Anal fissure home remedies. How is an anal fissure treated? Treatment of a crack in the anus in children and adults

Update: October 2018

Almost everyone who is interested in health issues has heard or read about hemorrhoids. But not everyone knows that itching, burning and even bleeding in the anal area can cause not vein disease, but a rectal fissure.

More often it acute illness, lasting up to 4 weeks, related to surgical pathologies or section diseases of the rectum. The crack has a linear shape, can be located on the mucous membrane of the anal canal or on the skin of the anus and have different depth and length.

Much less common is a chronic fissure with a protracted undulating course with improvements and deterioration. Chronization of the process contributes to the prolonged exposure to factors leading to this problem.

The reasons

Causes of cracks near the anus:

• Chronic constipation, forcing a person to strain excessively, increasing pressure in the rectum.
• Mechanical injury hard stools, poor quality toilet paper, anal sex practices, instrumental research rectum.
• In childbirth during the period of attempts, a crack in the anus or rectal mucosa is an unfavorable sign, as it can become a harbinger of a rupture of the perineum of the 4th degree.
• Insufficient hygiene, diaper rash can also lead to cracks.
• Inflammatory changes intestinal mucosa against the background, diarrhea, dysbacteriosis, helminthic invasion cracks can also appear, which, in this case, will be only one of the manifestations of the underlying pathology.

Fissure symptoms

• The pain is stronger, the deeper the crack. At first, it appears only with defecation or mechanical irritation. Later, as inflammation sets in, pain can take on a permanent character and disturb a person even without any irritation of the problem area. The nature of the pain can be pinching, burning, stabbing or pulling and pressing with significant swelling and chronic inflammation. In the chronic course, there is also a spasm of the obturator muscle of the rectum, which increases the pain during bowel movements.
• Itching and discomfort provoked by narrow, uncomfortable or synthetic underwear, prolonged sitting, constipation or loose stools. The greater the length of the crack, the wider the itchy area and the more pronounced the discomfort.
• Isolation of scarlet blood, not mixed with feces, during defecation or straining - the result of the destruction of the walls of the capillaries in the anal region (see). If the damage is very deep, then the veins may also be injured, then a dark deoxygenated blood and bleeding will be similar to hemorrhoidal (long and voluminous, see).

The appearance of these symptoms - discomfort, pain, blood during bowel movements can also be with more serious diseases, such as hemorrhoids, inflammatory and oncological processes in the intestine, therefore, rectoscopy is required to establish the diagnosis.

Treatment

The crack causes significant discomfort and in order not to aggravate the condition, the factors that support its existence and provoke the formation of new damage should be eliminated:

• News active image life by avoiding prolonged sitting. Walk more, exercise more.
• Fight constipation (see), avoiding stool retention for more than two days. Timely correct dysbacteriosis and treat intestinal infections with diarrhea.
• Use soft toilet paper and rinse with cool water after a bowel movement.
• Do not get involved in non-traditional sex or use high-quality lubricants.

Diet for cracks

Dietary measures are reduced to the selection of a table that normalizes the regularity of the chair. It is also important to exclude fried foods, spices and alcohol (see).

For constipation, a contrast breakfast is useful (a glass of cool juice, after 20 minutes - hot oatmeal), on an empty stomach taking a dessert spoon of sunflower or olive oil, beets in all forms, bread with bran, cereals, apples, plenty of fluids (at least 3 liters per day) and soups at dinner.

Diarrhea requires restriction of cabbage, legumes, fresh vegetables and fruits (fiber), yeast baked goods, whole milk.

What medicines treat rectal fissures

Acute cracks are usually healed with different forms drugs, that is, conduct conservatively. In the arsenal of a proctologist today there are ointments, creams, gels and suppositories. Also sometimes they resort to tablet medicines.

Trays

Before local treatment of an anal fissure, antiseptic and anti-inflammatory drugs are prescribed. sitz baths. They need to be produced after defecation. The temperature of the solution is 30 degrees Celsius, the duration is 10-15 minutes.

• As medicinal solution and oak bark is also used (separately or in a ratio of 2 to 1). Chamomile suppresses inflammation in tissues, facilitating healing. Oak bark gives an astringent effect, drying the crack. You can also use decoctions of calendula or yarrow.
• Less commonly used weak solution potassium permanganate ( pale pink) as an antiseptic.

Ointments, creams

The ointment for cracks should contain a fatty base, do not cause irritation of the skin and mucous membranes, and, ideally, combine anti-inflammatory and tissue healing properties. It is administered 1-2 times a day after emptying the intestines and a ten-minute bath in the amount of one centimeter. Average duration course treatment ointments for acute cracks is 7-10 days. Most drugs for cracks are also used to treat hemorrhoids (see).

