Ointments for anal fissure

Ointment for cracks in the anus for effective treatment. The most effective folk remedies for the treatment of rectal fissures

With the appearance of itching, pain, burning and other unpleasant sensations in the anus, one can suspect the presence of several deviations at once, among which a crack in the anus occupies not the last place. Often, this disease is temporary, without turning into a chronic form. Cracks can have different depths and locations - around the anus or at the anus.

The symptoms and treatment of the disease differ in each case, depending on the severity. It is important to distinguish from an anal fissure.

Reasons for the appearance

Among the main causes of anal fissures, which can cause a predisposition to the appearance of anal tears, are:

  1. Chronic, which can become a factor in the appearance of a large volume and dryness of the intestinal contents, which interferes with its normal emptying and can lead to damage to the mucosa;
  2. Intestinal diseases, in which the normal functioning of the organ is impossible;
  3. anal sex;
  4. Birth disorders;
  5. Crohn's disease;
  6. Improper diet, leading to a dry consistency of the contents of the intestine.

The photo shows the localization of the anal fissure

Note. With the constant influence of these factors, the crack can increase in size, progressing.

There are also cases when an anal fissure occurs due to the following reasons:

  • labor activity (stress during childbirth can adversely affect the condition of the intestine, leading to its deformation from increasing in the pelvic organs, which contributes to the occurrence of cracks in the anus after childbirth):
  • ignoring laxatives and suppositories at the first stool after childbirth (usually, those who gave birth require relaxation, since swelling can be observed in the mucosal area);
  • with - traumatization of the mucosa with increased stress;
  • too much straining during bowel movements;
  • mechanical damage (unprofessional installation of enemas, candles, diagnostic devices, anal types of sex and the introduction of foreign objects into the anus);
  • vascular dystrophy;
  • change in the properties of the sphincter, its muscular deformation;
  • weakening of epithelial cells.

It is not always possible to determine the exact cause of the damage.

Manifestations of the disease

Often these symptoms occur in women during pregnancy. The doctor should establish the exact disease, since anal fissures have manifestations similar to those observed with. Among the symptoms of cracks in the anus, note:

  • pain in the anus, especially during bowel movements;
  • itchy sensations (may occur when an infection enters a crack);
  • the appearance of bleeding (blood does not appear in everyone and is not strong - it can be observed as one drop on toilet paper);
  • spasms that occur in the sphincter (involuntary).

Stages of development

Usually, this disease occurs in two stages, among which, according to the international classification, acute and chronic are distinguished.

In the first case, the disease is just beginning - there is an instantaneous deformation of the mucosa with a rupture of the membrane. At this stage, the crack does not need to be specially treated, since it takes about 2 days for its spontaneous healing.

With a chronic crack in the anus, the gap for some reason cannot heal, increasing in size and becoming infected. There is pain and burning in the damaged area.

Diagnostics

A doctor can accurately determine the cause of discomfort, as there are several different ailments with similar symptoms. The specialist visually examines the affected area, and also evaluates the results of a blood test for the presence (this may indicate bleeding from a crack in the anus) and feces (to establish the absence of intestinal diseases, pathogenic flora, infections and protozoa).

Additionally, studies may be assigned:

  • rectoscopic (determination of Crohn's disease and colitis);
  • anoscopic (examination of the intestinal mucosa);
  • irrigoscopic (intestinal x-ray);
  • Ultrasound (determining the condition of all organs of the small pelvis and establishing the presence of tumors).

Anal fissure therapy

There are 3 main approaches to the treatment of fissures - conservative (treatment of hemorrhoids and fissures with pills), surgical (if conservative is ineffective) and folk.

Note. Usually they try to avoid surgical intervention and do with other methods.crack treatmentIn total.


radical treatment

With a significant deterioration in the patient's condition and the ineffectiveness of prescribed medications for the treatment of the disease, doctors resort to a surgical solution to the problem. The operation is indicated for scarring of the edges of the crack and getting into it a serious infection that does not go away on its own.

During surgery, a crack is excised with an area that interferes with the normal healing process. The duration of the operation and the method of anesthesia of the site depends on the degree of damage to the site and the state of health of the patient.

Before the operation, health is examined in different ways:

  1. An ultrasound is performed;
  2. Blood and stool samples are collected;
  3. The general condition of the body is diagnosed;
  4. Hair is shaved from the anal area;
  5. Four times the intestines are cleansed with an enema;
  6. Eat highly digestible foods.

The exact list depends on how anal fissures are removed.

Advice! Healing continues for 2 weeks. During this period, you should refrain from salty, spicy and fried foods.

Medical treatment

This type of therapy for hemorrhoids and anal fissures immediately solves several problems:

  • elimination of discomfort;
  • reduction of spasms in the sphincter;
  • solution to the problem of constipation;
  • normalization of the patient's diet.

Together, these measures can quickly improve the condition of the intestinal mucosa.

Candles for the treatment of cracks

Rectal suppositories from cracks in the anus act as quickly as possible on the problem, as they are injected directly into the affected area. The choice of a particular drug depends on the degree of neglect of the problems.

The following types of the most effective suppositories for cracks in the anus are usually prescribed:

  • posterisan(improves, eliminates discomfort);
  • Ultra project(relieves inflammation, heals a crack, eliminates itching of the anus and pain, since the active components of the candle are aimed at solving this problem);
  • Natalsid(stops blood and relieves inflammation);
  • Propolis-containing suppositories(quickly heal, stop inflammation and inhibit the activity of bacteria).

Candles usually look similar to the photo:


Candles - the most popular drug for an anal fissure

Ointments for cracks

Treatment of anal fissures without surgery is not complete without creams and ointments. Along with suppositories, ointments help well from cracks due to the fact that they locally affect the problem.

Often among the remedies for cracks in the anus, the following medications are prescribed:

  • Nitroglycerin ointment (dilates blood vessels, relieves spasm);
  • Levomekol (kills microorganisms, accelerates healing);
  • Solcorseryl (regenerates the skin and mucous membranes, accelerates the healing process and prevents the appearance of new breaks);
  • Ultra-proct (relieves pain, heals, eliminates itching and infection, reduces inflammation).

Note. When choosing an ointment, they are guided by the current condition of the patient and the symptomatic problems that he needs to solve.

An ointment for anal fissures can help prevent pathogenic germs from entering the sore area. Effective for the treatment of children.


Tablets

Tablets can have an anti-inflammatory and analgesic effect. Vitamins are also often prescribed to generally increase the body's resistance to infections.

