Anus crack may occur in the part from the anal canal, which is the last part of the large intestine, to the anus area on the skin. It is a sensitive area as there are many nerve endings in the anus area. Tears extending to this area are quite disturbing. If anal fissures, which usually occur in the inner part of the anal canal, are not treated, the patient's living standards will seriously decrease. It occurs as a result of vertical rupture of the epithelium and mucosa. It usually occurs in the weakest part of the breech, called the anoderm. Anesthesia, which can be seen at any age, regardless of male or female, is also common in babies. Cracked breech in babies occurs when they have intestinal and gas problems or have trouble urinating. Since this situation causes pain in the rectum, the baby refrains from using the toilet and a vicious circle is entered. In this case, the necessary treatments are applied and the crack is healed. Anal fissure may develop acutely or become chronic when it is not treated for a long time. Unlike acute anal fissure, chronic anal fissure lasts longer and inflammation occurs.
What are the Symptoms of Anus Fissure?
Although similar symptoms are generally seen in people with rectal fissure, the severity of the symptoms varies from person to person. shows. The most important symptom of anal fissure is the feeling of tearing and glass cut during the toilet. After the painful toilet process, the pain continues for a while. For this reason, patients actually cause the progression of fissures by contracting themselves to avoid pain or delaying the need for the toilet. Other symptoms of anal fissure include rectal irritation, itching, swelling and minor bleeding. When the crack deepens and becomes chronic in the breech, breast formation and inflammation may also occur. An advanced painful chronic anal fissure may affect the urinary tract, resulting in dysuria (burning in urination), pollakiuria (frequent urination) or urinary retention (inability to urinate). Since the symptoms of cracks in the anus are similar to the symptoms of other diseases such as hemorrhoids, breech cancer, rectal abscess, it should be diagnosed under the control of a doctor.
Anescal Fissure Why It Happens?
Anus crack can be seen depending on genetic structure or lifestyle such as eating habits and toilet pattern. In terms of genetic structure, the ring at the anal exit may be narrower than it should be, in this case, it will be inevitable to form cracks by being more affected by strains. In some people, the sphincter muscle is harder and tighter than it should be. Apart from genetic reasons, the most important cause of anal fissure is toilet layout. Anus tears are seen in those who cannot go to the toilet regularly, who have difficulty during the toilet, and those who suffer from constipation or diarrhea for a long time. When it is difficult to go to the toilet as a result of constipation, tearing occurs as a result of straining and irritation. In the case of diarrhea, tears may occur due to frequent use of the toilet and the repeated washing and drying process. Another condition that causes breech tear is normal delivery. Breech rupture occurs as a result of straining and straining during childbirth. Conditions that may rarely cause anal fissure include Crohn's disease, sexually transmitted diseases and ulcerative colitis.
How to Diagnose Anal Fissure?
Symptoms are important in the diagnosis of anal fissure. Although it is an indicator, a doctor's control is required in order to make a full diagnosis. In the diagnosis of anal fissure, the doctor detects the tear by performing a physical examination with the eye and finger. During the examination, the patient stands and bends so that his forehead or elbows are on the stretcher. If necessary, if other diseases are suspected, the doctor may request colonoscopy or rectosigmoidoscopy examinations. Manometric measurement can also be performed during the diagnosis of anal fissure. While the anal canal pressure is 90 cm H2O at normal rest, it is higher when there is an anal fissure.
What is Good for an Anus Fissure?
Basically, what is good for anal fissure is to relax the muscles there. Interventions that the patient can do with his own means also aim to provide this relaxation. Hot water sitz baths can be applied as the application of heat will help relax the muscles by taking the tension in that area. It is also possible to provide relaxation and relieve pain in the area by applying local anesthetic creams. Another issue to be considered is the living conditions of the person. how it is. Eating habits and toilet order are very important for anal fissure. Constipation, which is one of the most important causes of anal fissures, can be prevented by eating a regular and healthy diet and consuming fibrous foods. In addition to preventing constipation, toilet habits can also be regulated.
Anescal Fissure Treatment
A three-stage treatment approach is observed in the treatment of anal fissures. The treatment steps applied vary according to the cause of the disease. In the first stage, it is tried to find a solution to the problem by changing the way of life and eating habits. If the cause is genetic, these changes may not be enough. In this case, botox treatment takes place in the second stage. Botox injection into the sphincter muscles relaxes the smooth muscle. It is a method preferred by patients as it is an easy procedure and does not require a surgical operation. But in some cases, botox treatment may not be enough or it may repeat frequently. Finally, in the third stage, there is the option of surgical treatment. If a permanent solution cannot be provided with other treatment options, surgery may become mandatory.
What is Anal Fissure Surgery?
Anal fissure surgery becomes a necessity when breech pain lasts for a long time and becomes chronic and bleeding and breast formation are observed. . In the breech crack surgery called Lateral Internal Sphincterotomy, the sphincter area where the tear and wound occurred is removed. This procedure should be carried out carefully by specialist physicians, because incontinence, ie leaks, may occur when more parts of the mucosa are removed from the wound area. The operation usually takes about 20 minutes under general anesthesia. It is entered through a small incision of 1.5 cm from the breech and the part of 10-15 mm that causes the crack is removed. If necessary, stitches are placed on the incision formed during the procedure. Most of the time, stitches are not even needed.
What are the Points to Consider Before Anesthesia Surgery?
As in any surgery, there are issues to be considered before and after the breech crack surgery. A few days before the surgery, the patient should follow a diet by consuming painless, non-spicy, liquid or soft foods. it is recommended. Thus, it is not difficult to go to the toilet after the surgery. In addition, fine-grained and small-seeded fruits and vegetables should not be consumed because small seeds irritate the wound area and delay healing. You should not eat or drink anything for 6-8 hours before the operation. Before the operation, the necessary examinations of the patient are made, the anesthesia to be applied is determined by the examination of the anesthesiologist.
What are the Points to Consider After the Anesthesia Crack Surgery?
Pain in the rectum is minimal during the recovery period after the operation. though it may occur. In order to prevent rectal pain, the patient should not have intestinal problems by eating healthy. Along with the prevention of constipation, it is important to continue the hot water bath for up to 15 days. Since the incision is made in the operation area, it is necessary to prevent the formation of infection by paying attention to the hygiene rules. After the breech crack surgery, the patient is discharged in a short time and can continue his normal life and work in a few days. After the operations performed in the anal region, it takes weeks to fully heal. For this reason, if you have complaints such as pain, tenderness, itching and swelling in the anus, do not neglect the doctor's examination as soon as possible.
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