What should I do if I have bleeding and anal fissures due to excessive internal heat?

Written by Zhang Shu Kun
Traditional Chinese Medicine
Updated on December 27, 2024
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If anal fissures with bleeding occur after excessive internal heat, the acute phase can be treated with warm saltwater sitz baths. If the condition is severe, it is still best to visit a local reputable hospital and receive treatment based on a doctor's diagnosis. Regular attention must be paid to the diet, avoiding spicy, irritating, raw, and cold foods, as well as overly greasy or fried foods, to prevent aggravation of the condition. It is advisable to drink more warm water and eat more fresh fruits and vegetables. Paying attention to rest is crucial, especially avoiding staying up late. Regular physical exercise can also help boost the body's resistance.

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Written by Lin Shao Qiang
Internal Medicine
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What fruits to eat for anal fissures?

With anal fissures, it is important to maintain smooth bowel movements. Consume more fresh fruits and vegetables, such as bananas, kiwis, strawberries, celery, and spinach, as their rough fibers help lubricate the intestines and facilitate bowel movements. Avoid spicy and irritating foods, foods that cause internal heat, especially avoid chili peppers, onions, ginger, and garlic, and do not drink alcohol, as these can exacerbate constipation and worsen symptoms of anal fissures. Additionally, keep the affected area dry and clean to prevent bacterial infection, and wash with warm water. If there is inflammation in the area of the anal fissure, a sitz bath with potassium permanganate can be used.

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Written by Du Rui Xia
Obstetrics
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Do postpartum anal fissures require surgery?

For postpartum women who experience anal fissures, whether or not they can undergo surgical treatment requires a specific examination to determine the severity of the fissure, and then select a targeted treatment. For mild anal fissures, treatment can be administered through medications, which involves applying topical medications, as well as cleaning the affected area in daily life, which can gradually aid in the recovery of the fissure. It is not the case that all anal fissures must be cured through surgery. However, for some severe anal fissures that are also accompanied by serious infections, this situation necessitates dealing with the affected tissues before the anal fissure can be healed.

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Written by Chen Tian Jing
Colorectal Surgery
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How many days can an anal fissure heal?

Mild anal fissures or those with shallow cracks can generally heal within about a week through local heat application or by applying hemorrhoid cream. However, there is another type of anal fissure known as chronic anal fissure. Chronic anal fissures primarily involve ulcer-like infectious changes at the local site, hence, they cannot heal on their own and can only be alleviated by lubricating the stools and applying hemorrhoid cream locally. In some cases, conservative treatment might not be significantly effective for chronic anal fissures. If surgery is performed, the recovery time is approximately 20 days. It is recommended that patients with chronic anal fissures undergo surgical treatment with endoscopic loosening.

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Written by Chen Tian Jing
Colorectal Surgery
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What causes anal fissures?

Anal fissure is a series of clinical symptoms such as pain or rectal bleeding that occur due to the formation of a crack in the local sphincter muscle of the anus. The main reason for the occurrence of anal fissures is due to poor defecation habits in the early stages of the patient, or excessively dry stools, and excessive force during defecation, causing the local sphincter to burst, resulting in the fissure opening pain or bleeding. To treat anal fissures, it is first necessary to soften the patient's stools and adjust defecation habits. If the patient's diet is poor, it is recommended to maintain a light, easily digestible diet long-term. For those with dry stools, appropriate oral medications to lubricate the intestines and facilitate bowel movements can be used, or sesame oil can be applied around the anus before each defecation to lubricate the stool. If recurrent episodes of anal fissures occur, surgical treatment can also be directly performed. (Medication use should be under the guidance of a doctor.)

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Colorectal Surgery
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What should I do about anal bleeding and anal fissures?

If a fissure is visible to the naked eye at the anal sphincter during a digital rectal examination, it is primarily considered an anal fissure. Anal fissures generally cause severe local pain and bleeding from the fissure. The fissure is primarily due to the local crack being stretched or opened, causing bleeding from small blood vessels, and the blood from the fissure is usually bright red. To treat bleeding from an anal fissure, it is first necessary to soften the stool, as the occurrence of an anal fissure is mainly related to dry stools and difficulty defecating. Once the stool is lubricated, it can reduce the need to exert excessive force during defecation, lowering the possibility of stretching the local fissure. Topical application of hemorrhoid cream at the fissure, or combined with oral medications that cool the blood and stop bleeding, may be used. If there is repeated bleeding from an anal fissure, surgical treatment is also recommended. (Please use medications under the guidance of a professional physician, and do not self-medicate.)