A special place in this segment of drugs is occupied by laxatives, designed to soften the contents of the intestine and freely remove it. In the treatment of cracks, this is important, since constipation can damage the mucous membrane. It is better to use herbal preparations (such as Senade) and not abuse them in order to avoid the development of cancer, addiction and other bowel diseases.

Diet

In the presence of anal fissures, dietary adjustments are often required to change the consistency of the intestinal contents - its excessive hardness and dryness can lead to symptoms. It is recommended to increase the consumption of dairy products and fresh fruits (vegetables). Well softens the contents of the intestine boiled beets and carrots. It is important to be careful, as high fiber content can lead to gas formation and frequent stools.

You should increase the use of cottage cheese, meat, while reducing the amount of fried, fatty, spicy and alcohol consumed. A diet with a fissure will quickly help to improve the functioning of the intestines and, as a result, heal the gap - this is important in how to cure an anal fissure.

Folk remedies for anal fissures

Treatment at home for cracks is common due to its simplicity and affordability. Before using traditional medicine, a consultation with a doctor is necessary, since a prescription may not be suitable for a person for health reasons, drug compatibility, or the stage of the disease. This is important in how to treat cracks.

Among the most effective inexpensive means are:

  1. Herbal baths with the addition of string, sage or chamomile (common in the treatment of cracks in the anus in a child, have a healing and anti-inflammatory effect: it is enough to sit in the bath for half an hour so that water falls on the affected area);
  2. Ice candles (boiled water or herbal decoctions of chamomile or sage are frozen, the anus area with a crack is gently rubbed with a piece of ice: the pain goes away, inflammation disappears, regeneration accelerates);
  3. Carrot or beet compresses (gruel from the selected vegetable is applied to the affected area for 20 minutes) reduce the healing time of tissues and eliminate inflammatory and edematous processes.

Reviews speak about the effectiveness of these recipes. Alternative treatment is natural and safe - in the absence of individual intolerance to the components, there are no side effects in the treatment of anal fissures with folk remedies.

Possible consequences

With the right approach to the treatment of a crack in the anus, the gaps are quickly eliminated without complications. But in the absence of therapy, cracks can cause the following deviations:

  • heavy bleeding during bowel movements;
  • paraproctitis;
  • colitis;
  • the appearance of fistulas of purulent nature;
  • severe pain of a permanent nature;
  • itching;
  • predisposition to cancer.

It is required to treat anal fissures even at the first manifestations in order to avoid complications.


Note. Cracks are especially dangerous for men, sincewith an anal fissurethe inflammatory process can affect the prostate gland and cause. That is why, if there is an anal fissure, it is desirable to cure it as soon as possible.Women do not have this risk. The medical forum can be read to find out other people's experiences with fissure therapy.

Cracks are a disease of the anus of the intestine, which is easily treatable in an adult and a child. For the correct and quick elimination of symptoms, you should contact a specialist for advice and selection of treatment. Usually, folk methods, ointments and suppositories are used to treat this kind of problems, and in some cases the diet is adjusted. In extreme cases, the crack is repaired by surgical incision. How to treat the lesion in a particular case, the specialist decides.

In unopened and simple cases, it is possible to treat an anal fissure at home. At the same time, the causes and treatment of cracks are inseparable: the entire type of therapy depends on the sources of the disease.

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Using these folk remedies, it was possible to quickly cure rectal fissures. These recipes are taken from the newspaper "Bulletin of Healthy Lifestyle" and tested by readers on themselves.

Fissure of the anus - treatment with calendula and sea buckthorn oil
1 st. l. calendula pour 100 g of boiling water, bring to a boil, wrap and leave for 1 hour. Before going to bed, strain the infusion and add 2 tsp. sea ​​buckthorn oil. Make a microclyster with this mixture into the rectum, immediately close the hole with a cotton swab. Do this daily at night until complete recovery. (Recipes of the newspaper "Bulletin of healthy lifestyle" 2010, No. 3, p. 18,).

Anal fissure treatment with carrots
Grate 1 carrot, squeeze the juice. Wrap the resulting cake in gauze and apply to the sore spot at night. (Healthy lifestyle recipes 2010, No. 5, p. 31).

How to treat an anal fissure and hemorrhoids with an ice candle
Mix dry herbs: wormwood, tansy, plantain, chamomile, calendula, yarrow, celandine, oak bark, pine buds, birch leaf, birch buds, lingonberry leaf in equal proportions. You can mix not the whole set of herbs, but those that you could buy. Pour 1 cup of the collection with 1 liter of hot water and boil for 5 minutes. In a bag for making ice cubes (sold in the store), prepare ice candles. Candles can also be made in the fingers of a rubber glove. Candles put every day in the anus at night until complete recovery.
This recipe for the treatment of cracks and hemorrhoids was commented by Doctor of Medical Sciences Boikov V.P.: “This method of treating hemorrhoids allows the patient not only to prevent the development of the disease, but also in 99 cases out of 100 to avoid surgical intervention.” (2010, No. 7, p. 37).

How to Treat Anal Fissures and Hemorrhoids with Raspberry Leaf Tea
2 tbsp. l. crushed dry raspberry leaves pour 1 cup boiling water, leave for 30 minutes. Strain, take 1/3 cup 3 times a day before meals. This tool helps to bring the rectum in order, and also reduces the level of cholesterol in the blood. (Healthy lifestyle recipes 2010, No. 14, p. 29).

Hemorrhoids and anal fissures - alternative treatment with garlic
This recipe has been tested on many people, it helps with hemorrhoids in 3 days, and if the disease is running, then in 10 days. But this folk recipe can be used only if there are no cracks in the rectum. And anal fissures are quickly treated by this method: dilute potassium permanganate in fresh urine to a slightly pink color. Lubricate the anus with this solution, if the cracks are deep, then douche. Then, when all the wounds in the anus have healed, you need to insert a clove of garlic lubricated with vegetable oil into the anus, change it from time to time.
The woman was scheduled for an operation for hemorrhoids, she used this folk remedy, after which the proctologist said that everything was fine with her and the operation was no longer needed. (Healthy lifestyle recipes 2009 No. 16 p. 10).

Another way to use garlic. This remedy can simultaneously treat cracks in the anus and hemorrhoids. Helps quickly and effectively. A woman has an ulcerated fissure in her rectum. They performed an operation on her, but after she caught a cold, both the hemorrhoids and the fissure reappeared. A friend gave her a recipe for effective treatment. It is necessary to heat a brick in the oven, put it in a bucket, pour chopped garlic on the brick, sit on the bucket, wrapping the edges with a cloth. Cover with a blanket on top. Sit until the garlic begins to brown and all of its juice has evaporated. Then wrap everything in the same hot blanket and lie down for 20-30 minutes. (Healthy lifestyle 2007 No. 13 p. 22).