• Ultraproject 420-500 rubles - a combination of glucocorticoid fluocortolone and local anesthetic cinchocaine. It has anti-inflammatory, antipruritic and analgesic effects.
• Aurobin 190-230 rubles - a combination of prednisolone (anti-inflammatory and anti-allergic effect) with lidocaine hydrochloride ( local anesthesia) and dexpanthenol (acceleration of healing and restoration of the skin and mucous membranes). The drug is contraindicated in pregnant, lactating, persons with bacterial or viral inflammations or intolerance constituent parts ointments.
• Dexpanthenol, Bepanthen, Pantesol 70-120 rubles - ointments and creams based on pantothenic acid, affecting protein and fat metabolism and accelerating healing.
• Solcoseryl 160-180 rub. in the form of an ointment or gel, it accelerates the uptake of glucose by tissues, thereby improving tissue nutrition.
• 100-120-180 rub. improves cellular respiration and glucose utilization, promoting tissue repair.
• Methyluracil 60-80 rubles - a medicine that combines the properties of an anabolic and anti-inflammatory agent, an immunomodulator.
• Proctosan 230-270 rub. contains bismuth subgallate, titanium dioxide, lidocaine and befexamac. Dries and heals the crack.
• Emla 1400-1600 rubles - local anesthetic based on lidocaine and prilocaine. The drug is indicated for spasm of the anal sphincter against the background of a chronic fissure. May cause palpitations and allergies.
• kathejel 120-140 rub. combines lidocaine and antiseptic chlorhexidine. Indications are similar to emla.
• Levomekol 80-120 rub. - antibacterial chloramphenicol and methyluracil, which accelerates the closure of the crack. The drug is indicated for chronic or inflamed fissure. It should be remembered that long-term use may be complicated by anemia and a decrease in blood leukocytes. contraindicated in lactating.
• Nitroglycerin ointment 0.2% dilates blood vessels and relieves spasm of the sphincter. Prepared according to the recipe.

suppositories

Candles are a convenient dosage form that allows the main drug substance to be quickly absorbed into the veins of the hemorrhoidal plexus. In addition, candles are made on the basis of cocoa butter or other neutral fat, which simultaneously play the role of a laxative. When there is a chronic anal fissure, treatment is best done with combined agents containing painkillers and antispasmodics. Preparations in suppositories are used twice a day after defecation.

The role of laxatives in treatment

By making the stool softer and the stool daily, one of the main reasons why there is a crack around the anus can be eliminated. Medications that facilitate bowel movements are divided into the following groups.

• Emollients (vaseline and, Norgalax). At home, for problems with the anal sphincter, counter microclysters are used 10 minutes before emptying (100 ml of pasteurized sunflower oil and 200 ml boiled water room temperature).
• Means that increase the volume of intestinal contents: vegetable based on agar or psyllium (Naturolax, Mucofalk, Fiberlex), based on cellulose (Fiberal, Fibercon).
• Polyhydric alcohols: Normase, Lactulose (standard, not irritating bowel), Sorbitol, Macrogol, Laktiol (see).

Fissure of the anus in a child

Immaturity digestive tract the child determines the ease with which they have various intestinal dysfunctions and, as a result, cracks appear in the anus. If in babies up to a year the most common crack is the result of diarrhea on the background of dysbacteriosis or intestinal infections, then in older children, as in adults, the main problem is associated with constipation, including neurogenic origin.

Therefore, in parallel with the beginning of the treatment of cracks, it is worth taking care of the normalization of intestinal motility and the correction of dysbacteriosis. Without the elimination of these moments, therapy can be difficult and delayed, which contributes to the chronicity of the process and transfers it to the category of surgical problems.

When a sharp crack appears in the anus, the child becomes restless (or cries) when trying to poop. During or after defecation, droplets of bright red blood may be discharged. When these symptoms appear, it is worth showing the child to a pediatrician or pediatric surgeon.

So, drugs of choice for treatment anal fissures are:

• children - candles with sea buckthorn
• adults - Dexpanthenol, Methyluracil, Aurobin (not pregnant)
• as an anesthetic - Anuzol

How to cure anal fissure after childbirth

The cause of a crack in the anus may be childbirth. During the straining period, the pressure in the rectum increases, and the tissues of the perineum are stretched. Since a fissure in childbirth is a trifle that is not taken into account, all problems begin after a couple of days, when pain occurs during defecation. Here you have to resort to laxatives and drugs that are either not absorbed into the blood or do not penetrate into the milk. The most important thing is to get to a specialist doctor as soon as possible in order to get competent recommendations and not to miss hemorrhoids under the mask of an anal fissure.

In general, the treatment tactics are the same as in children under one year old (Duphalac, suppositories with sea buckthorn, Methyluracil). Can be added Posterisan in candles, Emla for the skin of the perianal area, Cathejel gel.

The healing of anal fissures, which exist for more than three months, is very difficult due to keratinization of the edges of the defect and a decrease in metabolic processes in the tissues. In such a situation, it shows different variants surgical treatment.

Surgical treatment

• Devulsion - a compromise between surgical and conservative treatment can be the manipulation of anal devulsion. At the same time, under anesthesia, the spasmodic sphincter is expanded, which solves some of the problems. This procedure is not performed in the elderly.
• Cryodestruction - there is a variant of cryodestruction of a crack liquid nitrogen, which is expensive and does not always radically solve the situation (it is difficult to achieve a clear freezing of only pathologically altered tissues).
• Sphincterotomy - classic surgical intervention involves excision of a crack along a plane within healthy tissues. If the crack is combined with spasm of the sphincter, then it is dissected from the inside (sphincterotomy operation). Terms of wound healing - 5-6 days. Up to this point, dressings are made with Levomekol.

Thus, the treatment of an acute anal fissure should be started at the first manifestations. In this case, it is very important to consult a doctor, since hemorrhoidal varicose veins of the rectum and tumors give similar symptoms (see).

