How to treat hemorrhoids, bloody stool, and anal fissures?

Written by Xu Jun Hui
General Surgery
Updated on February 16, 2025
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Hu Xiang Dang
Colorectal Surgery Department
1min 31sec home-news-image

What should I do if I have an anal fissure?

So, what should we do if we have an anal fissure? Generally, for patients with early-stage anal fissures where the fissure is still fresh and without complications such as sentinel piles, hypertrophied anal papillae, anal papillitis, anal stenosis, subcutaneous fistulae, or subcutaneous abscesses, conservative treatment under medical supervision can be pursued. First, altering the diet by increasing water intake and consuming more vegetables and fruits can improve the characteristics of the stool. Post bowel movement, traditional Chinese herbal remedies for pain relief, such as Shen Tang, or sitz baths using potassium permanganate solution can be used. Locally, applications like Longzhu Ointment or Jiuhua Ointment may be applied. If constipation is present, stool softeners should be used to aid bowel movements. In the chronic stage, if symptoms are only accompanied by internal sphincter spasm and no other complications such as sentinel piles or hypertrophied anal papillae, in addition to the general treatments mentioned above, anal dilation can be considered. If dilation is ineffective, then surgical treatment should be considered at this time. For patients with chronic anal fissures who also have symptoms like sentinel piles, hypertrophied anal papillae, anal stenosis, or for those who have had prolonged ineffective treatment of initial anal fissures, it is advisable to seek surgical treatment at a hospital.

doctor image
home-news-image
Written by Hu Xiang Dang
Colorectal Surgery Department
1min 14sec home-news-image

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.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
1min 4sec home-news-image

How to examine anal fissures in women

If a woman suspects symptoms of an anal fissure, it is recommended to directly perform a digital rectal examination rather than an anoscopy, to avoid worsening the condition by potentially tearing local fissures with the anoscope. Typically, an anal fissure presents with severe local pain in the anus, bleeding during bowel movements, and accompanying hard stools. Therefore, the initial treatment should focus on softening the stool, for which one can take oral hemp seed oil capsules to facilitate bowel movements. Additionally, applying Recovery New liquid as a hot compress on the local fissures can help alleviate symptoms and promote healing. If there is anal constriction, anal dilation therapy might be chosen, or treatment may involve a lateral internal sphincterotomy. (Please use the above medications under the guidance of a physician, and do not use them indiscriminately on your own.)

doctor image
home-news-image
Written by Xu Jun Hui
General Surgery
48sec home-news-image

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.

doctor image
home-news-image
Written by Li Xiao Jie
Internal Medicine
46sec home-news-image

Can anal fissures be cured completely?

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.