Celandine treatment
The woman could not sit on a chair - it was very painful, she went to the surgeon, and he diagnosed a large rectal fissure. He prescribed her sitz baths with potassium permanganate. She decided that such baths were of little use, since the crack was deep inside. I decided to treat the crack with folk remedies. First, she gave herself a large enema with a weak infusion of celandine (2 bushes per 3 liters of water). After cleansing the intestines, she made a small therapeutic enema of the following composition: 1 tbsp. l. freshly squeezed celandine juice, 1.5 tbsp. l. water and 0.5 tsp. badger fat (can be replaced with castor oil). The treatment lasted a month. A month later, she was checked by a doctor, and the doctor said that the crack had healed. (Healthy lifestyle recipes 2009, No. 3, p. 9-10).

Ointment for the treatment of cracks
The woman was diagnosed with an anal fissure. She began to use various folk remedies: baths with a decoction of oak bark, sea buckthorn oil, enemas with urine. There were temporary improvements, but she could not completely cope with the disease. Once she read a recipe for a miracle ointment in which she immediately believed. I made an ointment, injected it into the anus. The crack was completely healed.
Here is the ointment recipe: take 100 g of butter, linseed oil, melted pork interior fat, beeswax, paraffin, tar, spruce resin, planed household soap, onion grated on a fine grater, honey, aloe, passed through a meat grinder, 1 tbsp . l pharmaceutical sulfur and half a pack of snuff. Mix everything, bring to a boil, boil for 5 minutes.
This ointment also treats abscesses, hangnails (2004, No. 5, p. 25).

Alternative treatment with salted fat
The woman had an anal fissure of the rectum, she was being prepared for surgery, but the doctor himself dissuaded her from being operated on. He advised me to find old, old yellow fat, clean it from salt, make a candle and insert it into the anus at night. The woman was treated daily for a month, and everything returned to normal. (2003, No. 13, p. 25).

Chamomile baths and potato candles
It was possible to cure a crack in the anus as follows: at first, the woman did sitz baths every evening (36-37 degrees) with chamomile infusion for 15-20 minutes (the basin with infusion was placed in a bath of hot water to maintain the desired temperature). After the bath, she inserted an anesthetic candle. After 10 baths, she began to heal the crack with potato candles - three times a day she inserted a fresh candle cut from potatoes. The duration of treatment is 3-4 months. (Healthy lifestyle recipes 2003, No. 15, p. 25-26).

Propolis suppositories for anal fissures and hemorrhoids
Melt 200 g of good butter in a water bath. Collect the foam and throw into the oil about 20 g of grated propolis. keep the mixture in a water bath for 10 minutes, stirring, then strain through a sieve. Store in the freezer. It is enough to make 1 suppository three times a night, as hemorrhoids pass. This recipe helped ten friends whom the author of the article advised this remedy for. Once he met a neighbor who was scheduled for surgery for a painful fissure in the rectum, and also recommended this recipe. Five days later I saw my neighbor - he was coming from a surgeon who could not find an anal fissure and canceled the operation. (2002, No. 19, p. 20).

Alternative treatment of rectal fissures with coniferous ointment
Collect pine or spruce needles away from the city at any time of the year. Buy 300 g of fresh butter. Prepare a cast-iron or clay pot for 1-2 liters. Do not take aluminum or enameled dishes. At the bottom we put oil with a layer of 1 cm, then 1 cm needles (whole or sheared), 1 cm oil on top, then needles. So fold until the oil runs out. Close the bowl with a lid, and cover with unleavened dough. Put in the oven and simmer over low heat for 24 hours with breaks of 2 hours: simmer 2 hours, 2 hours break. Then pull out the bowl, remove the burnt dough and strain the oil. The needles should turn black, the oil should be marsh-colored. When the oil hardens, it should harden like a stone. If the oil is less languishing, then it will be watery - it will be difficult to introduce it into the anus.
Apply this folk remedy at night: insert a piece of ointment in 1 cubic cm into the rectum. The oil immediately relieves pain and heals not only cracks, but also neighboring organs: the prostate, ovaries, bladder. If the disease is chronic, then apply this ointment for a long time, in courses: a month to treat, a week break. This ointment can also treat cracks in the hands and heels, hemorrhoids, herpes, eczema. (Healthy lifestyle recipes 2001, No. 6, p. 17).

Is it possible to use folk remedies for cracks in the anus? The methods of treatment that traditional medicine offers are certainly effective.

But we must remember that any means should be used along with medications, diet and other therapeutic measures.

Only with an integrated approach, cracks will begin to heal faster. If you use only folk remedies, then the disease will not go into remission, but will only worsen and cause complications.

Among folk remedies, sitz baths with herbs and mixtures for external use are considered the most effective. Even to accelerate the process of regeneration of rectal defects, you can use candles and compresses.

Sitz baths for anal fissure

An anus fissure is an extremely unpleasant defect. It brings a person daily discomfort. What are the symptoms and treatment of the defect? With cracks, the patient is constantly tormented by pain in the anal canal, burning, anal itching and bloody discharge from the anus. Treatment is medical or surgical.

In order to minimize the intensity of the clinical manifestations of anal fissure, it is customary to use sitz baths. This method of treatment is effective, but only subject to certain recommendations.

First, you need to remember that the water temperature should not exceed 37-38 degrees. Secondly, sitz baths should be taken no more than 20 minutes, but with a large frequency, that is, 2-3 times a day.

To treat a crack, you can use:

  • Potassium permanganate. This tool is used both internally and externally. With an anal fissure, it is allowed to use potassium permanganate to prepare a sitz bath. To do this, add literally 10 drops of this product to warm water.
  • Camomile tea. This tool can be prepared independently. To do this, you need 100 grams of dried chamomile and 2 liters of water. The ingredients must be mixed and boiled. Then the product must be cooled, strained, and added to a sitz bath.
  • Oak bark. To prepare a decoction, you need to mix 20-30 grams of oak bark and a liter of purified water. The mixture must be boiled, and then cool and strain. It is enough to add 500 ml of the resulting drug to the bath.
  • Cold bath with plantain. This remedy will help to quickly get rid of anal itching and burning. To prepare a bath, add 100-150 ml of plantain broth to cool water.

If the above ingredients are not at hand, then you can add 2-3 tablespoons of honey to warm water.