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An anal fissure (anal fissure) is a rupture of the mucous membrane of the large intestine, often located near the anus. Many people do not betray the importance of such a small damage, believing that it cannot be of serious harm to the body. But such an opinion is erroneous, since any damage to the skin and mucous membranes opens up free access to the body for all kinds of pathogenic microorganisms.

In this article, you will learn the causes and symptoms of anal fissures, how to treat anal fissures at home, and with what remedies.

Causes of cracks

The most common causes of this disorder are frequent constipation and hemorrhoids. With constipation, the intestinal walls are forced to stretch, pressure increases on them, which often leads to ruptures of the mucous membranes. With hemorrhoids, a person in the process of defecation is forced to strain strongly, which also increases pressure in the rectum and can lead to rupture of the mucosa.

The causes of an anal fissure can be considered:

Symptoms of cracks

The main symptom of such a violation can be called the appearance of a sharp and rather severe pain during a normal bowel movement, after which the pain persists for a sufficiently long time, on average, about one hour, causing a person quite serious discomfort. At the same time, the characteristics of pain and its intensity change.

When defecation appears strong and sharp pain , but after the end of the act of defecation, it becomes less pronounced, dull and acquires a pulsating character.

If there is a crack, it is enough big size and depths after a bowel movement on toilet paper can be detected scarlet blood in a small amount. If, with each visit to the toilet for bowel movements, the amount of blood released increases, and the pain becomes stronger and persists for a very long time, then a doctor should be consulted immediately.

Anal fissures are treated by a proctologist, and at the initial stage of the disorder, in most cases, treatment is sufficient for patients conservative methods and at home. When the condition is neglected, surgery is often required.

Oral medications for treatment

Small anal fissures that have appeared relatively recently can be cured with the help of conservative therapy at home, which is carried out gradually and necessarily comprehensively, including many drugs and procedures.

Drug treatment of an anal fissure at home does not require the patient to be admitted to a hospital.

If the patient experiences severe pain, then he is prescribed painkillers that also have an antispasmodic effect, for example, No-shpa or her domestic analogue- Drotaverine. In addition, anti-inflammatory drugs and drugs that accelerate wound healing and tissue regeneration are often prescribed.

Among the drugs internal reception should be noted and a variety of laxatives, which in most cases form an important part of the treatment, since they provide intestinal unloading and easier bowel movements. The use of laxatives at home allows you to speed up the healing process of cracks in the anus naturally, preventing secondary mucosal rupture.

An important point is that antibiotics in tablets are not prescribed in the treatment of anal fissures. For this purpose, local means are used that show more high efficiency and do not have a systemic effect.

Ointments and creams for external use

Among the means of external use in the treatment of anal fissures in home environment most often used is pharmaceutical ointments and creams.

Effective remedies for cracks in the anus among ointments:

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Rectal suppositories

Rectal suppositories are a special form of drugs for the treatment various diseases rectum and anus while at home. It is the introduction of candles that allows you to deliver as quickly as possible medicinal substances directly to the site of the lesion, which significantly speeds up the treatment.

In addition, almost all rectal suppositories contain fatty substances, which also provides a kind of laxative effect, while significantly facilitating the patient's condition.

Most often, in the treatment of anal fissures, the patient is prescribed suppositories:

Laxatives and their use

Very often, anal fissures appear due to frequent constipation, so various laxatives are one of the main points. drug therapy. The use of such drugs allows you to unload the intestines, facilitates defecation and, due to this, accelerates the healing process.

All laxatives can be divided into several main groups:

• Preparations irritant.
• Osmotic preparations.
• Prebiotics.
• Intestinal fillers.

Irritant drugs are considered the most effective, but in the presence of cracks in the anus, it is forbidden to use them. In the treatment of such a disease, in most cases, prebiotic preparations are used, which allow not only to gently solve the problem of constipation, but also restore the balance of the intestinal flora, which also contributes to treatment.

An important point is that it is impossible to prescribe laxatives on your own, only a qualified doctor should do this.

It is very important to take into account all the features of the course of the disease and the general condition of the patient. The dosage of drugs is also determined by the doctor individually.

Folk recipes

Often, in the treatment of anal fissures at home, they are also used folk remedies representing a harmless but highly effective option therapy.

Cook many recipes traditional medicine for the treatment of such a disease is possible in normal home conditions.

Candles

Oddly enough, but one of the most effective means folk medicine in the treatment of anal fissures are candles from ordinary raw potatoes. To prepare them, you need to take a strong raw potato, peel it, cut off a slice as thick as your little finger and cut out a rectal suppository of the usual form from it.

Suppositories are administered at bedtime, lubricating them with sea buckthorn or rosehip oil before administration.

Do not worry about the fact that the introduced potato candle will get stuck in the intestines. In the morning, she will freely come out with feces.

It is also recommended to use candles made from dandelion or plantain leaves. To prepare them, you should take a fresh leaf of the plant, wash it thoroughly, dry it. Then tightly roll the sheet into a tube (the plantain leaf must be folded in half before this), dip in sea buckthorn oil, let the excess drain and immediately enter into anus.

Used in the treatment and ice candles prepared from strong decoctions of herbs such as chamomile, calendula flowers, tansy, yarrow, oak bark. Herbs can be brewed and frozen individually or together. The cooled and filtered broth for making ice candles can be poured into special molds of a suitable size or the little fingers of thin rubber gloves. Such suppositories should be administered at night, before going to bed.

