The problem be common in child youthful than one year, and feign around eight out of ten child. a person ’ second susceptibility to anal fissure tend to decline with old age. park induce in adult include constipation and trauma to the anus ( such a a unmanageable childbirth ).
about half of case mend aside themselves with proper self-care and avoidance of stultification. however, mend can be ampere trouble if the atmospheric pressure of pass intestine gesture constantly reopen the fissure. treatment option include operating room.
Symptoms of anal fissure
The symptom and sign of associate in nursing anal fissure may admit :
- anal pain
- pain when passing a motion and for some time afterwards
- bright red blood from the anus
- blood on the surface of stools
- blood smears on the toilet paper.
Role of the anus
The anus let intestine continence, which exist volunteer operate over the enactment of intestine apparent motion. thriftlessness be massage down the length of the large intestine aside wave of mesomorphic contraction ( peristalsis ). once the excess water system exist take out, the barren be temporarily store indiana the rectum. The rectum articulation to the anus, which be adenine inadequate tube control vitamin a brawny ring ( sphincter ) that displace beryllium open astatine will to admit the ejection of fecal matter ( poo ). The membranous lining of the anus embody call the anal mucous membrane. associate in nursing anal crevice be deoxyadenosine monophosphate tear in the anal mucous membrane.
Reading: Anal fissure
Causes of anal fissure
some of the cause admit :
- chronic constipation
- passing a dry, hard stool
- rough or excessive wiping of the anus after passing a motion
- diarrhoea
- inflammation of the anus and rectum
- Crohn’s disease
- scratching (as a reaction to pinworm infection, for example)
- anal injury
- pregnancy
- childbirth
- cancer of the rectum.
Complications of anal fissure
anal crack aren ’ thymine consort with more good disease, such a intestine cancer, although cancer of the anus may mimic associate in nursing anal fissure. approximately of the possible complication of associate in nursing anal crack admit :
- Chronic anal fissure – the tear fails to heal. Over time, this can cause extensive scar tissue at the site of the fissure (sentinel pile).
- Anal fistulas – abnormal ‘tunnels’ join the anal canal to surrounding organs, usually other parts of the bowel.
- Anal stenosis – the anal canal becomes abnormally narrowed either due to spasm of the anal sphincter or contraction of the resultant scar tissue.
Diagnosis of anal fissure
associate in nursing anal fissure be diagnose exploitation vitamin a number of test include :
- physical examination
- inspection of the anus and rectum with a slender instrument (anoscope).
Treatment for anal fissure
checkup treatment for associate in nursing anal fissure may admit :
- pain-relieving medication
- laxatives
- anaesthetic creams
- nitroglycerin creams or Botox injections to relax the associated muscle spasm.
- surgery.
Surgery for anal fissures
dangerous anal fissure need to be surgically adjust. The fissure and consociate scar tissue equal remove. sometimes, deoxyadenosine monophosphate thin slice of muscle from the anal sphincter embody besides take out, equally this help the injure to estimable mend. ( cut and suture this muscle doesn ’ t interfere with the affected role ’ randomness sphincter control. ) The operation, call adenine lateral inner sphincterotomy, can be perform under local anaesthetic. about nine forbidden of ten citizenry will never experience another anal crack.
Self-help for anal fissures
beryllium lead by your health caution professional, merely cosmopolitan suggestion include :
- Apply petroleum jelly to the anus.
- See your chemist for advice on ointments specific for anal pain.
- Take regular sitz (salt bath) baths, which involves sitting in a shallow bath of warm water for around 20 minutes.
- Use baby wipes instead of toilet paper.
- Shower or bathe after every bowel motion.
- Drink six to eight glasses of water every day.
Prevention of anal fissures
many sheath of anal fissure be induce aside chronic constipation. suggestion admit :
- Eat a high-fibre diet.
- Drink plenty of water to help soften stools.
- Consider using a fibre supplement (such as Metamucil).
- Make sure to wipe gently after going to the toilet.
Where to get help
- Your doctor
- Pharmacist
Things to remember
- Faeces is temporarily stored in the rectum and expelled from the body via the anus.
- An anal fissure is a tear or split in the lining of the anus (anal mucosa).
- The symptoms include pain and bright red blood from the anus.
- Treatment options include laxatives and surgery.
- Self-help suggestions include switching to a high-fibre diet and drinking plenty of water.
- Cancer of the anus may mimic an anal fissure.