Homemade candles for anal fissures

To cope with the signs of rectal fissures, and improve the general condition of the patient, you can use rectal suppositories. They must be inserted into the anus immediately after a bowel movement.

In some cases, it is impossible to use traditional drugs. Candles of synthetic origin have their contraindications and side effects. That is why some patients prefer to use their own suppositories.

How to make candles? To do this, you need raw potatoes. From the vegetable you need to cut the suppository. The candle should not have sharp ends, otherwise, when using it, it will be possible to damage the rectum.

Raw potato suppositories should be administered rectally after a bowel movement. At the same time, homemade suppositories are strongly recommended to be lubricated with olive or sea buckthorn oil. 2-3 potato suppositories should be administered rectally per day. They must be removed from the anus 20 minutes after the introduction.

More traditional medicine recipes offer the use of lard candles. They are very easy to prepare. Suppositories are cut out of fat. It should have an elongated shape. Sharp edges are cut off.

It is necessary to introduce suppositories from lard 2-3 times a day. Moreover, it is recommended to do this after emptying the intestines. It is necessary to take out the candle 30 minutes after its introduction. It is necessary to treat anal fissures in this way for 1-2 weeks.

You can also use ice suppositories. To do this, you need to make a mold from cardboard, pour water into it, and put the product in the freezer for a day. Next, the sharp edges of the suppository are ground off, and the candle is inserted into the anus.

Ice candles will help to quickly eliminate pain, anal itching and burning.

Compresses and ointments for rectal fissures

If treatment is performed with folk remedies, you can diversify it with the use of compresses. To prepare a compress, you must first grate 1 carrot and 1 beetroot. Then pork bile must be added to the resulting mixture. The ratio of chopped vegetables to bile is approximately 3:1.

Next, the drug is placed on clean gauze. The compress must be applied to the anus for 15-20 minutes. You need to repeat the procedure at least two or three times a day. The duration of treatment is not limited.

Other good remedies for anal fissures are:

  1. Compress with aloe juice. To prepare it, it is necessary to moisten a clean gauze bandage in aloe juice, and apply it to the inflamed area for 10-20 minutes.
  2. Spruce resin ointment. For its preparation, you will need spruce resin, sheep fat and wax. The ratio of ingredients is 4:2:1. The resin is first filtered and boiled. Then sheep fat and wax are added to it. The mixture is boiled for another 10-15 minutes, after which it is cooled. Apply the ointment to the affected area 2-3 times a day.
  3. Propolis ointment. For its preparation, you will need 10 grams of propolis (crushed) and 100 grams of butter. First you need to melt the butter, and then add propolis to it. The resulting mixture is brought to a boil and then cooled. Also, the drug must be filtered through a gauze bandage. Apply the ointment to the affected area 2-3 times a day.

If there is no desire to make an ointment, then olive or linseed oil can be applied to the affected area. This method of treatment is also quite effective.

Additional treatment measures for anal fissures

It has already been mentioned above that it is not enough to use exclusively folk remedies. In order to accelerate the process of regeneration of damaged tissues of the rectum, it is necessary to approach the treatment in a complex manner.

In order to stop the symptoms and improve epithelialization, it is customary to use rectal suppositories and ointments. Dosage and specific drugs are selected by the attending physician on an individual basis.

In addition to the use of medications, the patient needs:

  • Stick to a diet. Balance is the key to successful treatment. In the presence of damage to the rectum, legumes, spices, spicy and fatty foods should be abandoned. Banned sweets, fresh pastries and alcohol.
  • Avoid anal sex.
  • Don't forget about hygiene. After each act of defecation, the anus should be washed with warm water. Toilet paper is highly discouraged.
  • Try to move more. Constant sitting will negatively affect blood circulation in the pelvis.

If the above therapeutic measures do not help, then a sphincterotomy is performed. This operation involves excision of a rectal fissure along a plane within healthy tissues.

Fissure of the anus- a defect in the wall of the rectum, which has a linear or elliptical shape. On average, cracks are 1-1.5 cm long, 0.2-0.5 cm wide and 0.1-0.2 cm deep. The leading symptoms of anal fissure are: pain, spasm of the sphincter and bleeding from the rectum.

Anal fissure is a fairly common disease among all pathologies of the rectum, it ranks third after hemorrhoids and colitis. The incidence rate is from 9% to 15%. On average, an anal fissure is 20 cases per 1000 adults. Women suffer from this disease several times more often than men (except for gay men, in whom this percentage may be even higher). In general, the age of patients ranges from 20 to 60 years. Thus, more than half of patients suffering from anal fissure are people of working age (21-40 years).

Usually, a crack occurs on the coccygeal wall of the anus (85% -90%), less often in the area of ​​​​the anterior commissure (10-15%), and even more rarely two cracks occur simultaneously opposite each other on the anterior and posterior wall (about 1%). Such a high percentage of crack formation along the posterior wall is explained by the anatomical feature of this section of the rectum: 1) a special direction of the muscle bundles of the external sphincter in the form of the letter “U”, 2) deeper crypts (depressions between the folds), 3) less extensible muscles in the anteroposterior direction.

Anatomy of the rectum

The rectum is the final section of the large intestine, located after the sigmoid colon. The length of the rectum varies from 12 to 17 cm. The following sections of the rectum are distinguished: nadampular, ampullar and perineal (anal canal). The length of the last section is only 1.5 cm - 3 cm.
The anal canal is located under the muscle lifting the anus (m. Levator ani), below the pelvic diaphragm. At the border of the transition of the ampullar part into the anal canal, there is an anorectal line (dentate, scallop). 4 layers take part in the formation of the wall of the rectum: 1) the mucous membrane, 2) the muscularis mucosa, 3) the submucosa, 4) the muscular layer.

mucous membrane forms two types of folds in the rectum: longitudinal and transverse. Longitudinal folds are formed due to a well-defined submucosal layer, such folds are also called (Morgan's columns). Between such folds, depressions (crypts or Morgan's sinuses) are formed, mucus accumulates in them to facilitate the passage of feces. The number of such depressions varies from 6 to 12. The deepest of them is located on the back wall of the anal canal (up to 2 cm) - the most common site for anal fissures.
Longitudinal folds are located in the upper sections of the rectum, in an amount from 3 to 7. Due to the helical arrangement, the longitudinal folds contribute to the forward movement of the feces.

