Surgical Techniques for Effective Anal Fissure Management
What is the procedure for Anal Fissures?
A small tear in the anus lining can cause fissures. During bowel motions, an anal fissure can cause sharp pain and bleeding. The condition heals on its own in four to six weeks. Damage to the lining of the anus is a common cause, and surgeons believe it results from chronic idiopathic constipation (unknown cause). Proper hydration may help prevent anal fissures. Dietary fibre, stool softeners, and topical lotions for the afflicted region are effective therapies.
An anal fissure is a small but painful split or tear in the lower area of the rectum. Haemorrhoids can be mistaken for anal fissures. An anal fissure is not a life-threatening condition. Stool softeners and topical pain medications are viable treatments that can aid in healing and easing discomfort. Sometimes, surgery can be inevitable if anal fissures do not heal after these treatments. Other underlying illnesses that can cause anal fissures may require your doctor's attention.
- A noticeable tear in the skin around your anorectal area
- Severe pain in the anal area during bowel motions because of a skin tag or small lump of skin near the tear
- During or after a bowel movement, there is bright red bleeding
- During and after a bowel movement, you may experience pain
- In the anal area, there is a burning or itching sensation
Fissure forms when your anal mucosa gets stretched beyond its natural capacity. Severe constipation causes hard stools, which can lead to this condition. When a tear occurs, it leads to more harm. Below the wound is the exposed internal sphincter muscle that can suffer spasms. This situation is quite painful. The spasm pulls the fissure edges apart, making repairs more difficult. When you have bowel motions, the spasm causes further ripping of the mucosa. This cycle creates chronic anal fissures. Also, sometimes inflammatory bowel diseases (IBD), such as Crohn's disease, cause anal fissures. Reduced blood supply to the anorectal area and tight or spastic anal sphincter muscles can be plausible reasons for anal fissures.
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| Navigating Recovery- Healing Anal Fissures |
On rare occasions, anal fissures can occur because,
- Anal cancer or malignant tumours
- HIV
- TB
- Syphilis
- Genital herpes
- When do you need to see a doctor?
If you notice any of the symptoms listed below, seek medical attention:
- In the anal area, a stinging discomfort
- Itchiness
- A visible tear in your anorectal area
- Anorectal clotting
- Toilet tissue with bright crimson blood
- Separation of blood and excrement
- Stools that are very dark, sticky, or have dark red blood
An acute anal fissure heals within six weeks of treatment. Anal fissures that last for more than six weeks are called chronic anal fissures. An imbalance in anal pressure can prevent blood from flowing through the blood vessels surrounding the anus in people whose anal fissures do not heal well. A lack of blood flow hampers healing. Treatment of anal fissures involves medicines, injections, and even topical therapies that enhance blood flow.
Other treatments include:
- Increase fibre and water in your diet, which will help you control your bowel motions and reduce diarrhoea and constipation.
- Up to 20 minutes of warm baths per day
- Taking stool softeners when needed, such as fibre supplements
- A lateral internal sphincterotomy during which surgeons relieve pressure within the anus
What are the risks of anal fissures?
- Discomfort and pain
- The difficulty with bowel movements
- Blood clotting
- Gas and uncontrollable bowel motion
Conclusion
A tiny tear can cause fissures in the anus lining. When your anal mucosa strains beyond its natural capacity, an anal fissure occurs. Constipation can cause this.
FAQs
- How acute is the pain from anal fissures?
You may feel tearing, ripping, or burning. You may experience a tiny amount of bright red bleeding during and after a bowel movement, a common anal fissure symptom. While the condition can be painful, it is not dangerous.
- Is fissure a severe problem?
The fissure might sometimes be deep enough to expose the muscle tissue beneath it. An anal fissure is not a life-threatening condition.
How can you know if you have an anal fissure?
- Personal medical history
- Symptoms
- Rectal examination
A surgeon may insert an anoscope into your rectum during your rectal exam. This medical device is a thin tube used to examine the anal canal. Your doctor may use an anoscope to look for other reasons for anal or rectal pain, such as haemorrhoids. If you experience rectal discomfort, an endoscopy may be necessary to help diagnose your symptoms. Your doctor may ask for a stool test if you have blood in your stool.
@Kishor Deo (Pune)
7499071744 & 8767154517