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 Wang Ji Zhong
Internal Medicine
1min 12sec home-news-image

Are anal fissures and hemorrhoids the same thing?

Hemorrhoids and anal fissures are common clinical conditions, but their symptoms are completely different. Generally, they both share a common symptom, which is the presence of rectal bleeding, and this bleeding is usually bright red blood. The difference between anal fissures and hemorrhoids is that anal fissures primarily cause pain, while hemorrhoids primarily cause bleeding. Hemorrhoids only cause severe pain when external hemorrhoids become inflamed and swollen, while anal fissures often involve enlargement of the anal papillae. Hemorrhoids do not involve enlargement of the anal papillae, and while anal fissures can involve skin tears around the anal canal, hemorrhoids do not. During a digital rectal exam, this can be diagnosed; hemorrhoids are caused by poor local venous circulation, leading to venous congestion and the formation of vascular bulges. Depending on their location, they are divided into internal and external hemorrhoids. Anal fissures are skin tears located on the more lateral parts of the anus, and during defecation, the tear worsens, bleeding and causing severe pain, whereas hemorrhoids usually do not cause severe pain.

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

What should I do if anal fissures keep recurring?

Repeated episodes of anal fissure generally result in the formation of chronic anal fissures. The fissure in chronic anal fissures mainly presents as an ulcer surface, and because the fissure is enclosed within the local sphincter muscles, drainage is poor, thus reducing the likelihood of healing. When patients with anal fissures suffer from long-term recurrent episodes, they also experience spasms of the local anal sphincter and tightening of the anal canal, which can lead to difficulties in bowel movements and dry stools in the anal region. When the spasm of the local anal sphincter worsens, the pain may cause patients to be afraid of defecating voluntarily, thereby creating a vicious cycle of recurrent episodes. The best treatment for recurrent chronic anal fissures is surgical intervention.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
46sec home-news-image

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.

doctor image
home-news-image
Written by Li Xiao Jie
Internal Medicine
51sec home-news-image

What is the best treatment for anal fissures?

The treatment of anal fissures depends on the specific situation. For initial onset anal fissures, since the fissure is small, treatment can be achieved through methods such as Chinese herbal fumigation or topical application of medicine. For recurrent anal fissures that have persisted for a longer time, fumigation and washing with medicine are less effective. In such cases, surgical treatment is necessary, and it should be sought at the proctology department of a formal hospital. Anal fissures are greatly related to bowel habits, so it is important to maintain smooth bowel movements by, for example, drinking more water, eating more high-fiber foods, consuming less spicy and stimulating foods, abstaining from alcohol, and avoiding greasy foods.

doctor image
home-news-image
Written by Li Xiao Jie
Internal Medicine
39sec home-news-image

What should not be eaten with anal fissure?

Patients with anal fissures should be cautious with their diet, avoiding spicy and irritating foods to prevent exacerbation. They should also consume foods rich in roughage, such as cornmeal, sweet potatoes, celery, leeks, and cabbage, which can facilitate bowel movements and prevent the aggravation of anal fissures due to dry stools. Additionally, alcohol should be avoided as it may dilate blood vessels and lead to increased bleeding. It is essential for patients with anal fissures to maintain smooth bowel movements and avoid sitting or squatting for extended periods.