The course of treatment is 7-14 days

posterisan Killed microbial cells of Escherichia coli
Excipients: phenol, emulsifying hard fat, hydroxystearate, macrogol-glycerin
  • Immunostimulating
  • Antipruritic
  • Promotes recovery and healing
  • anti-inflammatory
Morning and evening, as well as after each bowel movement. 14-21 day course.
Natalsid The main substance is sodium alginate, a natural component obtained from brown seaweed.
  • Pronounced hemostatic effect (hemostatic)
  • anti-inflammatory
  • Wound healing
Rectally, 2 times a day, one suppository. Course duration 7-14 days
Proctosan Active substances:
  • Drying
  • Anti-inflammatory
  • astringent
  • Painkiller
  • Wound healing
After a bowel movement (recommended), 1-2 times a day, for 8-10 days.
Salofalk salicylic acid preparation
  • Pronounced anti-inflammatory action
  • Wound healing effect
3 times a day, rectally, 1 suppository (500 mg) or 2nd soup. (250 mg each)
For the prevention of repeated exacerbations, 250 mg 3 times a day. Maximum day dose of 3 grams.
Candles with propolis
Active ingredient: propolis
  • Antibacterial action
  • anti-inflammatory
  • Wound healing
  • Immunostimulating
1 suppository, at bedtime, daily, 10-20 days. Intensive treatment - 1 supp. In the morning and in the evening.
  • Candles with sea buckthorn
  • Candles Relief
Name of the ointment Description and composition effects Application
Nitroglycerin ointment 0.2% Nitroglycerin, lanolin-vaseline base Expands blood vessels, improves blood circulation, relaxes the sphincter, reduces the traumatization of the crack, accelerates the healing process
  • 2-4 times a day, course 15-30 days.
Ultra project
Main active ingredients: glucocorticoid (fluocortylon) and anesthetic (cinchocaine)
  • anti-inflammatory
  • Wound healing
  • Anesthetic
  • Antipruritic
After screwing the special tip onto the tube, squeeze a small amount of ointment directly into the anus. 2 times a day, the first day up to 4 times. The course of treatment is from 7 to 14 days.
Proctosan Active substances:
Bufexamac, bismuth subgalate, titanium dioxide, lidocaine hydrochloride monohydrate
  • Drying
  • Anti-inflammatory
  • astringent
  • Painkiller
  • Wound healing
On the affected area of ​​the anus, twice a day. For rectal use, after emptying the intestines, the ointment is introduced into the rectum with the help of an applicator. The course of treatment is 8-10 days.
Levomekol Combined antibacterial agent: chloramphenicol and methyluracil
  • Antimicrobial
  • Anti-inflammatory
  • Promotes early healing.
  • 2 times a day, course 7-10 days.
Solcoseryl Hemodialysate of blood of dairy calves. Contains a wide range of natural low molecular weight substances (amino acids, glycolipids, nucleotides, etc.)
  • Accelerates tissue repair processes
  • Strengthens and stimulates vascular growth
  • Strengthens the defense mechanisms of cells
  • Improves metabolic processes
  • 1-2 times a day, until complete cure
Ointment-balm Ratovnik Ingredients: milk fats, sea buckthorn oil. Echinacea extract, beeswax, vitamin E, essential oils (tea tree, lavender, rose)
  • Removes all signs of inflammation: pain, redness, irritation. itching
  • Activates tissue repair processes
  • Has an antibacterial effect
  • Creates a strong protective barrier
Morning and evening recommended after every bowel movement
Duration of the course - until complete recovery.

Pills and injections for anal fissure

Anti-inflammatory drugs
The drug salofalk for the prevention of exacerbations 15-30 mg / kg / day, for 2 doses.
Salofalk has a pronounced anti-inflammatory effect. Significantly reduces the risk of re-development of an anal fissure.

vitamins
It is better to take a complex of vitamins A, E, which promote wound healing and strengthen the protective mechanisms of the skin.

Laxative
Laxatives are used to regulate stool. Preference is given to herbal products (for example, Senade). Such drugs stimulate colon movements, causing stools 8-10 hours after ingestion. Senade selectively acts on the large intestine, restores its normal functioning, without causing addiction. Take 1-2 tablets before bed.

Laxative Normaz. The main active ingredient is lactulose. The drug softens fecal masses, increases their volume, stimulates intestinal activity. In addition, normase improves the intestinal microflora and prevents the development of pathogenic microorganisms.

Taken after meals. For adults, the first three days, 15-40 ml per day, and then 10-25 ml per day. On average, the course of treatment is from 1 to 3-4 months.

blockades
Blockades are used to eliminate spasm of the sphincter and relieve pain. One type of effective blockade is novocaine-alcohol blockade. It is introduced under the base of the crack 1-2 cm deep. A 1% or 2% solution of novocaine 5-7 ml is injected, and then, without removing the needle, 1 ml of 70% alcohol is injected. Thus, the superficial and subcutaneous part of the anal sphincter is anesthetized. It takes from 1 to 4 blockades for one course, the interval between blockades is 3-5 days.

Diet for anal fissure

A sour-milk and vegetable diet is recommended. Well regulate the work of the intestines: boiled beets, carrots, wheat bran, prunes. However, an excess of vegetable fiber foods can increase the frequency of stools, increase gas formation and adversely affect the course of the disease. The diet should contain a sufficient amount of protein foods: cottage cheese, eggs, boiled meat, broths.

It should be excluded: spicy, salty, sour foods, seasonings, alcohol, smoked foods. In addition, do not forget about the liquid. It is recommended to drink up to 2.5-3 liters of water per day. A sufficient amount of fluid will help soften and move feces through the intestines. It is desirable that within two weeks the patient had a chair only with the help of a cleansing enema.

Cleansing enema for anal fissure

Cleansing enema is one of the most important means in the treatment of anal fissure.
Rules for performing cleansing enemas:
  • Take 1 liter of boiled water at room temperature
  • Liberally lubricate the tip of the enema and the anus with vaseline ointment
  • The tip is inserted into the anus along the opposite edge of the anal fissure
  • The patient can go to the toilet after 7-10 minutes after the enema
  • The frequency of procedures depends on the patient's need for defecation.
  • In the acute period of the disease, do not allow an independent stool

Baths for anal fissure

Baths are done immediately after cleansing the intestines (after an enema). In a basin of water 35-36 degrees, add potassium permanganate (potassium permanganate). Squatting down, so that the buttocks were divorced, and the anal passage was washed. The duration of the procedure is 10-15 minutes. After the baths, it is recommended to introduce a candle or ointment with anti-inflammatory properties into the anus (natalside, ultraprokt, etc.). This type of manipulation should be repeated before going to bed.

