What Are the Different Anal Fissure Treatments?
Old anal fissure is a common anal and anal disease. The symptoms are anal canal ulcers, which are not easy to heal, and pain in the anus during defecation and after defecation. It can also occur in middle-aged people, children, and the elderly, but it rarely occurs in the elderly.
Stale anal fissure
- Chinese name
- Stale anal fissure
- Foreign name
- Chronic anal fissure
- Types of
- Common Anal Canal and Anal Diseases
- People affected
- Middle-aged, children and elderly
- Treatment
- Old anal fissure is a common anal and anal disease. The symptoms are anal canal ulcers, which are not easy to heal, and pain in the anus during defecation and after defecation. It can also occur in middle-aged people, children, and the elderly, but it rarely occurs in the elderly.
- English: Chronic anal fissure
- Pinyin: chen jiu xing gang lie
- Incidence rates and areas are not equal, and the pathogenesis of men and women is equal. Anal fissure may have one or more fissures, but most anal fissures occur on the midline, just before or after, that is, the lithotomy position is at 6 and 12 o'clock. Due to the dryness of the stool, the skin of the anal canal is scratched when passing through the anus, which is called
- Anal fissure is actually a fissure in the anus, and this fissure mostly occurs in the middle of the anus. Anal fissure is generally divided into early anal fissure and old anal fissure. Long-term anal fissures can develop into old anal fissures without treatment, and patients suffer huge pains.
- Causes of old anal fissures
- Patients with long-term constipation due to dry and hard faeces, excessive force in the stool, laceration of the anal canal skin during discharge, repeated damage to deep laceration and full-thickness skin. The skin in the middle of the anal canal is relatively fixed, and the position of the distal end of the rectum is bent forward from the rear. Therefore, the pressure on the back of the anus is greater, and it is a common site of anal fissure. Rough examination can also cause anal fissures. Long-term tearing of the anal canal can lead to the formation of old anal fissures.
- Manifestations of old anal fissures
- 1. Hemorrhage: bleeding can be caused by tearing of the wound during stool, the blood color is bright red, the amount is not too much, it is drip-like, and it can stop naturally after the stool is finished.
- 2. Tightening: Dry stools are not easy to be discharged in the anus. This is because frequent repeated tears deepen the anal fissure and will not heal for a long time. The fibrous tissue under the wound will proliferate and form scars, which will limit the degree of relaxation of the anus, so the anus will change. Tight, clinically patients often say that the anus is "smaller."
- 3.
- First stage anal fissure: The superficial longitudinal fissure of the anal canal, the wound margins are neat and fresh, the tenderness is obvious, and the wound surface is full of elasticity.
- Second stage anal fissure: with a history of recurrent attacks, irregular wound edges, thickening, poor elasticity, purplish ulcer base, or purulent discharge, and congestion of the surrounding mucosa is obvious.
- Third stage anal fissure: The edge of the ulcer is stiff, the base is purplish red with purulent discharge, the anal papilla is enlarged near the anus sinus at the upper end, there is a fissured hemorrhoid at the lower end of the wound margin, or there is a subcutaneous fistula.
- 1. Examination cost: Anal fissure can be divided into initial anal fissure and old anal fissure according to the disease course and the specific condition. To make a clear distinction between the two, you must pass a professional inspection.
- For the examination of anal fissures, our hospital uses the latest Korean analoscopy equipment and uses medical video camera technology to break the shortcomings of traditional anorectoscopy. Doctors and patients can observe the lesions at the same time during the examination and lock the lesions. Printing and imaging can also zoom in and observe. It can collect images of deep lesions inside the anorectal and diagnose in real time, so that both doctors and patients can understand the condition clearly, accurately and intuitively, and avoid misdiagnosis and missed diagnosis. At the same time, it provides a reliable basis for comparison before and after treatment, helps patients understand the condition and choose a treatment plan, and avoids delays caused by the lack of traditional artificial examinations.
