What should I do if I have bleeding and anal fissures due to excessive internal heat?

Written by Zhang Shu Kun
Traditional Chinese Medicine
Updated on December 27, 2024
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If anal fissures with bleeding occur after excessive internal heat, the acute phase can be treated with warm saltwater sitz baths. If the condition is severe, it is still best to visit a local reputable hospital and receive treatment based on a doctor's diagnosis. Regular attention must be paid to the diet, avoiding spicy, irritating, raw, and cold foods, as well as overly greasy or fried foods, to prevent aggravation of the condition. It is advisable to drink more warm water and eat more fresh fruits and vegetables. Paying attention to rest is crucial, especially avoiding staying up late. Regular physical exercise can also help boost the body's resistance.

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Written by Li Xiao Jie
Internal Medicine
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Do anal fissures need treatment?

Anal fissures require treatment. If the patient has a very mild case, there is a possibility of self-healing, though this is not very likely. For initial cases, where the fissure is small, one could consider treatment methods such as Chinese herbal fumigation, topical medications, or potassium permanganate sitz baths, all of which can achieve therapeutic effects. If the patient suffers from recurrent long-term episodes, and the fissure is deep, surgical treatment may need to be considered. This condition falls under the category of proctologic diseases. Patients can visit the proctology department where a doctor will examine them and choose an appropriate surgical method. Complete recovery is possible, so there is no need to worry. To prevent this condition, it is important to maintain smooth bowel movements, ensure cleanliness in the affected area, and avoid infections.

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Written by Wang Ji Zhong
Internal Medicine
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Is anal fissure prone to recurrence?

Anal fissures are prone to recurrence, and the main reasons for recurrence are prolonged sitting or standing, leading to relaxation of the intestinal muscles and insufficient motility, which can cause constipation. During bowel movements, the damaged area can be scratched, resulting in anal fissures. Due to excessive strain, mental stress, and physical fatigue, metabolism can be affected, leading to indigestion and constipation, which can cause anal fissures. Sometimes irregular eating habits and consuming spicy, greasy, and irritating foods can cause constipation, thus aggravating the fissure and leading to its recurrence. An imbalance in intestinal flora can impair digestion and cause constipation, leading to anal fissures. The fundamental treatment for anal fissures is surgical intervention.

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Written by Chen Tian Jing
Colorectal Surgery
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What should I do if my anal fissure doesn't heal?

If an anal fissure consistently fails to heal proactively, it may be due to the repeated expansion of the fissure, or recurrent instances of dry stools and bleeding, leading to ulcerative, infectious changes at the local fissure. This can progress into a chronic anal fissure. Chronic anal fissures have larger local wound surfaces, and the patient may also experience excessive tightness in the anal canal. The local fissure, wrapped within the tightened anal canal, does not drain well, making self-healing impossible. To treat chronic anal fissures, or recurrent fissures, it is recommended to perform a lateral internal sphincterotomy and further debride the local fissure to ensure complete healing of the anal fissure.

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Written by Li Xiao Jie
Internal Medicine
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What should be paid attention to for anal fissures?

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.

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Written by Du Rui Xia
Obstetrics
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What should pregnant women do about constipation and anal fissures?

During pregnancy, due to some special reasons, pregnant women are prone to constipation, and severe cases may develop anal fissures, bleeding, and pain. In such cases, it is first necessary to change the diet to a light one, eat more vegetables and fruits, drink more water, and develop good bowel habits. Avoid squatting for long periods. Additionally, enemas can be used to help with bowel movements, and anti-inflammatory ointments can be applied locally to the anal fissure area for disinfection. Using warm water for sitz baths can also relieve the pain from constipation and anal fissures. Routine abdominal and anal massages can alleviate symptoms and promote bowel movements.