An anal fissure is an ulceration of the lining of the anus, which is most frequently caused by hemorrhoids or hard stools. If the cracks are inflamment, are increasing or not heal, small ulcers form. These cracks are mainly located at the back of the anus and are accompanied by pain, moderate to strong during or after the issuance of the saddle, which can last for hours.
An anal fissure is mainly caused by hard stools. Upon issuance of stools, fecal matter is expelled through the sphincter at a very high pressure. Often, this region is already affected by prior lack of blood supply, by hemorrhoids or by eczema resulting from the increased pressure of the sphincter.
The most common symptoms of an anal fissure include :
The possibilities are: various Discussed for consideration in a debate Between doctor and patient.
In general, cracks heal quickly by themselves when the stools are soft. If this is not the case, the following possibilities are envisaged:
WLA essential measure is to regulate stool consistency using a stool softener (sound, vegetable fibers), of sitz baths with chamomile and nitrated ointment that will result in relaxation of the sphincter. It is also possible to lower the pressure at the sphincter using botulinum toxin, to cauterize the mucosal injury by means of silver nitrate or promote coagulation by infrared light. Finally, one can still apply a healing ointment. When these means are insufficient, fissurectomy may be necessary, it is to surgically eradicate the crack. Then the wound heals from the outside inwards, but sitz baths disinfectants should also be practiced.
If cracks reappear or if there is no improvement, it is called chronic anal fissure. Inflamment like crevasses, continually and tear can not heal, ulcers of small elongated form. Chronic anal fissure.
Regulation and loose stools are needed.
Sitz baths with chamomile, nitrated ointment to relieve pressure at the sphincter and possibly fissurectomy are also indicated.
As with any surgery, wound infection, fever and a bad reaction to medications or bandages may occur.
If the sphincter is greatly affected, anal incontinence may result.