fissure - a sensitive issue that delivers physical and moral discomfort to the patient.It can occur at any age, even in young children, and in the practice of anal fissure proctologists - one of the most frequent pathologies.
This article will tell you how to treat anal fissures and how to avoid them. Content
crack seldom occurs independently as a result of injuries anus, often the problem is accompanied by digestive system, under which there are constipation and hemorrhoids.In some cases, this unpleasant problem occurs in women during pregnancy or after childbirth.In this case, it may be associated not only with the aggravation of hemorrhoids (and this happens quite often), and constipation that can occur in women in the first days after birth because of fear of the chair.But the problem is more t
Anal fissures with smooth edges without scarring, there are less than one month are treated with conservative methods.Chronic anal fissure, the existing more than a month, is not amenable to conservative treatment, have to be treated surgically.
Because the symptoms of anal fissure are similar to some other diseases (hemorrhoids, diseases of the colon, and others.), Should see a doctor for further diagnosis and treatment assignment.
If the cause of the problem was some disease, its treatment is necessary, since the cure anal fissures, without addressing the cause of their appearance, it is impossible.In addition, since the treatment of anal fissure, should clearly realize that no funds will be sufficiently effective if the patient is suffering from constipation.Solid stool will hurt the anus, so it will be difficult to heal the wound, and periodically new cracks may appear.Therefore, all patients should follow a diet recommended for constipation.
It is also necessary to pay attention to hygiene.After each visit, the toilet should be thoroughly wash away the anal area with running cool water and soap.To use the toilet paper is not recommended as it may lead to further injury to the wound and acute inflammation.
small fissures heal on their own may be subject to health and the absence of traumatic factors (the use of harsh toilet paper, hard stools).
To make use warm baths (water temperature of 37-38 degrees C) is a weak solution of potassium permanganate, herbal teas, which have antispasmodic, anti-inflammatory and analgesic effect (chamomile, yarrow, calendula, etc.).The duration of the bath for 10-15 minutes.It is recommended to do 3-4 treatments a day, after a bath anal area should be carefully dried with a soft towel, and then you can apply an ointment or use rectal suppositories.
Microclysters recommended to do in the evening.Using a syringe inserted into the rectum of 50 ml of the prepared tools, the solution temperature should be 35-36 degrees C. The liquid should be kept in the rectum as long as possible.
For microclysters possible to use a mixture of sea buckthorn oil and chamomile broth (1: 1), St. John's wort broth, sage, oak bark, flax seed.
Warm hip baths can not be done for pregnant women, with natural ingredients microclysters expectant mothers can be used with a doctor's permission.
to treat anal fissures can use the same candles and ointments, which are recommended for the treatment of hemorrhoids.Substances in their composition, anti-inflammatory, analgesic, wound-healing effect.In addition, the recommended agents having antispasmodic effect, since a decrease in the voltage of the anal sphincter is beneficial to the healing of the fracture.
Candles entered the rectum only after using the toilet anal area better after a sit-bath, 2 times a day (morning and night).Ointments can be applied several times a day after hygienic procedures, it is desirable to make ointment application or using a gauze pad to enter them shallowly into the rectum.
antispasmodic effect have candles and ointments with nitroglycerine and papaverine hydrochloride.For the treatment of anal fissure recommended 2 times daily use of 0.5% nitroglycerin ointment, the duration of application to 4 weeks.Suppositories with nitroglycerin and papaverine also apply the same principle.
also can be used to treat candles Relief, Gepatrombin F, Anestezol, ultraprokt, Betiol and others. We would like to note Natalsid rectal suppositories, which can be used during pregnancy and lactation.Topically applied ointment Relief, Gepatrombin, Posterisan Forte ihtiolovaya ointment, ointment Fleming et al.
Surgical treatment is necessary for patients with chronic anal fissures that exist more than a month, and pursued conservative therapy does not give positive results.Under local anesthesia produced excision fracture plane within healthy tissue.Postoperative wound usually heals quickly to form a flat, thin, hardly noticeable scar.
Patients who have been diagnosed before surgery spasm of the sphincter of the anus additionally perform sphincterotomy (intersection of the sphincter muscle).This is necessary to prevent recurrence of the disease.
prevention of this unpleasant problem is the treatment of diseases that contribute to the development of constipation and hemorrhoids, as it is, in most cases, the main cause of anal fissures.Constipation can occur in any person at any age, so healthy people also need to monitor the regularity of bowel movements.
Parents should monitor the frequency of stool in young children.Particular attention should be paid to the prevention of constipation, pregnant women, as constipation can lead not only to the appearance of fissures, but also to the development of hemorrhoids, as well as to improve the tone of the uterus as a result of straining when trying to go to the toilet.
To prevent constipation and its possible consequences after childbirth can use rectal glycerine candles or make microclysters with oily solution.These funds help reflex bowel and soften the stool.It should be noted that candles with glycerol have Contraindications: should not be applied during exacerbation of hemorrhoids and existing fissure.