Treatment of anal fissures

Anal fissures are a common proctological problem that affects both men and women. The disease, accompanied by a violation of the integrity of the mucous membrane of the anus, brings emotional and physical discomfort.

Causes of the disease

Anal fissures occur due to frequent constipation, malnutrition, excessive power loads, and injuries. Most prone to the disease are people leading a sedentary lifestyle. In women, cracks in the anus can occur after pregnancy and labor.

When should you see a doctor?

The presence of cracks in the anus can be determined by the following symptoms:

  • Pain in the anus, both during and after stool.
  • Discharge of blood during bowel movements.
  • Spasm of the posterior opening.
  • Itching of the anus.

If at least one of the listed signs appears, you need to make an appointment with a proctologist.

Disease types

Pathology occurs in two forms - acute and chronic. In the acute course of the disease, the gap is 1-2 cm long. It has clear edges. Bumps form near chronic anal fissures that have existed for at least a month, and the act of defecation is accompanied by bleeding.

Diagnostics and treatment

The doctor can easily establish the presence of an anal fissure by palpation and visual examination. For an accurate diagnosis, the doctor prescribes anoscopy and sigmoidoscopy, culture for flora, general clinical analysis of blood and feces.

In the acute form, the patient is shown conservative treatment (local and oral medicinal), aimed at reducing pain and tightening the wound. An enema helps to facilitate the act of defecation. In the chronic form, accompanied by the appearance of tubercles, surgical intervention is indicated.

If you have an anal fissure, you should follow a special diet. Exclude from the diet salty and fatty foods, alcohol. Fermented milk products and fiber-rich foods will help normalize stool. In order for the feces to injure the wound less, you need to adhere to the drinking regimen and eat the first hot meals every day. It is also recommended to regularly eat beets with sunflower oil, prunes, dried apricots, cereals.

Complications

Untimely treatment can lead to profuse bleeding, fistula formation, and the appearance of malignant and benign neoplasms. During the act of defecation, the bleeding wound regularly comes into contact with the feces, which may contain dangerous bacteria. Pathogenic microorganisms that settle on the crack lead to infection and aggravate the inflammatory process.

The best prevention of anal fissures is an active lifestyle, good nutrition, prevention of constipation.

Service record



Specialists

All specialists
Rusinovich
Valery Mikhailovich

Leading specialist in coloproctology, coloproctologist

PhD

Bolikhov
Kirill Valerevich

Coloproctologist

PhD, Docent

Kitchieva
Gulmira Mustafaevna

Doctor surgeon, coloproctologist

PhD

Garanina
Anna Stanislavovna

Coloproctologist, endoscopist

PhD