has nothing to do with heavy hemorrhage.
Treatment for anal fissure
One of the few positive aspects of anal fissures is that this pathology is relatively mild. The most superficial injuries can go away in virtually a few days.
The first therapeutic step may be adding fiber to your daily menu and using light laxatives, which should be washed down with plenty of water. The therapy should be started under medical supervision and gradually to prevent an excessive laxative effect, which can worsen the problem.
Sometimes a «soft» approach to the problem is not enough and you have to resort to surgical interventions based on a partial resection of the anal sphincter. Surgeons of the «Bogoliuby » Medical Center practice excision of a chronic anal fissure, which usually gives a lasting positive effect.