Sitz baths

An excellent tool in the treatment of anal fissures at home are sitz baths, which prevent the appearance of suppuration at the site of damage to the mucous membranes, as well as eliminate inflammation and significantly reduce the intensity of pain.

In most cases, decoctions and infusions are used to prepare sitz baths. medicinal herbs, but, in addition, a solution of potassium permanganate also has an excellent effect.

This solution very quickly and effectively relieves spasms of the external sphincter of the anus, which allows you to reduce pain and accelerate healing, due to increased blood circulation in this area.

The solution of potassium permanganate should be weak and warm. Decoctions of medicinal herbs should also be used only in the form of heat. For the preparation of decoctions, it is recommended to use flowers medicinal chamomile or calendula, St. John's wort or yarrow.

The temperature of any solution, decoction or infusion for a sitz bath should not exceed 40 degrees. To conduct a bath, it will require at least 3 liters of a therapeutic solution, which must be poured into a basin of sufficient volume so that a person can sit in it.

Compresses

Helps in the treatment of anal fissures and the application of compresses of their strong infusions of medicinal herbs, sea buckthorn or rose hip oil. To prepare such a remedy at home, you need to take a clean gauze or bandage, fold it in several layers, moisten it in the prepared medicine, wring it out slightly and apply it tightly to the anus area.

The compress should be kept for at least 30 minutes, while the patient should be in a supine position on his stomach and be relaxed.

They also make special compresses based on vegetables. For example, you should grate fresh beets and carrots on a fine grater, mix. Take 3 parts of the resulting mixture and add 1 part of fresh bull or pig bile to it. Mix thoroughly, then put the mixture on a prepared clean cloth or gauze and apply to the anus. Keep the compress for about 20 minutes.

In addition, for compresses, you can use aloe juice and pulp, special ointments prepared independently from natural ingredients.

Features of nutrition and diet

most main problem in the presence of anal fissures is a normal bowel movement, which causes severe pain and other uncomfortable symptoms. A person who has anal fissures must follow a special diet, the purpose of which is to facilitate this natural bowel movement and prevent constipation.

An important point of treatment is a complete change in your diet and a revision of the nutrition system.

AT daily menu Be sure to include a large number of fresh vegetables and fruits, as they contain the fiber necessary for normal operation digestive system and prevent constipation. Fiber helps soften stool which makes defecation easier.

Bran should also be on the menu. They can be added to cereals, baked goods, for example, when making bread. Be sure to include in the menu and a variety of fermented milk products, primarily kefirs and natural live yoghurts.

Dried fruits also have a laxative effect, preserving useful fiber in large quantities. It is best to use dried apricots, prunes or raisins.

Eat often, but in small portions, so as not to create an unnecessary load on the digestive system. Overeating is not allowed. Also from the diet it is necessary to exclude heavy and fatty foods, products containing a large number of proteins, in particular legumes.

It is necessary to refuse the use of various semi-finished products, fast foods, carbonated and alcoholic beverages, dishes with large quantity spices and spices, salty and pickled foods, all kinds of smoked meats and sausages, refuse spicy foods, as well as cottage cheese, cheeses and eggs.

Prevention of cracks

Of course, every person knows that any disease is much easier and better to prevent than to treat it and experience discomfort and pain. Anal fissures are no exception here, because with the help of some preventive measures you can avoid the appearance of such an unpleasant ailment or prevent its recurrence after the treatment.

Since the risk group primarily includes people who lead mainly sedentary image life, then one of the main means of prevention is movement and sports.

It is very important to maintain sufficient physical activity, to make daily hiking or jogging, lead healthy lifestyle life.

The second important point of prevention is the observance proper nutrition, excluding or severely limiting the consumption of products harmful to the digestive system. At the same time, it is necessary to chew the food consumed thoroughly, since large pieces cannot be completely digested in the stomach and small intestine and are often excreted in an unprocessed form, injuring the mucous membranes of the rectum and anus.

For this reason, in order to avoid problems with the full chewing of products, it is important to visit the dentist regularly and treat your teeth in a timely manner if necessary.

Anal fissure - damage (cracking) of the mucous membrane of the rectum, which occurs along the wall of the anal canal. This ailment is more often detected in the female sex, as well as in people who have anal sex. There are cases when the disease occurs in children.

stages

A fissure in the anus has two stages of flow:

1. Acute fissure of the rectum. It is formed with a sudden rupture of the walls of the mucous membrane of the final part of the digestive tract. Such wounds tend to heal quite quickly, within 2-3 days. Treatment with medications may not be carried out.
2. Chronic fissure of the rectum. AT chronic stage the course of the disease passes when, for some reason, an acute gap does not heal. It also happens if a person suffers from chronic constipation. Cracks increase significantly in size. As a result, they are constantly infected. pathogenic microorganisms. During straining, a person has a spasm of the anal sphincter. The resulting wound tends not to heal over a long period of time, bringing a person severe pain and discomfort.

The defect of the anus can be single and multiple.