- 2. Treatment cost: Anal fissure is divided into initial anal fissure and old anal fissure. Different types of anal fissure treatment methods are different, of course, the treatment cost is also different.
- Old anal fissure, using HCPT minimally invasive therapy, using the principle of high-frequency capacitive field heat generation, enter the anus through rectal fiberscope, through the monitor, directly perform minimally invasive electrocoagulation on the anal canal fissure and close the anal canal fissure . It has been clinically verified that the technique has a good effect on the treatment of anal fissure, and has the advantages of no pain, no hospitalization, and short operation time.
- 3. Nursing costs after surgery: Although good treatment is the key to ensuring that the anal fissure does not recur, it is easy to cause infection if the surgery is not performed properly. Therefore, after the treatment of anal fissure, some anti-inflammatory drugs can be taken to prevent recurrence of the infection.
- There are also regional differences in the cost of anal fissure treatment. In different regions, the economic development status is different, and the cost of treatment will also be slightly different.
- Old anal fissure is a common anal and anal disease. Symptoms are revealed as an anal canal ulcer, which is not easy to heal, and anal pain is severe during and after defecation. It can also occur in middle-aged people, children, and the elderly, but it rarely occurs in the elderly. Incidence rates and areas are not equal, and the pathogenesis of men and women is equal. Anal fissure can be kept with one or several fissures, but most anal fissures occur on the midline, just before or after, that is, the lithotomy position is at 6 and 12 o'clock. Due to the dry stool, the skin of the anal canal is rubbed when passing through the anus. Because the stool is dry and hard, the wound that tears the anal canal when passing through the anal canal is called anal fissure. The depth of their violations varies. Shallow anal fissures only crack the skin of the anal canal, while deep anal fissures can invade subcutaneous structures to muscle structures and even muscle structures.
- In summary, the old anal fissure is characterized by anal canal ulcers, accompanied by
- The main cause of anal fissures comes from constipation. Constipation will make the feces abnormally dry. When you defecate, you have to work hard to support the anus, which causes excessive abdominal pressure, breaks the tissue around the anal canal, and causes anal fissure. Anal fissures are not treated for a long time, because it is difficult to endure the pain, tolerate urine and urine, and reduce pain. Feces are accumulated in the intestine for a long time and cannot be discharged normally, which exacerbates the development of constipation, making the anal fissures more and more serious. The nausea cycle, over time, formed the old anal fissure.
- People who have anal fissures will not get
- 1. Cause ulcers: In the initial stage of anal fissure, there will be small vertical slits. The edges of the slits are soft and neat, and they are more flexible. If they are often repeatedly infected and the slits cannot heal for a long time, the edges of those slits It will continue to thicken, and the base gradually becomes harder, which will form a more serious chronic ulcer.
- 2. Causes sentinel hemorrhoids: Because the fissures or abscesses of the anal fissure are often stimulated by inflammation under the fissure of the anal fissure, fibrosis or abscesses will slowly form some skin tags. People call it Sentinel hemorrhoids are external connective tissue hemorrhoids.
- 3. Causes anal fistula or anal marginal abscess: the inflammation develops below the fissure, and spasm of the anal sphincter will make the drainage of the ulcer unobstructed, and some secretions will invade under the skin of the anal margin and the abscess will appear. If these pus ruptures to the cleft, a subcutaneous fistula will appear.
- 4, causing the diaphragm to thicken: People s diaphragm is the narrowest place in the anal canal. This area is a frequent area of anal stenosis and anal comb sclerosis. Anal fissure inflammation will stimulate this area and cause diaphragm to thicken. Losing its original elasticity will hinder the healing of the cleft.
- 5, causing anal sinusitis or anal papillary hypertrophy: if the fissure of the anal fissure is often stimulated by inflammation, it will cause anal sinusitis or anal papillary hypertrophy. If the anal papillary hypertrophy is more serious, it will prolapse outside the anus with stool.
