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"Secretly tell you, I have anal fissures in the past few days, now my buttocks are so painful, how to be good ah? I don't dare to go to the doctor ......"
"Hiss, anal fissure? You and your boyfriend don't go off the beaten path, playing so big!"
"What are you thinking, it's not that, don't you get the wrong idea!"
26-year-old Xiao Shi (a pseudonym) has been troubled by constipation, at first did not care, but the problem worsened, and now every time you defecate, it is as painful as stepping on glass slag, and every time you go to the toilet, you have to be very determined, which makes her already constipated, she is in a vicious circle.
At first, Shih would go to the toilet with the help of a corker, but as time went on, the pain became more and more intense. In order to reduce her bowel movements, she had to go on a diet to reduce the number of bowel movements, and in just a few weeks, Shi's whole body became very decrepit.
Shi's best friend couldn't stand it and advised her to hurry up and see a doctor, and even accompanied her to make an outpatient appointment, which made her determined to go to the hospital for a checkup. After the examination, the doctor informed that it was caused by anal fissure, and now after treatment, Xiaoshi is recovering well.
I. What is it like to have an anal fissure?
"Like pulling a knife", "blood dripping from the buttocks", "itchy" are the descriptions of anal fissures by many people.
Anal fissures are commonly referred to as fissures in the skin of the anus. Most early anal fissures are caused by occasional constipation or a tear in the skin of the anal canal when a dry, hard stool passes through the anus.
When anal fissures occur, the main symptoms are as follows:
Pain: severe anal pain during defecation, which can last for several hours and is not relieved even before the next defecation;
Blood in the stool: usually a small amount of fresh blood on paper, sometimes or not, easily bleeding when the stool is dry and hard;
Constipation: constipation can trigger anal fissures, and patients fear defecation, leading to
Other symptoms: protruding external hemorrhoids on the anal verge with pain and itching, prolapsed swelling in the anus (anal papillomegaly), discharge, etc.
And in everyday life, there is often confusion between hemorrhoids and anal fissures, are they the same thing? What is the difference?
Piles and fissures both have blood in the stool, but there are clear differences:
Piles usually have blood in the stool early on, but no painful bowel movements, while fissures have pain early on and occasional blood in the stool;
Piles can be felt directly by hand in the late stages of hemorrhoids, while fissures are still predominantly fissured at the anus and painful after a bowel movement.
Two, the good anus, how to "fissure"?
When it comes to anal fissures, some people inevitably think that they are caused by the "back door", but in fact most people's anal fissures have nothing to do with the "back door".
1. Constipation or diarrhea
Abnormal stools are an important cause of anal fissures, and constipation or diarrhea can cause damage to the anal canal, resulting in a fissure. The most important thing is that it is easy to get a good idea of what to expect.
Diarrhea as well. Prolonged diarrhea can cause continuous irritation of the skin of the anal canal with watery stool, which can cause skin inflammation and result in tears.
2. Relative ischemia in the posterior midline of the anus
The essence of anal fissure is ischemic ulcers. The anal arteries are distributed from both sides to the middle, with weak anterior and posterior distribution and poor blood supply, making it easy to produce fissures when feces rub and impact.
3. The tension of the internal sphincter is too high
The anal canal is under a certain pressure, and the maintenance of this pressure mainly comes from the internal anal sphincter. When tension, intestinal or anal canal inflammatory irritation occurs, it can easily cause the tension of the internal sphincter to increase, producing anal fissures.
4. Other factors
Anal congenital malformation, stenosis, anal foreign body, trauma and other traumatic factors, as well as perianal infection and chronic inflammatory irritation, cause the anal canal skin elasticity to weaken, and these can cause anal fissure.
In addition, bad habits such as excessive forceful defecation, prolonged defecation, and love of spicy and irritating food can also accelerate the occurrence of anal fissures.
Three: Do you have to see a doctor if you have an anal fissure?
Anal fissures are one of the common anal diseases, but many people do not actively seek medical help because of their embarrassing location.
When an anal fissure occurs, if effective measures are not taken in a timely manner, it may lead to multiple repeated anal tears, forming a vicious cycle, and repeated anal fissures may also develop complications such as anal sinusitis, anal papillomegaly, anterior sentinel hemorrhoids and abscesses, and subcutaneous fistulas, all of which can seriously affect the quality of life and work.
Anal fissures need to be treated according to the stage of the patient. For patients with early anal fissures, they can usually heal on their own by taking a sitz bath with warm water or light salt water or bitter ginseng soup after defecation, applying topical muscle-building cream, and controlling their diet and adjusting their lifestyle habits.
For patients with old anal fissures that are not well treated with medication, they can be cured with medication injections or surgery.
The following 3 points should be noted for prevention and control of anal fissures:
1.Good defecation habits
Regular defecation, control the length of defecation, pay attention to the force is not too violent, after the stool should be timely cleaning the anus, which is good for pain relief.
2. Eat a light diet
Eat more fresh vegetables and fruits, drink more water, and eat less food that can easily cause constipation, or cause diarrhea, such as greasy, spicy and irritating food.
3. Actively treat diseases
People with constipation problems should seek medical treatment in a timely manner. Eat more fruits, vegetables and other high-fiber-rich foods on a daily basis, drink more water, and supplement probiotics at the right time to promote bowel movement and help soften stools.
When you find something wrong in the "jugular" area, don't delay treatment because you are shy, as long as it is controlled in time, you can still get the "jugular" back to its ideal state.
- Author:Duly-health
- URL:https://www.dulyhealth.site/article/11d1dc56-6441-41a9-8f44-d8422e828793
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