Provoking factors

Currently, the causes of the disease are not fully understood by medicine. But the main reasons are:

• chronic constipation, its consequences and impaired blood flow in the pelvic organs. The main reasons for the appearance congestion and constipation is a sedentary lifestyle, prolonged sitting on the toilet, lifting weights, sedentary work. Especially it concerns office workers, people involved in heavy physical labor, features of the anatomical structure of the digestive tract;
• injuries received during anal sex;
• chronic diseases gastrointestinal tract (chronic gastritis, duodenal ulcer and stomach ulcer, cholecystitis);
• hemorrhoids. At varicose veins thrombosis develops in the anal veins. It also significantly increases the chance of cracking in the anus. Often hemorrhoids cause the development of pectenosis, which has a detrimental effect on the elasticity and tone of the walls of the rectum;
• pregnancy and childbirth. Especially if there were complications.

Complications

If you do not treat the defect in the anus, then you can provoke the development following complications: paraproctitis, blood secretions(in some cases very abundant) during and after the act of defecation, colitis, formations of purulent fistulas, weakness of the anal sphincter, constant pain (not only during bowel movements, but also when walking, sitting), itching, development oncological diseases intestines.

Complications of cracks in the anus are very dangerous for men. Distribution possible infectious inflammation on the prostate. As a result of this, respectively, there is prostatitis.

Timely treatment of anal fissure avoids the development of life-threatening consequences.

Treatment

Before starting to treat rectal fissures, it is necessary to carry out a complete differential diagnosis(finger examination of the anus, anoscopy, sigmoidoscopy, ultrasound). The choice of method of therapy will be determined by the attending physician after a complete examination. Depending on the nature and clinical manifestation rectal defect.

Initially, the treatment of a crack is aimed at eliminating pain symptoms and muscle spasm sphincter. And only then - to normalize the work of the gastrointestinal tract and tighten the defect itself.

With an acute fissure of the rectum in about seventy percent of patients, it is possible to quickly achieve effective results after the therapeutic measures in combination with strict observance of the prescriptions of the attending doctor: the right diet, hygiene, increase physical activity, lifestyle changes.

Methods of treatment

Treatment for an anal fissure in humans includes:

1. Compliance with the diet.
2. Conservative methods of therapy. The use of special pharmacological preparations ( rectal suppositories, creams, ointments).
3. Operative (surgical) methods of treatment.

diet therapy

The first step in the treatment of defects in the anus is to change the patient's lifestyle, normalize metabolic processes in the body, and eliminate the cause of constipation. First of all, the treatment of a crack is aimed at preventing the appearance of chronic constipation(or diarrhea).

Patients who have a wound in the rectum should be excluded from their menu salty, fried, spicy, flour, spicy, sour dishes and, of course, alcoholic drinks.

Patients with a formed defect in the anus are recommended to eat cereals, salads with vegetable oil, bread with bran (no more than 20 g per day), mucous soups, natural yoghurts. To improve peristalsis, a diet high in fiber is recommended (prunes, kiwi, dried apricots, bananas, beets, figs, boiled carrots, baked apples, etc.), as well as dairy products. Don't forget to drink plenty of water.

If a person has diarrhea, it is necessary to exclude cabbage, legumes, fresh vegetables and fruit trees from the diet, confectionery from yeast dough, milk.

Medical therapy

If a patient has a rectal fissure that does not heal for a month, then from the acute stage of the course it passes into a chronic one.

Conservative treatment involves the use of rectal suppositories and ointments. Also, injections are made to relieve spasm of the sphincter.

Modern pharmacology provides huge assortment medicines. The choice of one or another remedy depends on the symptoms of the disease and the degree of the inflammatory process.

Rectal suppositories

Rectal suppositories are the most effective medicine. Rectal suppositories have the ability to be absorbed into the body for short span time. This form of the drug is made on the basis of cocoa butter, vegetable and animal hydrogenated fats, which simultaneously act as a laxative. If the patient has a chronic fissure in the anus, then therapy is carried out with combined rectal suppositories with analgesic and antispasmodic effects. Candles can be used twice a day after a bowel movement. To rectal suppositories that reduce pain and itching around the anus can be attributed to:

• Anuzol. The composition of the drug includes xeroform, rubuha, zinc sulfate;
• Anestezol. Ingredients: anestezin, bismuth subgallate, menthol, zinc oxide;
• Proctosan. Ingredients: lidocaine, bismuth subgallate, bufexamak, titanium dioxide;
• candles with belladonna extract, etc.

Rectal suppositories that eliminate the inflammatory process, stimulate healing, and have a hemostatic and analgesic effect include:

• Relief;
• Rkelif Advance;
• Posterized, etc.

Medicines of this group are contraindicated in children under twelve years of age, during pregnancy and lactation, in violation of blood clotting. To stimulate metabolic processes and immunomodulatory effects, suppositories with methyluracil are used. Sea buckthorn candles have a highly effective effect on shallow wounds.

Majority medical professionals believe that it is rectal suppositories that are the most effective method of therapy to eliminate inflammation and cure the disease.

Laxatives

Using laxative drugs, you can get rid of the main cause of cracking around anus. Medications that facilitate the act of defecation are divided into emollients (Norgalax) and those that help cleanse the body (Naturolax, Mucofalk, Fiberleks, Fiberal, Fibercon, etc.).

Ointments

If the patient has a strong pain syndrome, then it is very difficult to use rectal suppositories in this case. In such situation conservative treatment involves the use of ointments and creams for wounds in the rectum.