Anal fissure surgery

Indications
  • Chronic fissure with dense cicatricial edges and sentinel tubercles
  • Inefficiency of treatment of acute fissure by conservative methods
The purpose of the operation
  • Excise the edges, the bottom of the ulcer, in such a way as to remove all the changed tissue that prevents the healing of the crack.

How is the operation performed?

  • The operation is performed under general or local anesthesia. After the anesthesia procedure, a rectal speculum is inserted into the anal canal. Be sure to perform the expansion of the narrowed sphincter (divulsion). Then the crack is excised as a single block in the form of a mucocutaneous triangle. So that there is no trace of scar tissue left. In the presence of spasm of the sphincter, the operation is completed with a posterior dosed dissection of the internal sphincter to a depth of 0.5 cm. After that, the wound remains open. Or, a lateral submucosal dissection of the sphincter is performed with a long scalpel under the control of a finger inserted into the rectum. However, this method has a high percentage of complications such as: insufficiency of the internal sphincter and damage to the vessel with the formation of extensive subcutaneous hemorrhages.
  • In the case of a combination of a chronic anal fissure with hemorrhoids, the removal of hemorrhoids according to Milligan-Morgan is carried out with the restoration of mucocutaneous wounds and excision of the fissure, leaving mucocutaneous bridges.
  • In general, the duration of the operation to eliminate the anal fissure takes from 20 to 40 minutes.
  • In 94% of cases, the patient recovers completely.

Postoperative period

The patient is prescribed a salt-free diet, dressings with ointment dressings are made daily. By the evening after the operation or the next day, the patient can already begin to walk. On the 3-4th day, the stool is caused by a cleansing enema. Be sure to periodically lubricate the wound surface with ointment to prevent premature adhesion of the edges of the wound. The patient is discharged on the 7-10th day. Complete wound healing and restoration of sphincter function occurs 2-4 weeks after surgery.

How to prepare for the operation?

Preparing for the operation does not cause great difficulties, however, failure to observe elementary precautions can cause a number of unpleasant complications.

Preparation for the operation includes the following points:

  • Delivery of standard laboratory and instrumental tests (general blood test, urinalysis, fecal analysis, ECG, ultrasound of internal organs) and additional, if necessary (rectoscopy, irrigoscopy, etc.)
  • Consultation of a general practitioner, an anesthesiologist, as well as, if necessary, other specialists, if the patient has comorbidities.
  • Preparation of the surgical field: shaving of hair and thorough toileting of the perineum
  • Purgation. Cleansing enemas (1 liter) at intervals of one hour, 2nd in the evening and 2nd in the morning before surgery.
  • Diet. A day or two before the operation, it is necessary to switch to easily digestible food, which would not overload the digestive tract. But at the same time, food should be balanced, rich in minerals and vitamins. It is recommended to include more carbohydrate food in the diet (jam, sugar, honey, etc.). Completely exclude foods that can cause flatulence and excessive intestinal activity (smoked meats, spicy, salty, legumes, flour, etc.). Alcoholic drinks are strictly prohibited. On the day of the operation, you can drink a cup of tea with sugar or honey, as the body needs energy, both at the time of the operation and in the postoperative period.

Folk methods for treating anal fissure

If you really care about your health, any use of medicines, and especially folk remedies, should be consulted with your doctor.

The form Compound Cooking method Mode of application Effect
micro enema Calendula,
sea ​​buckthorn oil
One tablespoon of calendula pour 100 ml of boiling water, bring to a boil, leave for 1 hour. Strain and add 2 teaspoons of sea buckthorn oil Make a microclyster with the resulting mixture (50-200 ml)
Give an enema before bed. Daily until complete recovery.
  • anti-inflammatory
  • Antimicrobial
  • Acceleration of recovery processes
  • Strengthening local immune mechanisms
Sitz baths (infusion) Chamomile, sage, St. John's wort, calendula Take 20 grams of herbs in equal proportions, mix. Pour 1.5 liters of boiling water, filter. Then dilute with warm water to 38-40 degrees. Desirable
take a bath before for 15-20 minutes
  • Anesthetic
  • Hemostatic
  • Reduces inflammation
  • Reduces skin sensitivity and irritation
  • Activates recovery and healing processes
  • Strengthens local defense mechanisms
ice candle Tansy, chamomile, wormwood, plantain, calendula, oak bark, lingonberry leaf, celandine, birch leaf, yarrow, birch buds.
Mix the available herbs in equal proportions, pour 1 cup of the mixture with 1 liter of boiling water and boil for 5 minutes. Let cool completely. Then pour the broth into the fingers of a rubber glove or into special molds for ice. Put in the freezer. Insert suppositories into the anus, at bedtime, daily until complete recovery.
  • Hemostatic
  • Painkiller
  • Anti-inflammatory
  • Antimicrobial
Compresses Carrots, red beets,
Ox or pig bile
Grate carrots and beets (3 parts) and mix with 1 part fresh ox or pig bile The resulting mixture is spread on a clean cloth and applied for 15-20 minutes.
  • Relieves inflammation
  • Has antiseptic and antimicrobial activity
  • Promotes healing
Candles from potatoes and badger fat Bear or badger fat, propolis, alcohol 70%, raw potatoes Add to 40 gr. fat 40 gr. Propolis and 40 gr. alcohol 70%. Mix and refrigerate for 3 days. Cut a stick or a candle from a raw potato, dip it in the resulting mixture and insert it into the anus. Perform the procedure before going to bed.
  • Elimination of spasm
  • Removal of pain syndrome
  • Reduces inflammation
  • Accelerates recovery and healing processes

Complications of anal fissure

  • Bleeding. Chronic, sometimes minor bleeding can lead to anemia.
  • Infection of the crack can lead to the fact that the purulent process spreads to the adjacent tissue and develops paraproctitis (inflammation of the perirectal tissue).
  • Prolonged purulent inflammation of the anal fissure can lead to the formation of a fistula of the rectum.
  • The chronic course of anal fissure can become a predisposing factor in the development of tumor diseases of the rectum.

Prevention of anal fissure

Prevention
It is recommended to do: It is recommended to avoid:
  • Normalize the chair! Diet. Prevention of constipation. A glass of cold water or juice on an empty stomach. A glass of kefir with a spoonful of sunflower oil at night.
  • Moderate physical activity, physical education, swimming, etc.
  • In time and fully treat bowel diseases. Especially cure hemorrhoids.
  • Proper management of childbirth and the postpartum period
  • Excessive physical activity, especially those that increase pressure in the rectum.
  • Errors in nutrition (too spicy, salty, alcohol, etc.)
  • Prolonged constipation
  • Mechanical injuries of the rectum
  • Hypothermia

Answers to frequently asked questions

Anal fissure during pregnancy - how to treat?

