An anal fissure is a type of anal disease. Excessive burning or pain like the edge of a knife while defecating – this is a known problem. In some cases, the pain is so severe that regular bowel movements become unbearable. These symptoms are usually symptoms of anal fissure disease. In Bengal, it is also known as gauge disease.
Many people do not want to see a doctor easily despite suffering from this problem for a long time. As a result, day-by-day gauge disease takes on a complex shape. There is no cure for this disease without a one-stage operation. However, this complex situation can be easily avoided by becoming aware of the early gauge disease.
What is an anal fissure?
The part of the back of the anus where stool is deposited is called the rectum. The stool or stool comes out of the rectum through the anus. The mouth of the anus can be closed and opened by applying pressure to the muscles around the mouth of the anus.
The skin around the mouth of the anus often ruptures or tears when there is too much pressure during defecation or when the stool is hard. This lesion of the anus is called anal fissure or gauge disease.
In the case of Anal fissure, there is severe burning or sharp pain in this cracked or torn part during defecation. At the same time, the muscles of the anus become tense. When the muscles are tense, the mouth of the anus also becomes narrow or tight. As a result, the process of defecation becomes very difficult.
If the blood flow to the affected area is reduced, it may take a long time for the crack to heal. Thus many people have problems with long or chronic anal fissures.
What are the symptoms of anal fissure?
1. Intense and sharp pain in the toilet
The most common symptom of anal fissure is a severe and sharp pain in the rectum during defecation. Many times patients feel as if a sharp piece of glass is coming out through the anus. This pain is the most painful for patients with anal fissures. This irritation can usually last for several hours in the rectum after defecation.
2. Bright red blood going to the toilet
Fresh red blood stains can be seen on the toilet or on used toilet paper. Bleeding is usually caused by tearing only a part of the skin, so there is usually not much bleeding. Since this bleeding occurs near the mouth of the anus, the color of the blood becomes bright red. If there was further bleeding from inside, the color of the blood would be dark or dark red.
3. Itching in the anus
Anal fissure disease can cause itching in the anus.
Why is it an anal fissure?
The most common cause of gauze disease is tanning stools or constipation. Many people do not want to go to the toilet when the toilet is hard, because then it is a little difficult to defecate. But if you keep the toilet inside the stomach, it becomes harder day by day. Once when I went to take out that hard toilet, the skin of the anal canal was torn and an anal fissure appeared.
Anal fissures can occur during pregnancy, especially in the last three months and after having a baby through normal delivery. However, in that case, the method of getting gauge disease is a little different.
Sometimes diarrhea can also cause gauge disease. Some other illnesses or medications can also cause anal fissures. Diseases that can cause anal fissures:
- 1. Inflammatory bowel disease (IBD)
- 2. Colorectal or anal cancer
- 3. Sexually transmitted diseases, such as HIV, syphilis, and herpes simplex
- 4. Inflammatory skin disease called psoriasis
- 5. Pruritus ani is an itchy mouth disease
- . Dermatitis caused by viruses, bacteria, or fungi
Medications that can cause anal fissures can cause side effects:
- 1. Nicorhendil used in angina-type chest pain
- 2. Some drugs used in chemotherapy
- 3. Pain medication, opium derivatives ( Opioids ), such tramadol, tapentadol, morphine, and pethidine
Ways to reduce anal pain
1. Boil hot water after defecation
You can sit in a bowl or dish with lukewarm water for a while so that it stays underwater from the waist to the anus. Kusum hot water helps to relax or relax the rectal muscles, thus reducing pain. It is called Sitz bath in English.
It can be taken only after defecation, that is not the case. Boil hot water 2 to 3 times a day. A study has shown that those who have adopted this method have got a lot of relief from gauge disease.
2. Taking paracetamol
Paracetamol can be taken as an analgesic pain reliever. Paracetamol is usually available in 500 mg tablets. If you have pain, you can take 2 tablets, that is, 1000 mg of paracetamol. In this way, the medicine can be taken for 4 to 6 hours in a row.
However, care should be taken to ensure that the amount of medicine does not exceed 8000 tablets per day, i.e., 4000 mg. Note that this calculation is for an otherwise healthy, adult person who weighs more than 50 kg. If your physical condition is not like this, you need to know the correct dose of paracetamol with the advice of a doctor.
Ibuprofen can be taken for pain if needed. However, it is better to avoid ibuprofen in case of bleeding, as it increases the risk of bleeding.
However, Tramadol and Tapentadol should be avoided. Taking Tramadol-Tapentadol can cause constipation. If you already have a problem with constipation, taking this type of painkiller can make the problem worse.
3. Apply petroleum jelly-like lubricant to the anus
Petroleum jelly or another lubricant can be used in the mouth of the anus. This will reduce the intensity of pain by rubbing the torn area during defecation.
4. Refrain from pushing hard during defecation
Excessive pressure during bowel movements can further damage the gauge site and intensify the pain.
Ways to treat and prevent gauge disease
It is possible to prevent anal fissure by following some general rules. These are:
1. The speed of the toilet can’t actually stop it. This can make the stools hard and cause constipation. If you go to the toilet with pressure later, an anal fissure may appear from there. If the toilet is too hard, it is too late to apply anal fissure. So the pressure of the toilet should actually go to the toilet without delay.
However, for patients with anal fissures, the most painful part of the bowel movement is painful. So even if you are advised to defecate in time, it becomes difficult to follow it. For this, the toilet should be kept soft, and the advice to reduce the above pain should be followed.
