Treatment of anal fissure

summary

Anal fissure is a small full-thickness ulcer of anal skin below the dentate line. Its direction is parallel to the longitudinal axis of the anal canal, about 0.5-1.0 cm long, fusiform or oval, and difficult to heal. It is a common cause of acute pain in the anal canal in young and middle-aged people. Let's talk about the treatment of anal fissure.

Treatment of anal fissure

First: to keep the stool unobstructed, we should develop the habit of regular defecation every day. When we find that the stool is dry, we should not blame for defecation. Instead, we should use warm saline enema or kaisailu to inject into the anus to moisten the intestines and defecate. For patients with constipation caused by anal fissure, oral laxatives can be taken to make the stool soft and smooth, increase the intake of multi fiber food and change the habit of defecation, so as to gradually correct the occurrence of constipation.

Second, the patients with anal skin injury should be treated actively to prevent the formation of ulcer due to infection. Fresh anal fissure can be healed by non-surgical treatment, such as local hot water sitz bath, then with potassium permanganate solution sitz bath, can promote anal sphincter relaxation

Third: apply anti-inflammatory and analgesic ointment (including dicaine, berberine, metronidazole, etc.) on the ulcer surface to promote ulcer healing; take oral laxative to make the stool soft and smooth; use procaine for local closure or retention enema for severe pain to relax the sphincter.

matters needing attention

It is worth noting that: surgical resection can be used to keep defecation unobstructed, hot water sitz bath and wound dressing until complete healing.