Fissure
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Fissure
A fissure is a small tear or cut in the lining of the anus, typically causing severe pain during bowel movements. It’s a common condition and can result from several causes. The primary cause is often the passage of hard, dry stools, which can damage the delicate anal tissue. Other factors include chronic constipation, diarrhea, straining during bowel movements, and conditions like Crohn’s disease.
Treatment
Treatment for anal fissures typically begins with conservative measures such as dietary changes to soften stools and increase fiber intake, ensuring proper hydration, and using over-the-counter creams to relieve discomfort. Warm sitz baths can also help relax the anal muscles and promote healing.
In cases where conservative treatments don’t provide relief, medical intervention may be necessary. This can involve prescription creams containing calcium channel blockers or nitroglycerin to relax the anal sphincter, promoting healing. In some cases, botox injections or surgical procedures like a lateral internal sphincterotomy may be recommended to reduce anal muscle tension and allow the fissure to heal.
Early diagnosis and prompt treatment are essential to prevent chronic fissures or complications. Patients should consult a healthcare professional for proper evaluation and guidance tailored to their specific condition.