Depending on the severity of fissures, their treatment can be determined. Most fissures are short-term and can be treated at home. However, chronic fissures may need medical attention to cure properly.
Understanding the Disease
A tear occurring in the lining of lower rectum, i.e. the anal canal, is known as anal fissure. This tear gives birth to pain during bowel movement.
Despite the severe trouble, anal fissures do not grow worse with time and most of them can be easily treated at home within a few days or weeks. These are called short-term or acute anal fissures. When a person suffers from anal fissures that do not heal even after 8-12 weeks, it is considered to be long-term or chronic fissure. In this case, a person may be required to undergo treatment.
Anal fissures can affect people of all age groups, however, young people can be at a higher risk.
So, What Causes Anal Fissures?
To eliminate a problem, it is important to understand its root cause. Anal fissures are caused as a result of an injury or a trauma to the anal canal. Such injuries can take place when:
- a large stool is passed
- a person tries to pass hard stool during constipation
- a person suffers from frequent diarrhea
- childbirth can also cause trauma to the anal canal
Anal fissures can also be caused during a rectal exam, anal intercourse or while inserting a foreign object. In some cases, anal fissures are also caused by Crohn’s disease. It has been believed by many experts that when extra exertion is created in the two muscular rings which control the anus, fissures develops. The outer anus ring is under your control while the inner ring is not. The muscle is under a constant pressure and when this pressure increases it can lead to spasm and a decreased flow of blood to the anus causing fissure. This pressure is also responsible for preventing fissure from healing.
How to Diagnose Anal Fissures?
Anal fissures can be diagnosed by a physical exam and by examining the symptoms. The examination includes:
- checking the fissure by slowly separating the buttocks
- a digital rectal exam in which a gloved finger is inserted by the doctor into the anal canal
- Anoscopy in which a light and short scope is used to look inside the anal canal
Treatment for Anal Fissures
Depending on the duration of fissures, the treatment can be determined. If you are suffering from short-term anal fissures home treatment can relieve the symptoms in 4 to 6 weeks. The pain caused by bowel movement usually fades away within few days of starting the home treatment.
Here are several steps to relive the pain and heal fissures:
- Prevent constipation by eating more fruits, vegetables, beans, and whole grains. You must also drink plenty of fluids and exercise regularly.
- You must schedule each day for a bowel movement and do not out strain.
- Take stool softeners or laxatives to relieve the pain from bowel movements. Consult the doctor before consuming laxatives.
- Fill a tub with warm water and sit in it for 20 minutes at least 2 or 3 times a day. This is known as sitz bath. It gives the torn issue a soothing effect and relaxes the internal ring.
- Avoid using toilet paper. Use baby wipes or medicated pads instead.
- Anal fissures are curable when proper care is taken. A healthy diet and a few hygienic measures can relieve you of the razor-like feeling down there.
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