How to Cure Fissure Permanently
Anal fissure is a common and painful condition characterized by a tear or crack in the skin lining the anus. While fissures can be discomforting and recurrent, there are effective treatments available to promote healing and prevent future occurrences. In this article, we will explore anal fissures, their causes, symptoms, and various measures to achieve permanent relief.
Understanding Anal Fissure
An anal fissure is a small tear or cut in the skin surrounding the anus, often caused by the passage of hard or large stools during bowel movements. The condition can result in intense pain, bleeding, and discomfort during and after passing stool.
Causes of Anal Fissure
The most common causes of anal fissures include:
• Constipation: Straining during bowel movements can lead to fissures.
• Diarrhea: Frequent diarrhea can irritate the anal area and cause fissures.
• Anal Trauma: Injury to the anal area, such as during childbirth or from anal intercourse, can contribute to fissure development.
• Inflammatory Bowel Disease: Conditions like Crohn’s disease can increase the risk of fissures.
Symptoms of Anal Fissure
• Pain during bowel movements.
• Bright red blood on the surface of stools or on toilet paper after wiping.
• Itching, burning, or discomfort in the anal region.
• Muscle spasms around the anus, known as anal sphincter spasm.
Also Read: Do I Have Anal Fissure?
How to Cure Fissure Permanently
Achieving permanent relief from anal fissures involves a combination of lifestyle changes, self-care measures, and medical treatments. Here are some effective strategies:
1. Dietary Modifications: Consuming a high-fiber diet with plenty of fruits, vegetables, and whole grains can help soften stools and ease bowel movements, reducing the risk of fissure development. Staying hydrated is also essential to maintain soft stools.
2. Proper Hydration: Drinking an adequate amount of water throughout the day prevents dehydration and helps maintain bowel regularity.
3. Stool Softeners: Over-the-counter stool softeners may be used temporarily to soften stools and alleviate straining during bowel movements.
4. Sitz Baths: Soaking the anal area in warm water for 10-15 minutes, several times a day, can help soothe the pain and promote healing.
5. Topical Ointments: Applying over-the-counter or prescription ointments containing ingredients like hydrocortisone or nitroglycerin can help reduce inflammation and promote healing.
6. Avoid Straining: It is essential to avoid straining during bowel movements. If necessary, use a footstool to elevate your feet while sitting on the toilet to achieve a more natural position.
7. Medical Treatments: If self-care measures do not provide relief, medical interventions may be necessary. These may include:
• Botulinum Toxin Injection: This procedure involves injecting botulinum toxin into the anal sphincter muscle to relax it and reduce spasms.
• Lateral Internal Sphincterotomy: In this surgical procedure, the anal sphincter muscle is partially cut to reduce pressure and promote healing.
• Nitroglycerin Ointment: Nitroglycerin ointment can be prescribed to relax the anal sphincter muscle and improve blood flow to the fissure.
• Laser Treatment: Laser Fissure Treatment can be used to promote healing and reduce discomfort in some cases.
Seeking Professional Advice
While self-care measures and over-the-counter treatments can provide relief for mild fissures, it is essential to consult a healthcare professional for proper diagnosis and personalized treatment. They can assess the severity of the fissure and recommend the most suitable approach for healing and preventing recurrences.
Conclusion
While anal fissures can be painful and recurrent, permanent relief is attainable with the right combination of self-care measures, lifestyle changes, and medical Fissure treatments. It is crucial to address the underlying causes, such as constipation, and make necessary adjustments to prevent future fissures. Consulting a healthcare professional will ensure a proper diagnosis and a well-tailored treatment plan, leading to long-lasting healing and improved quality of life.
FAQs
1. Can anal fissures heal on their own without treatment?
Some minor anal fissures may heal on their own with proper self-care and dietary adjustments. However, chronic or severe fissures may require medical treatment.
2. Is surgery the only option for fissure treatment?
Surgery is usually considered when conservative treatments do not provide relief. Many fissures can be effectively managed with non-surgical interventions.
3. Can fissures recur after treatment?
Fissures can recur, especially if the underlying causes are not addressed. Adhering to a healthy lifestyle and preventive measures can reduce the risk of recurrence.
4. How long does it take for a fissure to heal?
The healing time for fissures varies depending on the individual and the severity of the fissure. With proper treatment and care, many fissures heal within a few weeks.
5. Can fissures be prevented?
Yes, fissures can be prevented by maintaining a high-fiber diet, staying hydrated, avoiding straining during bowel movements, and promptly treating conditions like constipation and diarrhea.
About Docor
Dr. Azhar Alam
MBBS (Honours), MRCS A (UK),
DNB General Surgery
FIAGES (Gastro Intestinal Surgery)
FMAS (Minimal Access Surgery),
MNAMS (New Delhi)
Consultant Gastrointestinal, Advanced Laparoscopic and Laser Surgeon
Assistant Professor of Surgery, KPC Medical College and Hospital
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