2. There is no alternative to relieving constipation to prevent anal fissure Therefore, it is important to comply with some issues. E.g.
- Eat foods that are high in fiber. Such as – green vegetables, fruits, pulses, red flour, red rice, etc. It is recommended to consume about 30 grams of fiber daily to avoid constipation. However, the amount of fiber in the food list should be increased gradually without rushing.
- Drink enough water. Not drinking enough water with too much fiber can lead to various health problems.
- If constipation occurs, you can eat all these husks. To know about the benefits and rules of eating husk, you can read this article to get rid of constipation.
- Can do regular exercise or light exercise.
Read: Ways to get rid of constipation
3. The anus should always be kept clean and dry. After defecation, the place should be gently cleaned without rubbing hard. This will speed up the healing process even if you have gauge disease, and it will be possible to avoid complications such as infection or pus.
When to consult a doctor?
If you think you have a crack in your anus or have any symptoms of gauze disease, you should see a doctor immediately. Many people are too late to try to cure them with Kabiraji or herbal medicine or homeopathic treatment of anal fissure, which makes the disease more complicated. So don’t waste your time and money on these.
Don’t be embarrassed or embarrassed to see a doctor. An anal fissure is a common problem Doctors regularly treat countless such patients. In most cases, anal fissures get better without treatment. However, if you go to the doctor, he will be able to check if there are any other problems (such as piles) with similar symptoms.
He will also give you advice on rules that will help you relieve your anal fissure symptoms and prevent you from getting gauge disease again. Following the advice given in our article as well as the advice of the doctor will get rid of the disease quickly.
How to distinguish between anal fissures and piles?
Although there are some similarities between the symptoms of anal fissure and piles, these are two separate diseases. Both diseases can cause itching in the anus and fresh red blood. However, very little blood goes to the anal fissure. The main differences between piles and anal fissures are:
Piles look like soft lumps in the anus. The lumps usually come out after defecation, then after some time they enter by themselves or have to be inserted with the fingers. In addition, if there are piles, some slippery substance may come out which looks like mucus in the anus.
These symptoms are usually not seen in the case of anal fissure or gauge disease. In this case, there is severe pain every time you defecate. Piles do not usually hurt.
If you want to know more about piles or hemorrhoids, you can read our article.
Other treatments for gauge disease
Adherence to anal fissure prevention recommendations with home remedies improves anal fissure in about half of patients. The rest need further treatment. At first, it is recommended to take some medicine and apply ointment. If this does not work, an anal fissure operation is required.
In most cases, surgery will not be required if the gauge prevention advice is followed properly. Making healthy changes in habits can be difficult. For example, it may seem easier for many to get rid of the problem by taking medicine or an operation than to think about how much fiber is in the food every time they eat.
But in order to prevent this disease from happening again, it is important to develop healthy habits. The doctor will advise you to continue eating fiber-rich foods even after the operation. Otherwise, constipation may cause gauge disease again. That is, there is no substitute for a healthy lifestyle, a change in habits, a permanent cure for gauze disease, or anal fissure, even with medication and surgery.
Anal fissure medicine
In the treatment of anal fissures, doctors may recommend the use of a variety of medications and ointments. Medications should be taken only on the advice of a physician, otherwise, it may be counterproductive. Among the most effective medicines for the treatment of gauze disease are:
1. Laxatives or laxatives: These are available as syrups, tablets, or pills. These medicines keep the amount of water in the toilet soft and prevent the toilet from becoming hard. People of all ages have to use different medicines for different problems. Consult a doctor to choose the right medicine for you.
2. Glyceryl trinitrate and calcium channel blocker ointment: These dilate the muscles and blood vessels inside and around the anus. This increases the blood supply to the ruptured area and heals faster. At the same time, as the pressure inside the anus decreases, the pain also decreases.
Ointment two is quite effective. Used properly, it can cure 6 out of every 10 chronic fissure patients. These are usually used for at least 6 weeks or until the cracks have completely healed.
However, ointments have several side effects. So it is not right to use it without a doctor’s advice. Also, it is not advisable to use these ointments without expert advice in the case of children, pregnant mothers, or anyone who has headache problems.
3. Topical anesthetic
These are available as an anesthetic ointment or gel for external use. It is used when there is unbearable pain. It does not heal cracks, but it does relieve pain.
Treatment of anal fissures requires regular follow-up with a doctor. If your condition does not improve within 6 weeks, the doctor may refer you to a specialist colorectal surgeon for further treatment.
Anal fissure operation
If gauge disease cannot be cured by any other treatment, surgery is recommended. Surgery is generally considered to be the most effective treatment for anal fissures. In this case, more than 90% of patients get long-term benefits. However, there is a risk of creating various complications.
There are many types of surgery to treat anal fissures. These are not very complicated operations, usually, the patient can return home on the same day. The two most common methods of anal fissure operation are:
1. Lateral sphincterotomy
In this method, the muscles on the inside of the anus are slightly removed with a surgical knife. This relaxes the muscles and reduces the pressure inside the anus. It helps to heal anal fissures and prevents the formation of new cracks.
2. Advance anal flap
This procedure involves taking healthy tissue from another part of the body and using it to repair the fissures in the anal fissure and facilitate blood supply to the wound site. This method is usually used to treat chronic fissures caused by pregnancy or rectal injury.