What should be paid attention to for anal fissures?

Written by Li Xiao Jie
Internal Medicine
Updated on September 02, 2024
00:00
00:00

The occurrence of anal fissures is highly related to constipation. Therefore, for patients with anal fissures, treating and preventing constipation is the most important approach. It is advisable to eat more vegetables and fruits, consume fewer spicy and stimulating foods, and reduce the intake of greasy foods. The diet should be light, drink more water, and pay attention to local hygiene. Furthermore, patients with anal fissures should avoid sitting or squatting for long periods to prevent aggravating the condition. If symptoms such as fever, difficulty defecating, or severe pain around the anus occur, it is crucial to visit a hospital for examination to rule out other conditions. Regular participation in physical exercise is recommended to promote intestinal movement and facilitate defecation.

Other Voices

doctor image
home-news-image
Written by Yu Xu Chao
Colorectal Surgery
1min 5sec home-news-image

What is the best treatment for a minor anal fissure?

Minor anal fissures, which are early-stage fissures, mainly manifest as pain during defecation and minor bleeding, but the pain does not last long and is primarily associated with defecation. For minor fissures, it is generally recommended to choose conservative treatment with medications and dietary regulation to ensure smooth bowel movements. Typically, after defecation, one can choose to use an anal cleansing solution or a potassium permanganate solution for a sitz bath. After the sitz bath, apply Dragon Ball ointment or nitroglycerin ointment locally to promote the healing of the ulcerated surface. At the same time, in terms of diet, one should drink more water and consume foods rich in dietary fiber to maintain smooth bowel movements as much as possible, avoiding dry and hard stools, which also helps in the healing of minor anal fissures. Additionally, patients should pay attention to keeping the anal area dry and clean, avoid irritating the wound, and prevent infection that could exacerbate the condition.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
59sec home-news-image

Can a colonoscopy be performed with an anal fissure?

Patients with anal fissures are advised not to undergo colonoscopy, primarily because the procedure involves inserting the colonoscope through the anus, and anal fissures typically occur within the local sphincter muscles. The passage, or repeated movement, of the probe can cause local fissures to experience painful stimulation, or even worsen the symptoms of the fissures, increasing the likelihood of pain and bleeding for the patient afterwards. Therefore, if patients with anal fissures wish to undergo colonoscopy, they should first receive appropriate medical treatment and wait for the local fissures to heal or be completely cured before undergoing the procedure. If a colonoscopy is necessary, a lubricant can also be applied to the anal region to reduce the irritation of the colonoscope on local fissures.

doctor image
home-news-image
Written by Wang Hui Jie
Gastroenterology
51sec home-news-image

Can diarrhea cause anal fissures?

Diarrhea may cause anal fissures. An anal fissure refers to a full-thickness vertical tear in the skin of the anal canal below the dentate line, forming an ischemic ulcer. It is commonly found in young and middle-aged adults, and the exact mechanism of its development is not very clear. It is mainly related to local muscle spasms and infection following injury. The main symptoms include severe, sharp pain during and after bowel movements, along with occasional light, bright red bleeding. There may also be constipation and anal discharge. If the skin of the anal canal is chronically irritated by prolonged diarrhea, causing skin damage, it is very likely to lead to an anal fissure.

doctor image
home-news-image
Written by Wang Ji Zhong
Internal Medicine
56sec home-news-image

How does an anal fissure form?

The formation of anal fissures is related to various factors. The first and most common factor is abnormal stool, such as chronic constipation or dry, hard stools, which causes mechanical trauma during defecation. This is the direct cause of most anal fissures. Another cause is due to spasms of the internal anal sphincter and inflammatory stimulation of the intestines, anal canal, and anal sinuses. Some acidic stools also stimulate the sphincter, leading to increased tension in the internal anal sphincter, and can cause a noticeable increase in resting pressure in the anal canal. If the anal flexibility is insufficient, the passage of dry, hard stool can lead to fissures. Lastly, since the anal canal and the rectum are at an angle to each other, the thick wall of the anal canal bears the greatest pressure during defecation, which is why fissures often occur on the posterior midline of the anal canal.

doctor image
home-news-image
Written by Deng Heng
Colorectal Surgery
42sec home-news-image

How to cure anal fissure bleeding

Anal fissures are a common anorectal disorder, primarily characterized by the formation of small ulcers due to skin lacerations below the dentate line. The main symptoms are bleeding and pain during defecation. Generally, the amount of bleeding is small, noticeable on toilet paper or with a trace of blood on stools. The primary principle of treatment is to address the spasms of the internal sphincter to facilitate the healing of the wound. Common treatment methods include anal dilation and surgical excision, with the overall objective being to alleviate sphincter spasms and promote wound healing. Only when the issue of the anal fissure is resolved will the bleeding gradually alleviate.