Pregnancy is a stressful period for the whole body of a woman. During this period, there is a high risk of exacerbation of chronic diseases. Quite often, constipation and hemorrhoids worsen in pregnant women. These, in turn, are the primary factors in the development of anal fissures. Given the fact that many drugs are prohibited during pregnancy, it is necessary to look for alternative methods for treatment. Here are some tips that will help to cope with the disease and at the same time not harm the health of the mother and child:
  • In the first place is a diet in order to naturally adjust the stool. You should drink enough liquid 1.5-2 liters per day. Eat more fresh fruits and vegetables, cereals containing a large amount of fiber. Prunes, beets, sour-milk products cope well with congestion in the intestines. However, pregnant women should not severely restrict themselves in food preferences. Since nature naturally regulates all the necessary needs, both for the mother and for the child.
  • If it is not possible to adjust the stool with the help of a diet, you can use light laxatives: Normaze, Phytomucil, food bran. Which will not have a harmful effect on the body of the mother and child.
  • With a strained stool, it is recommended to use oil microclysters (with sea buckthorn, calendula).
  • To act directly on the anal fissure (eliminate inflammation, pain, healing), the following preparations are effective and safe: sea buckthorn suppositories, suppositories with propolis, relief-advance suppositories, Aurobin ointment, baths with chamomile, sage, calendula.
  • Personal hygiene. It is recommended after each bowel movement to wash the anus area with antibacterial soap, chamomile or calendula infusion, lubricate the skin with vaseline oil, baby cream.
  • Moderate physical activity. Walking in nature, swimming, etc.
  • Important! If you really care about your health and the health of your child, be sure to consult a specialist doctor (gynecologist, proctologist).

Cracks in the anus in a child - how to treat?

Anal fissures are quite common in children. Basically, these are acute cracks, less often they become chronic. The most common cause of anal fissure in children is constipation, less often diarrhea and helminthic invasion. And, as a rule, after the normalization of the stool, the cracks disappear on their own. In this regard, the normalization of the child's stool comes to the forefront of treatment. To do this, the child's diet is first reviewed, the diet includes more plant foods (vegetables, fruits), fermented milk products (kefir, fermented baked milk, etc.).

The drinking regimen is also important, the child should receive a sufficient amount of liquid (pure water, juices, fruit drinks, compotes). However, only one diet is often not enough, since the psychological factor becomes the underlying factor in most cases of constipation.

Improper family and social education adversely affects the psyche of the child and automatically affects his physical condition. In this case, an experienced psychologist or pediatrician will provide indispensable assistance in treating the child. Parents should suspect the disease in time and pay attention to the following points: unreasonable anxiety of the child, the child does not want to go to the potty, or sits on it for a long time, strains, cries. And most importantly, examine the child's feces for drops of blood, the most characteristic symptom of an anal fissure. If you have such symptoms, you should definitely contact a pediatrician or pediatric surgeon in order to exclude more serious diseases and prescribe the right treatment.

Some tips for treating anal fissure in children:

  • Normalize the child's stool. Diet. Psychological work. Laxatives (normaze, food bran, phytomucil, etc.). Cleansing enemas.
  • Eliminate pain and inflammation in the anal canal, accelerate the healing process of the fissure. Recommended preparations: suppositories with sea buckthorn, suppositories with propolis, alginatol suppositories, posterisan suppositories, relief suppositories, solcoseryl ointment, troxevasin ointment, baths with chamomile, sage, potassium permanganate, oil microclysters with sea buckthorn, calendula, etc.
  • Personal hygiene. Thoroughly wash the anus area after each bowel movement. Lubricate with petroleum jelly or baby cream to moisturize and increase skin elasticity in order to eliminate increased trauma to dry skin.

Anal fissure after childbirth - how to treat?

The process of childbirth is a serious test for a woman, at this time the body is under tremendous stress. In particular, the pelvic organs, including the rectum, are subject to such loads. This explains the high percentage of development of anal fissures after childbirth. The postpartum period has a number of features, and one of them is that a nursing mother cannot take the full range of standard medicines, as this will instantly affect the milk and the health of the child. However, an untreated acute anal fissure can easily turn into a chronic fissure, and then surgical intervention is indispensable.
Here are some tips on how to heal your anal fissure safely after giving birth:
  • Consult with an experienced proctologist. For under the guise of symptoms of a banal fissure of the anus, terrible diseases can be hidden.
  • Normalize stool:
    1. Diet: plant foods (vegetables, fruits, cereals), dairy products. Example: boiled beets, prunes, kefir, etc. A sufficient amount of liquid is 1.5 -2.5 liters.
    2. Laxatives (normaze, duphalac, phytomucil, food bran)
    3. Cleansing enemas
  • Eliminate pain, inflammation, spasm, accelerate the healing process:
    1. Candles: with sea buckthorn, with propolis, natalsid, posterizan
    2. Ointments: solcoseryl, Ratovnik balm, actovegin and troxevasin (with caution)
    3. Baths: with chamomile, with calendula, with sage, with potassium permanganate.
    4. Microclysters: with sea buckthorn, with calendula, etc.
  • Personal hygiene.
Washing after each act of defecation. Application to the anus, vaseline ointment, baby cream or other ointments (Solcoseryl, Ratovnik balm, etc.)
  • Walk outdoors
  • Swimming, etc.
  • Proper management of the postpartum period
  • The first stool after childbirth should be induced with laxatives or enemas.
  • Anal fissure and hemorrhoids against the background of chronic constipation, how to treat?

    Internal and external hemorrhoids are often accompanied by anal fissures. One of the factors in the occurrence of anal fissures against the background of hemorrhoids is venous congestion, in which the rectum and anus are poorly supplied with blood, which makes these structures vulnerable to various traumatic factors, in particular to constipation. But in practice, the picture is quite different. In most cases, chronic constipation, hemorrhoids and anal fissure are the result of other diseases of the gastrointestinal tract, malnutrition and a sedentary lifestyle. So the presence of such a triad of pathologies of the large intestine is an occasion to think about your health and life positions.

    To understand how to treat this complex of pathologies of the large intestine, it is necessary to understand in detail the causes.


    Rice. No. 1. Schematic representation of the causes of hemorrhoids, anal fissure and constipation.

