Anal fissure is a type of disease that causes severe pain and sometimes bleeding during and after defecation as a result of a crack formed at the exit of the anus due to any reason. Even though it is small in appearance, the discomfort it causes is very severe. Fissures generally occur in the back and midline. The first moments when pain and cracks begin are called acute fissures, and cracks that last longer are called chronic fissures.
Forced feces irritate the anus area. Small line-shaped tears occur. Especially after a difficult defecation, the patient feels severe pain. This pain feels like small pieces of glass are sinking. However, after the defecation function is completed, the pain continues and interferes with the patient's daily life. These tears, which are very painful, are in the muscles. It causes spasm. It causes more pressure and the tear does not have a chance to heal because blood circulation is insufficient.
Long-term constipation, pregnancy and childbirth in women, intestinal problems such as Crohn's and Ulcerative colitis. It is known that diseases are effective in the formation of fissure. Patients' stories are generally similar. It is observed that the complaints begin after a large and hard defecation event.
Many patients experience painful defecation. Pain is usually felt as tearing, cutting or burning during the passage of stool. The pain is not proportional to the size of the lesion in the anal area; the crack is small but the pain is usually severe.
The pain may end shortly after the defecation function is completed or it may be continuous. If the patient has a constipation problem, it may take a long time for the stool to come. After sudden and severe pressure on the anal area that is being strained, the passage of hard stool causes the crack to progress or continue. In addition, the patient may have bleeding, itching in the anus and urinary complaints.
Anal fissure is among the most common causes of painful bleeding in the anus. Bleeding is usually seen in small amounts, bright red, in the form of a few drops or smeared on toilet paper. Sometimes bleeding occurs as a trickle into the toilet. These bleedings may cause anemia.
Things to be done for anal fissure;
- Consuming 2.5 liters of water a day,
-Staying away from bitter, sour and spicy foods,
-Consuming fiber-rich foods as much as possible every day,
-Sitting with warm water for no less than 15-20 minutes twice a day. Taking a bath,
-In addition, you can use stool softeners to soften hard stools and make them pass more easily. The important point you should pay attention to here is to avoid hearsay medications and use the medications recommended by your doctor.
However, chronic anal fissures require intervention. In addition to classical surgical interventions, there are also non-surgical treatment methods. It is a highly preferred method. Thanks to Botox treatment, all the concerns of the patient are eliminated. Non-surgical anal fissure treatment is very advantageous. We can list the advantages it provides as follows:
· The intervention is performed under local anesthesia without the use of anesthesia. Therefore, it can be easily applied to pregnant women. Patients do not carry the risk of anesthesia.
· The procedure time is a maximum of 5 minutes, and the patient can continue his social life by walking after the intervention. In fact, this is its biggest advantage. Thanks to non-surgical treatment methods, the person's daily plan and program continues without any change. He can easily fulfill all his responsibilities. Generally, this advantage is very important for women who are active in business life or have children.
· The healing process is very short in the non-surgical treatment method. It reduces the complaints of anal pain, anal bleeding, anal redness and itching caused by anal fissure to a minimum level. .
· As for the treatment aspects, the patient is examined and the procedure is done on the day he comes for examination, which saves time for the patient and ensures that he gets rid of his complaints as quickly as possible.
· The person who receives the non-surgical treatment method. The probability of anal fissure recurring later is quite low.
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