- Anal fissure - how to cope with a painful chair?
- Why is there
What is the anal canal and its features
The anal canal or rectum - is the end of the rectum and a length of 1, 5 and 5 cm, ending anus. The muscular coat of the anal canal consists of the external and internal sphincters that cutting and relaxing can be a narrowing or expanding the opening of the anus. In this area there are many nerve endings and blood vessels, creating an increased soreness and bleeding in various diseases.
Why is there an anal fissure
Anal fissure and anal fissure occurs most often in the background of the anatomical features of this area of inflammatory diseases, who are here, changes in the mucous membrane of the end of the rectum and a number of common diseases such as syphilis
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, Gonorrhea, tuberculosis
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, Various gastrointestinal disorders, disorders of the chair, and so forth.
Acute anal fissure occurs more frequently between the ages of 20 and 50 years, predominantly in women. In 90% of cases of anal fissure is located on the back (coccyx) wall of the anal canal.
Signs of acute anal fissure
Acute anal fissure often occurs against a background of persistent constipation or diarrhea as a result of damage to the rectal mucosa when it is stretched tight stool during bowel movements. Thus a person has a strong pain immediately after stool, which may last from a few minutes to 2-3 hours. Less common discharge from the anus - usually fresh blood.
The end result is a sharp crack or complete healing (sometimes even without residual effects) or chronic process with the development of complications.
Chronic anal fissure
An anal fissure may eventually acquire chronic course. At the crack of chronic pain are more durable, reinforced, not only after the chair, but with prolonged forced position, so some patients are afraid to sit down. Against the background of constant pain, constipation and general discomfort such people often develop a neurosis
Neurosis - reaction to the nervous shock
They become irritable, sleep poorly.
The disease is undulating, with light gaps and exacerbations, while the longer the anal fissure, the longer and shorter acute lucid intervals. Sometimes, chronic anal fissure is asymptomatic and is detected as a random finding during routine inspections.
Anal fissure can lead to infection and the emergence of accession ulcers around the rectum, bleeding, chronic pain in the anus. Since there is a constant trauma of this region stool, part of the mucous membrane of the sphincter is replaced by scar tissue, which further exacerbates the disease. In addition, significantly compounded for other diseases - hemorrhoids, various gastrointestinal disorders, prostatitis, and so on.
Correct diagnosis is usually made after a conversation with the patient and his inspection. Confirm the presence of fissures is possible by means of a special study - rectoscopy while using an optical instrument inspected rectal mucosa.
Conservative treatment of anal fissure
Anal fissures can be treated on an outpatient basis with a surgeon or a proctologist. Treatment for anal fissure is usually conservative. First of all prescribed drugs, diet and nutrition, helps to eliminate constipation and regular bowel. Because the diet is necessary to eliminate the sharp, spicy and irritating the gastrointestinal tract dishes, as well as alcoholic beverages. Normalization of defecation contributes to the consumption of foods rich in fiber (vegetables, fruits), regular meal, a light supper for 2-3 hours before bedtime
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Systematic gymnastics. It is also recommended regular hygiene measures: wash the anus after each bowel movement with cool water.
Pain after defecation shot appointment of rectal suppositories containing belladonna (belladonna), benzocaine, procaine. If you use candles bleeding with adrenaline (contra - high blood pressure). Locally you can use hip baths with disinfecting solution (eg potassium permanganate), oil microclysters.
At ineffectiveness of conservative treatment operation is conducted excision cracks within the healthy tissue.
Prevention
Prevention anal fissure - a proper diet, regular meals, timely defecation and combating sedentary lifestyles by daily walks and exercise.
Galina Romanenko