It is necessary to treat the disease with fatty-based ointments or creams that do not provoke irritation. skin and mucosa around the anal canal.

It is advisable to use medications that eliminate inflammation and accelerate the healing process of the wound:

• Ultraproct;
• Aurobin;
• Dexpanthenol;
• Bepanthen;
• Pantesol;
• Solcoseryl;
• Methyluracil, etc.

An ointment or cream is applied around the anus once or twice a day after a bowel movement and a bath.

Surgery

If the disease cannot be cured with medication medicines for 13-16 days, then in such a situation, surgical methods of treatment are used. Usually treat operational method only chronic cracking is needed.

The essence of surgery is to eliminate the wound. The operation (excision) can be carried out in two ways:

1. Electrocoagulator.
2. laser.

As evidenced by numerous forums, laser surgery is recommended.

Alternative treatment

Therapy is currently folk ways widely used in combination with pharmaceutical medicines. There are a large number of different folk methods of therapy: decoctions, teas, sitz baths.

Treatment of an anal fissure at home using folk methods is used both during an exacerbation of the disease, and during the chronic stage of its course. During an exacerbation of the disease, traditional medicine helps to reduce pain symptoms, eliminate inflammation, and relieve spasm of the sphincter.

After surgery and in case of chronic damage, traditional medicine helps to heal the damage in the anus.

• microclysters with the addition of oil, medicinal herbs (St. John's wort, mother herb, medicinal marigold) and honey;
• sitz baths at room temperature (not more than 40 ° C), it is possible with medicinal plants or with a solution of potassium permanganate;
• ointments from bee glue and spruce resin (at home, with your own hands).

It should be remembered that it is impossible to cure the disease only by means of traditional medicine. After the final cure, all the causes that provoked the onset of the disease (constipation, inactive lifestyle, hemorrhoids, etc.) should be eliminated. If you follow all the recommendations of the attending doctor, then you will no longer have a crack in the anus.

Education: Graduated from the Russian National Research medical University them. N.I. Pirogov, Faculty of Medicine. Took advanced training courses. Primary specialization - in coloproctology at the State Scientific Center of Coloproctology. Worked in City scientific and practical center Coloproctology of St. Petersburg.

Work experience: Proctologist. Experience in medical practice - 25 years. Author of more than 40 medical articles. A regular participant of conferences and symposia, which highlights the problems of modern medicine.

Provides highly qualified diagnostics and treatment of many diseases: hemorrhoids, anal fissures, various diseases of the colon, successfully diagnoses neoplasms of the perianal region and rectum at early stages. He also conducts examinations of children.

Real torment. This is the name of the elongated sores that occur on the rectal mucosa near the anus. During defecation in the area of ​​the fissure, the patient feels the strongest cutting pain, which can provoke him, which, in turn, will only aggravate the course of the disease.

Quickly get rid of anus fissures with folk methods: how to do it?

A popular way to treat anal fissures is sitz baths with a decoction of oak bark. The tannins contained in the bark of this tree disinfect the wound, drying and healing it, as well as relieve pain and stop bleeding. To prepare such a bath in 2 liters of boiling water, throw a handful of oak bark (sold in a pharmacy). Boil the broth for a quarter of an hour, then let it cool to room temperature, strain and add it to the water prepared for the bath.

Another folk method withdrawals acute condition in a patient who suffers from anal fissures, this is the application of a cotton swab dipped in a decoction to the affected area wheat bran and calendula. To prepare it, add a tablespoon of bran and dried calendula flowers to half a liter of boiling water, boil for 10-15 minutes, strain and cool.

Miraculous ordinary aloe is indispensable in the treatment of anal fissures. Apply an aloe leaf cut in half in thickness to a sore spot after baths. Aloe neutralizes the inflammatory process and promotes the healing of ulcers on the mucosa. You can aloe rectal suppositories by cutting the leaf into oblong pieces and freezing it beforehand.

Nettle infusion, which is drunk 2-3 times daily by the sick, like tea, helps the body with such an annoying ailment as anal fissures,. It helps to relieve swelling and irritation of the intestinal mucosa, not only from the outside, but throughout its entire length.

How to prevent anal fissures?

Proctologists recommend patients prone to anal fissures to introduce into their daily diet lots of fiber and pure water. These measures, like no other, contribute to the prevention, which in most cases are the cause of injury to the delicate mucosa in the anus.

In order to avoid the appearance of anal fissures, avoid tight ones, thongs made of synthetic materials are especially dangerous in this sense. Salty, peppery and fried foods can indirectly affect ulceration around the anus, so these foods are best avoided. Finally, use a pH-neutral cleanser to wash. By following all these measures, you will prevent the recurrence of the disease.

This pathology can develop in a person at any age, but is more often diagnosed in women. reproductive age. Ointment from cracks in the anus is used to treat hemorrhoids in hospitals and at home. The tool is used for topical application and helps to get rid of discomfort, promotes healing of the crack. At risk are people who do not eat properly because of which they suffer from chronic constipation, people leading sedentary image life.