- Anal fissure is a common clinical disease. The main symptom of anal fissure is bleeding, which brings great annoyance to patients.
- 1. The main disease of anal fissure is dry stool, the anus is torn by hard stool, and it causes chronic ulcers. Therefore, you should insist on smooth stools, and do not excrete it after the hard and dry stools cause it. You can choose warm saline enema, paraffin oil enema, or use Kaisailu to inject into the anus to smooth defecation.
- 2, women's menstrual period should pay attention to hygiene, do not involve heavy physical labor. Eat more fruits and vegetables during pregnancy, and constipation is contraindicated. When giving birth, pay attention to damage the perineum, and do not tear the perineum and anus.
- 3.In the anal examination, such as
- The old anal fissure is that the patient does not pay enough attention to the acute anal fissure and does not treat it in time, which causes repeated infection of the wound to form the old anal fissure. The initial onset of old anal fissures is mostly due to constipation. If the prolonged prolongation is not completed, the wounds cannot heal themselves and repeated infections form old anal fissures.
- The causes of old anal fissures are mainly inflammation and irritation around the anus, such as dry stools, rubbing of feces, or excessive force during defecation, which can easily damage the anus. It can be said that constipation is the main factor that induces anal fissure. Less stools, stressful work, disturbances in living habits and work schedules, indulgence in spicy and irritating food and drinking can all lead to constipation.
- Due to constipation, it is difficult to make the stool dry and dry. It is often necessary to seduce the anus when defecation. Excessive force causes the anal canal to migrate to the epithelium, subcutaneous tissue or muscle layer. Constipation is not only the cause of anal fissure, but also an important clinical manifestation of anal fissure. Experts point out that the two are causal and cause a "vicious cycle". Anal fissures occur due to constipation. As the dry knots increase, constipation worsens, and the anal fissures worsen and progress. Such a long-term formation of old anal fissure skin Anal fissure. The most thorough treatment was selected for surgery.
- Old anal fissures continue to be delayed, and will be prone to five-acute anal fissure, anal canal ulcers,
- In addition to the need for surgery, the old anal fissure also has a typical and common symptom. The pain is long, which can reach 1 hour or even several hours, and it is accompanied by obvious tear-like pain. The patient is afraid of defecation caused by pain. The deliberate delay of defecation time causes the feces to stay longer in the rectum, and the moisture in the feces is further absorbed and becomes harder and harder, and the hard stools can be aggravated again, and the pain during defecation becomes even more painful. Pain constipation . It can be said that it is a "regret" to drag a disease that was easy to treat into a chronic disease.
- Can old anal fissures not be operated? Experts say that early anal fissures can be cured only by improving daily habits, but old anal fissures must be surgically cured.
- Because it is injured in the anus at the mouth of the defecation passage, it is easy to make the wound widen during defecation, and the wound is not easy to heal. In addition, with continuous constipation and dry stool, it is easy to cause the initial shallow wound to gradually deepen, and the perimeter of the wound is embankment-like. "Anal ulcer".
- After developing an anal ulcer, the anus becomes narrower, only as thin as the thickness of a pencil, making it difficult to defecate. At this time, the anal fissure can only be treated by expanding the anus through surgery.
- In addition, anal ulcers cause difficulty in defecation. Bacteria in the stool invade the wound, causing infection and inflammation. Polyps (anal polyps) are formed in the rectal part of the ulcer. Anal parts of the ulcer form "skin hemorrhoids" or are called 'sentinel hemorrhoids "Smoke-like protrusions, such as anal fissures that generate polyps and sentinel hemorrhoids also need to be treated with anal fissure surgery. However, polyps produced by anal fissures are different in nature from so-called large intestinal polyps and do not become cancerous.
- Experts remind that if you do not pay attention to the improvement of daily habits, anal fissure is difficult to cure. How to treat anal fissure, whether it is early anal fissure and old anal fissure, patients need to improve daily habits and develop good bowel habits. To prevent constipation.