Treatments for Anal Fissure

Anal Fissure

Anal Fissure are small tears that occur in the tissue that covers the mucous membrane of the anus. This crack in the skin can cause severe pain and bleeding after defecation. This condition can occur when passing through hard or large stools during defecation. Anal lacerations are very common and can affect people of all ages and are usually not a serious condition.

Anal Fissure heal spontaneously in 4-6 weeks or improve with simple treatments such as increased fiber intake and the use of stool softeners and topical analgesics, but in some cases anal lacerations are chronic, Surgery may be required.

Treatments for Anal Fissure

Some lifestyle changes and home remedies reduce the pain and discomfort caused by anal fissures. These include:

Add Fiber to Your Diet: Fiber-rich foods soften stools and improve crack healing. This includes fruits, vegetables, nuts and whole grains.

Drink plenty of fluids to prevent constipation.

Regular exercise and physical activity: Engage in moderate physical activity, such as walking for at least 30 minutes several days a week. The activity promotes regular bowel movements and increases blood flow to all parts of the body.

Avoid tension during defecation: When tensioned, it puts pressure on the mucous membranes of the anus and the cracks recur.

Soaking in warm water several times a day for 10 to 20 minutes relaxes the sphincter muscles and helps heal cracks.

Nonsurgical Treatment

• Nitroglycerin: An external application of a drug containing nitroglycerin increases blood flow to the cracks and promotes healing.
• Local anesthetic cream relieves pain.
• Botox injections paralyze the anal sphincter and relieve spasms.
• Blood pressure medications help relax the anal sphincter.

Surgical Treatment

The surgical procedure for anal lacerations is known as lateral internal sphincter incision (LIS). This procedure cuts a small portion of the anal sphincter to reduce spasms and pain. This action promotes the healing of cracks and is an effective remedy.

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