What are anal fissures

The disease is a rupture of the mucous membrane on the surface of the rectum. They can be different sizes, but always deliver tangible discomfort to the patient. If a for a long time a person has chronic hemorrhoids, then an anal fissure occurs even on the side walls of the canal. 25% of people who visit a proctologist suffer from acute fissures or small tears.

main reason, which causes the development of cracks in the anus - frequent constipation. In most cases, they lead to the development of hemorrhoids, and this pathology has more severe course. cause problems with anus may be the following factors:

1. Special diets that consist only of low-fat foods.
2. Ignoring problems that indicate the development of hemorrhoids.
3. Anus warts.
4. severe during pregnancy generic activity.
5. A number of pathologies: AIDS, HIV, syphilis, tuberculosis.
6. Anal sex.
7. Spasms of the anus.
8. Sedentary or sedentary lifestyle.

Crack treatment

Depending on the degree of development of the disease, the method of therapy is selected. If the case is not started, then conservative treatment is enough, which involves the use of medications that promote the activation of tissue regeneration, relieve burning, swelling, and eliminate itching. For such local treatment ointment is well suited for anal fissures, suppositories, creams. In addition, they apply following methods in the treatment of injuries of the anus:

• sitz baths;
• oral preparations;
• microclysters;
• diet to improve intestinal motility;
• promotion physical activity without heavy loads;
• folk remedies.

If the stage of the disease has reached the appearance of mucous discharge from the anus, rectal bleeding, and conservative treatment does not bring relief, then surgery may be prescribed. There are several options for this procedure:

1. Devulsion. This is a compromise between conservative and surgical treatment. Under anesthesia, the spasmodic sphincter is expanded, which partially solves the problem of difficult defecation. It is not carried out for older people.
2. Cryodestruction. This is an option for treating anus injuries with nitrogen. This manipulation is not cheap and does not always help to solve problems at the root. The difficulty lies in the need to freeze only pathologically altered tissues.
3. Sphincterotomy. This is a classic operation, which consists in excising a crack along the plane up to healthy tissues. In the presence of spasm of the sphincter, it is cut from the inside. The wound heals in 5-6 days, the healing of the dressing with Levomekol ointment is accelerated.

1. Lifestyle should be active, you can not be long time in sitting position.
2. Constipation must be dealt with, delays of more than 2 days are unacceptable.
3. Timely treat intestinal infections with diarrhea, dysbacteriosis.
4. Use quality toilet paper that will not injure the anus.
5. Avoid unconventional sex or use quality lubricants.

Ointment for anal fissures

This one of dosage forms means for the treatment of hemorrhoids and fissures. This is the best option in cases where damage to the anus was formed due to dry or too hard stool, prolonged constipation. Ointment for hemorrhoids and cracks have maximum effectiveness on initial stages pathology. The advantage of this form is that some products can be used even during pregnancy at home.

As a rule, oil-based drugs are produced, the components of the ointment have an antiseptic, anti-inflammatory effect. The main advantage is that the medicine is able to penetrate deep into the tissues, which helps to quickly improve the patient's well-being. Many composition options have natural ingredients, which reduces the risk of an allergic reaction. The ointment is applied to the surface of the skin, so it fits better when a crack forms on the outside of the anus.

Indications for the use of ointment from anal fissures

It is not necessary to wait for the development of the disease, you can apply the remedy immediately as soon as they appear discomfort. You should use the drug if you experience the following symptoms:

1. Pain. It will be stronger, the deeper the crack is. In the early stages, pain occurs only during bowel movements, over time it becomes chronic.
2. Itching. It also develops over time and becomes stronger, delivers a lot of inconvenience to a person.
3. Bloody issues. They appear, as a rule, at the time of straining and defecation.

Mode of application

You can use the ointment on your own, to enhance the effect it is recommended to apply it after healing baths. Decoctions of medicinal herbs are well suited, they help relieve inflammation, relieve pain. Successful treatment when using ointments depends on compliance with several simple rules:

1. Apply the product first to the elbow to check for an allergic reaction. It is better to determine it here than after applying it to the anus.
2. Apply the product for cracks in a thin layer, no need to rub. In some cases, it is recommended to moisten the wipes and apply to the affected area. Sometimes doctors administer tampons to enhance the penetration of the drug into internal parts rectum.
3. Before using the medicine, it is imperative to carry out hygiene of the anus, the shower should be warm or cool, but not hot.

Popular crack ointments

Most funds can be ordered in the catalog on websites, the cost is lower there, so it is recommended to buy the necessary medicine in the online store. An ointment for healing cracks in the anus should be prescribed by a doctor depending on the stage of the disease, but if desired, a person can independently choose one of the popular options. Some remedies have proven themselves well in the treatment of cracks in the anus, these include:

• ointment Aurobin;
• Methyluracil ointment;
• Levomekol;
• Vishnevsky;
• Solcoseryl;
• Relief.

Levomekol with anal fissures

This is a combined medicine for external use, which has a bactericidal, anti-inflammatory, adsorbing and regenerating effect. it effective ointment from hemorrhoids and cracks has a balanced set of components that prevents the development of an infectious process, cleans the surface of the crack from decay products, promotes rapid healing of the mucous membrane, which significantly reduces the likelihood of complications. medicinal properties based on the following components of the ointment:

1. Chloramphenicol (aka chloramphenicol). It's an antibiotic local action copes well with various types of pathogenic microflora (streptococci, chlamydia, staphylococci, coli), stops suppuration of tissues, reduces inflammation.
2. Methyluracil. This component promotes the healing of cracks in the anus, relieves swelling, pain, strengthens local immunity relieves chronic itching.
3. polyethylene oxide. Additional substance, which ensures the application of the ointment, its penetration into the tissues of the remaining therapeutic components, has a drying and regenerating effect.
4. Dioxomethyltetrahydropyrimidine. This is a strong immunostimulant that stops the symptoms of pathology, accelerates tissue regeneration.

