How to treat anal fissure? I got anal fissure after hemorrhoidectomy.

Hello. When defecating, I suddenly feel the pain like tearing my anus. This is caused by anal fissure, which is usually caused by hard and thick feces supporting the anus. Generally speaking, the diameter of the anus is 2 ~ 3 cm, but sometimes it is as thick as a beer bottle. Too thick and hard feces can tear the skin below the dentate line of anal outlet at once when discharged. As mentioned above, the anus below the dentate line is sensitive to pain, and when there is a wound here, the patient will feel very painful. In this case, anal fissure is the most likely, especially for young women with constipation. If treated early and handled properly, ulcers can be avoided.

When defecating, I feel that my anus suddenly cracked. Once the anus is injured, every time you defecate hard, the wound will expand a little, making people want to cry. Therefore, many people are afraid to go to the toilet, but at this time, if forced not to defecate, constipation will become more and more serious, further aggravating anal fissure, more intense pain, and further hating going to the toilet, which will form a vicious circle. Compared with pain, the amount of bleeding during anal fissure is relatively small, at most, there is blood on toilet paper or a small amount of blood drops after defecation, but the amount of bleeding will increase when internal hemorrhoids are combined.

Anal fissure is more common in women. Because women are ashamed to come to the hospital, hospital statistics show that men are higher than women. But in fact, patients with hemorrhoids and anal fistula are obviously more common in men, while patients with anal fissure are more common in women.

In the early stage of anal fissure, it is easy to cure by adjusting defecation and keeping anus clean.

Repeated constipation can make the initial anal laceration develop into anal fissure, but it can still be cured at home as long as you pay attention to prevent constipation, rest quietly after defecation and keep warm locally. Anal fissure is a small wound of anus, which most people have experienced.

Similar to a knife wound, there is not much bleeding, mostly blood on toilet paper and vertical stripe blood on stool strips or a small amount of blood after defecation. When this happens at first, even without special treatment, it takes as little as two or three days and as much as a week. However, constipation persists, the wound splits repeatedly, and the wound can't keep quiet. In addition, it hurts and the stool is not clean, and the wound is easy to be infected. There are few blood vessels in the anal skin, which makes it difficult to treat the wound for a long time. Typical anal fissure, it hurts every time you defecate, but it can be treated at home. The first treatment is to soften stool, drink more water and eat more fiber-rich food. Secondly, take frequent showers and sitz baths to keep the wound clean and warm. Finally, insert the suppository into the anus. In addition, people with dry stools often crack at the same position, so it is necessary to pay attention to continue to soften the stools after healing.

The anal fissure is aggravated, and the fissure is deepened, forming a severe anal fissure. Anal fissure is easy to treat, but if it is neglected and develops into a serious anal fissure, the pain will be aggravated. The reason why anal fissure worsens into severe anal fissure is because it is not treated in time, and the condition often worsens after several years or decades. There are many such patients. Severe anal fissure can not be cured by life therapy to relieve constipation, but also lead to anal stenosis, so surgery is necessary. The anal fissure develops continuously, and the wound fibrosis and contraction make the anal diameter smaller. Some patients' anus is so small that they can barely pass through one index finger. This situation will cause anal fissure even if the stool is not hard, which will further worsen anal fissure and form a vicious circle. To cut off the vicious circle, we must have surgery and be prepared to stay in hospital for one week 10 days. The postoperative effect is remarkable, and the patient is pleasantly surprised to find that he can defecate smoothly, which is a rare thing in decades.

It is recommended to go to a regular anorectal hospital to check the degree of anal fissure and then treat it symptomatically.

Wish: Get well soon!