Can anal fissures be cured completely?

Written by Li Xiao Jie
Internal Medicine
Updated on September 15, 2024
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Anal fissures are a curable condition, so do not worry. Anal fissures are relatively common in clinical practice and are a frequently occurring disease. Fresh anal fissures, which are of short duration and have small fissures, can be treated and cured using methods such as fumigation, oral medications, or rectal insertion. For older, chronic anal fissures, surgical treatment can be administered, including methods like the Milligan-Morgan technique or fissurectomy, all of which can achieve a cure. However, anal fissures are related to lifestyle and dietary habits, so even after healing, it is important to be cautious of various triggering factors to prevent recurrence.

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Written by Hu Xiang Dang
Colorectal Surgery Department
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What should be paid attention to usually for anal fissures?

What should I pay attention to for anal fissures? Friends who suffer from anal fissures should note the following: Firstly, pay attention to your diet. Adjust your diet structurally to be diverse. Drink plenty of water and eat less spicy and stimulating food; abstain from alcohol and betel nuts; eat less spicy hot pot and similar foods. Also, maintain a smooth bowel movement. We should develop a habit of defecating regularly, and treat constipation correctly. However, in treating constipation, we should not misuse laxatives and should use medications under the proper guidance of a doctor. We should also pay attention to keeping the anal area clean and hygienic by washing it after each bowel movement. After defecation, it is best to perform sitz baths using salt water, traditional Chinese medicine pain relievers like Shen Tang, or potassium permanganate solution. This helps in the recovery of the anal fissure. In addition to the above, we should also engage in appropriate activities. Friends with anal fissures can perform anal muscle contractions, such as Kegel exercises or stretching exercises.

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Written by Deng Heng
Colorectal Surgery
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What foods should be avoided with anal fissures?

People with anal fissures should avoid consuming chili peppers and alcohol. Chili peppers contain a compound called capsaicin, which can strongly irritate the nerves in the gastrointestinal tract and the ulcers of anal fissures, causing severe pain in the affected area. Additionally, capsaicin can dilate the mucosal blood vessels, leading to bleeding in the anal fissures. Alcohol has a similar effect, as it can exacerbate congestion and blood stasis in the anal and rectal areas. In most cases, consuming chili peppers and alcohol can intensify the pain.

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Written by Xu Jun Hui
General Surgery
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How to treat hemorrhoids, bloody stool, and anal fissures?

Hemorrhoids and anal fissures are two different conditions. Generally, the early treatment for anal fissures is similar to that for early hemorrhoids, which is conservative treatment. This includes ensuring smooth bowel movements, preventing constipation, avoiding dry stools, preventing prolonged bowel movements, and avoiding sitting still for long periods. If the amount of bleeding is small, conservative treatment as mentioned above, along with the application of local medication around the anus, can control the symptoms. Regularly consume vegetables and dietary fiber. If there is severe bleeding from hemorrhoids or severe pain due to a large fissure in anal fissures, relevant examinations should be conducted. After ruling out other conditions, surgery may be necessary.

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Written by Hu Xiang Dang
Colorectal Surgery Department
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Is anal fissure serious?

People often ask whether anal fissures are serious and what the consequences might be if they are not treated. Although treating anal fissures is not particularly difficult clinically, many patients, due to a lack of treatment knowledge and awareness of the condition, often delay treatment, which can cause some harm to their health. If an anal fissure is not treated, in addition to the pain during bowel movements and bleeding that the fissure itself causes, over time, it could also lead to conditions such as anal fistula and hypertrophied anal papillae. At the end of the fissure, a sentinel pile may develop. Due to the repeated irritation by fecal matter in an inflamed fissure, a linear ulcer may form. The skin and subcutaneous tissue around the anus might undergo fibrosis, thickening, or. form a hard lump. If the fissure repeatedly becomes infected, it can lead to the development of an anal sinus, and after infection, it may cause subcutaneous fistulas or abscesses. Of course, if an anal fissure persists over time, due to long-term spasm and fibrosis of the internal sphincter, it can lead to consequences such as anal stenosis.

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Written by Wang Ji Zhong
Internal Medicine
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Will anal fissures cause bleeding?

As the name suggests, an anal fissure is a condition where the anal canal splits open, forming small ulcers. These splits run parallel to the longitudinal axis of the anal canal and are typically spindle-shaped or oval. They often cause severe perianal pain. The classic clinical signs of an anal fissure include pain, bleeding during bowel movements, and constipation. Thus, anal fissures do bleed, characterized by spotting of blood during defecation or blood on tissue after bowel movements. The blood is usually bright red. The amount of bleeding relates to the depth and size of the fissure but generally does not present as heavy or spurting bleeding like with hemorrhoids, and significant bleeding is rare. The bleeding from an anal fissure can also recur periodically. Therefore, it is important to seek timely medical treatment at a hospital to ensure effective therapy and early recovery.