Anal fissure literally means "anal fissure". The anal area is a very sensitive area because it is rich in sensory nerve endings. For this reason, a crack that occurs here can be extremely sensitive and painful and can disrupt the patient's comfort and quality of life.
Patients may experience severe pain and pain during defecation, as if "it is tearing in the anus or removing a small piece of glass." He complains about the condition they describe as "bleeding and itching." General Surgery and Surgical Oncology Specialist Prof. Dr. İlker Sücüllü explained the symptoms and treatment methods, saying that defecation becomes a nightmare for the patient due to these problems.
WHAT ARE THE SYMPTOMS OF ANAL FISSURE?
The disease usually occurs after a long period of constipation or diarrhea. It occurs after the anal area works excessively and forcefully outside the normal way it works. Meanwhile, a tear occurs in the border area between the anus and the skin, and this usually causes throbbing pain that lasts for at least a few hours after each defecation. This occurs due to excessive contraction (spasm) in the internal anal muscle. Pain causes contraction, and contraction causes the tear to grow.
The diagnosis of the disease is made by listening to the history of the disease and by examination. The most important thing to consider here is that anal fissure should not be confused with other diseases that may occur in this region.
PRECAUTIONS SHOULD BE TAKEN BEFORE IT BECOME CHRONIC
Generally, constipation, irregular defecation, rarely diarrhea attacks and other underlying diseases are present. Factors that can lead to anal fissure. For this reason, many people may experience short-term acute crack-related problems when they change their standard living environment such as a holiday or a business trip and when their toilet habits change, and these problems can even be observed in babies. However, prolongation or settling of this condition results in a deeper, persistent and chronic anal fissure.
SURGERY DECISION MUST BE MADE EXTREMELY CAREFULLY
Treatment begins with the correction of constipation, as in all diseases of this region. By correcting constipation and increasing fluid and fiber intake, the person should have a soft drink once a day. It is aimed to ensure that the patient has a regular defecation.
The target of the treatment is to eliminate the spasm in the internal anal muscle. For this purpose, primarily hot applications (application of hot water to the anus with a shower head) and special pomades are used.
Another minimally invasive treatment method is botox application. Very satisfactory results can be obtained when this procedure is performed appropriately on the appropriate patient by a specialist experienced in colorectal surgery. Thus, the patient can get rid of his complaints in a short time and is not exposed to surgical stress. However, it should not be forgotten that, since the disease is prone to recurrence, patients should carefully follow the doctor's recommendations after Botox application in anal fissure.
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