    The causes can be depicted as an inverted triangle, the apex of which is the triad: constipation, hemorrhoids, anal fissure. But the basis of this triangle is diseases of the stomach, namely gastritis and gastric ulcer, that is, pathologies associated with impaired secretion of gastric juice as a result of the inflammatory process. Also, various pathologies of each section of the gastrointestinal tract can lead to indigestion with an outcome in constipation, hemorrhoids and anal fissure. Separately, one can single out habitual constipation, in which changes in the rectum are caused by stretching of its ampoule. The trigger mechanism for this condition is a psychological and stress factor.

    But common Most diseases of the digestive system are caused by:

    • wrong, irregular food , binge eating;
    • taking certain medicines;
    • bad habits (abuse of alcohol);
    • sedentary and sedentary lifestyle;
    • infections (helicobacter pylori, viral hepatitis, salmonellosis, dysentery and others), helminthic invasions, intestinal dysbiosis.
    When the normal functioning of the gastrointestinal tract is restored, the problems of anal fissure, constipation and hemorrhoids will disappear even without special treatment of the rectum. And it is the elimination of the causes of these diseases that can prevent the development of their relapses.

    But before treatment, you need to undergo a complete examination of the digestive system. For this, in addition to the proctologist, it is necessary to visit a gastroenterologist.

    Examination plan for constipation, hemorrhoids and anal fissure:

    3. Rejection of bad habits.

    4. Medical treatment of pathology, which caused diseases of the rectum.

    5. Conservative treatment of cracks and hemorrhoids - appointed individually by a doctor.
    Medications for oral administration:

    • Methyluracil;
    • Vitamin K (Vikasol);
    • Ginkor fort;
    • Lactulose (Duphalac, Normaze);
    • Salofalk and others.

    Preparations for external use (ointments, gels, creams, rectal suppositories):

    • Nefluan;
    • Proctosan Neo;
    • Proctoglivenol;
    • Sea buckthorn candles and many others.
    6. Surgical treatment used in the absence of effect on the background of drug treatment. The type of operation is determined individually for each patient.

    The main principle of the treatment of anal fissures and hemorrhoids is the elimination of causes and the complexity of therapy, and all this against the background of a cardinal correction of the patient's diet and lifestyle.

    What to do if the anal fissure does not heal after the excision operation?

    Anal fissure excision is the main type of surgical treatment for chronic anal fissure. In most cases, such an operation gives its expected result, but there are cases when such an operation is inefficient. Let's see why this might happen.

    Causes of anal fissures after surgery:

    • operation technique on excision of the anal fissure is less effective if there was no surgical intervention in relation to the sphincter of the rectum (dissection);
    • possible complications of the operation in the form of a spasm of the sphincter, which increases the resistance to fecal masses and contributes to the development of repeated cracks in the anus;
    • non-compliance with bed rest , hygiene rules, improper care of the postoperative wound in the postoperative period;
    • infection postoperative wound;
    • the operation eliminates only the crack, not the cause its occurrence, therefore, after the operation, it is necessary to review your diet, lifestyle, undergo a course of treatment for diseases of the gastrointestinal tract;
    • constipation and hemorrhoids after the operation will contribute to the lack of healing of the anal fissure, therefore it is very important to prescribe laxatives and decide on the method of treating hemorrhoids.
    After the operation of excision of the anal fissure, healing occurs within 3-4 days, up to a maximum of 2-4 weeks. During this period, postoperative complications may occur, some of which require emergency care.

    Symptoms indicating complications after anal fissure surgery:

    Read more about the above methods of treating anal fissures in the article section.

    If the treatment has become effective, then the symptoms of an anal fissure will decrease in a few days and completely disappear within 1-2 weeks. Constant adherence to the diet, that is, proper nutrition, personal hygiene, normal regular stools are the key to preventing recurrence of anal fissures.

    Anal fissure: photo, what does it look like?


    A photo: chronic anal fissure on the background of hemorrhoids. Signs of rough scarring of the crack speak of a chronic process.


    Photo of rectoscopy: The "inner" part of the anal fissure.


    A photo: signs of paraproctitis and rectal fistula - purulent complications of anal fissure.


    Photo: rectal polyp , which protrudes outward from the anus - a complication of a chronic fissure of the anus.


    Surgical treatment of anal fissure. Surgery to excise a chronic anal fissure is a rather “bloody” manipulation, a violation of the operation technique can lead to insufficiency of the rectal sphincter.

    Article content: classList.toggle()">expand

    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 defecating, there is a 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 of a sufficiently large size and depth after a bowel movement, small amounts of scarlet blood can be found on the toilet paper. 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, patients are treated with 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 its domestic counterpart, Drotaverin. In addition, anti-inflammatory drugs and drugs that accelerate wound healing and tissue regeneration are often prescribed.

    Among the drugs for internal use, it should be noted 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 accelerate the healing process of cracks in the anus in a natural way, preventing secondary rupture of the mucous membranes.

    An important point is that antibiotics in tablets are not prescribed in the treatment of anal fissures. For this purpose, local agents are used that are more effective 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 at home, pharmacy ointments and creams are most often used.

    Effective remedies for cracks in the anus among ointments:


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    Rectal suppositories

    Rectal suppositories are a special form of medicines for the treatment of various diseases of the rectum and anus, while at home. It is the introduction of suppositories that allows you to quickly deliver medicinal substances directly to the site of the lesion, which greatly 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 uses

    Very often, anal fissures appear due to frequent constipation, so various laxatives are one of the main points of 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:

    • Irritant drugs.
    • 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, folk remedies are also used, which are a harmless, but very effective therapy option.

    You can prepare many traditional medicine recipes for the treatment of such a disease at home.

    Candles

    Oddly enough, but one of the most effective traditional 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 insert into the 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 remedy for treating anal fissures at home is 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 of medicinal herbs are used to prepare sitz baths, 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 reduces pain and accelerates 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 the flowers of 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.

    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

    The main problem in the presence of anal fissures is the usual defecation, 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.

    The daily menu must include plenty of fresh vegetables and fruits, as they contain the fiber necessary for the normal functioning of the digestive system and the prevention of constipation. Fiber helps soften the stool, which makes it easier to defecate.

    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 dairy 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, heavy and fatty foods, foods containing a large amount of proteins, in particular legumes, should be excluded from the diet.

    It is necessary to refuse the use of various semi-finished products, fast foods, carbonated and alcoholic drinks, dishes with a lot of 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, since 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 a predominantly sedentary lifestyle, one of the main means of prevention is movement and sports.

    It is very important to maintain sufficient physical activity, take daily walks or jogs, and lead a healthy lifestyle.

    The second important point of prevention is the observance of 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 intestines 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.

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