Apply funds 1 time per day until the purulent discharge completely disappears and the wound heals. The duration of treatment is usually no more than 15 days. The exact duration should be established by the doctor, who will take into account the characteristics of the patient, the stage of the disease. Exceed the duration of therapy own decision is not recommended, because it can lead to violations of the intestinal microflora, the appearance of problems with the liver.

Methyluracil ointment

The action of this remedy is aimed at stimulating growth, regenerating damaged tissues, so it becomes good option for the treatment of anal fissures. chief active substance methyluracil acts, which has anti-catabolic properties. This helps to quickly overcome the inflammatory process, increase local immunity.

It is recommended to use tampons to improve the penetration of medicinal components into the anus. Apply a small amount of funds to the swab in a thin layer over the entire surface, you need to enter relatively deep, especially if the damage is located deeper than the surface of the anus. There have been cases when the medication caused an allergic reaction (burning and itching), so it is recommended that you first apply the ointment to the ulnar surface.

Ointment Solcoseryl

It has a regenerating, anti-inflammatory effect. The basis of the drug is a deproteinized extract from calf's blood, which increases the absorption and transport of oxygen, glucose, normalizes energy metabolism in cells, accelerates tissue repair and increases re-epithelialization. The main advantage of Solcoseryl is that it can be used even during pregnancy and lactation. The remedy has no contraindications, rarely fixed side effect in the form of an allergic reaction. There are 2 recommendations for use:

1. It should be applied 1-2 times a day no more.
2. For more effective healing it is recommended to use tampons moistened with the medicine.

Vishnevsky ointment

A very well-known and popular ointment at a low price, which is effectively used for the treatment of damage to the anus. Helps relieve inflammation, reduce swelling, accelerate tissue healing and improve patient well-being. The product is based on three active ingredients:

• Birch tar;
• Castor oil;
• xeroform.

For maximum effective treatment it is recommended to smear immediately after the first symptoms of the disease appear. To enhance the medicinal effect, it is recommended to moisten tampons in the product and insert them into the anus. This will ensure a deeper penetration of the drug into the tissues of the rectum. The main plus of the drug is the safety of use, it is allowed to use even during pregnancy.

Ointment Relief

There is a whole line of this medication under common name, the doctor should select the variant of the medicine based on the stage of development of the pathology, the neglect of the complexity. It has a wound-healing, anti-inflammatory effect, helps to regulate blood circulation at the local level, helps to heal damaged tissues. To use the ointment, it is recommended to use a special applicator from the kit.

First you need to do hygiene procedures, then lie on your side, pull your knees up to your stomach, insert the nozzle into the passage, lightly squeeze the tube with your fingers and the contents will evenly distribute themselves along the rectum. Then you need to remove the applicator and just lie on your side for about 10 minutes. A little ointment always flows out, so the effect extends not only inside, but also outside.

Heparin ointment

chief active ingredient funds acts as a substance of the same name, which helps to reduce inflammatory response at the local level, increase regenerative properties, promotes rapid resorption of formed hematomas. Most often recommend this medicine for home use after childbirth. For use, it is recommended to soak a piece of tissue or a swab for deep insertion into the anal passage. The disadvantages of the funds include the following contraindications for use:

• reduced coagulability blood;
• thrombopenia;
• ulcerative necrotic processes.

How to treat a chronic fissure in the anus

Antibacterial ointments are more often used for short courses of 1-2 weeks, but sometimes the disease becomes chronic and causes discomfort to a person all the time. Means for therapy of this form should have anti-inflammatory properties and regenerating. As a rule, specialists prescribe the following means for treatment chronic form diseases:

1. Aurobin. This is an effective local remedy that kills bacteria, relieves pain, inflammation. They drive the medication directly into the anus, you can use a tampon for this purpose.
2. Proctosan. The tool has drying properties, use the medicine 2 times a day immediately after emptying the intestines.
3. Nitroglycerin ointment. Counteracts inflammatory diseases, fast healing fabrics. It is recommended to use the remedy for a month in order to permanently get rid of this pathology.

Ointments for anal fissures in children

The child may also have this problem. Treatment of rectal fissures is carried out using local medicines, but before starting the use of drugs, you must definitely visit a doctor. For therapy, experts often recommend the same popular means that are also used for adults: Levomekol, Solcoseryl, Vishnevsky, Bezornil. Last resort has the following properties:

1. The product contains the following substances: artificial musk, pearl components, zinc carbonate, amber, borneol, artificial bezoar. This provides an excellent antiseptic, astringent and local anesthetic effect.
2. The medicine should be used 2-3 times in 1 day, injected deep into the intestine using a special applicator.
3. It is necessary to apply the medication after emptying the intestines.
4. Of the contraindications, only allergic reaction on the components of the tool.

Price

The cost of medicines depends on the volume of the container, the region of sale. You can buy it in a regular pharmacy or order it online. It is recommended to consult a doctor, find out the terms of use before using the product. Estimated price for medicines of this group in Moscow are as follows:

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