Friday, June 24, 2022

How To Treat Hemorrhoids And Fissures

Anal Fissures: Small Tears

Treating varicose veins, hemorrhoids and anal fissure using Dead Sea region herbs

Unusual bowel movements, including hard stools and diarrhea, can cause the tender lining of the anus to tear. These tears are called anal fissures. In addition to constipation and diarrhea, other risk factors for fissures include having inflammatory bowel disease, being overweight or being of an advanced age.

Anal fissures are painful. They especially hurt when passing stool, and the pain can last for hours afterward. It is often experienced as a throbbing sensation.

Fissures can also itch uncomfortably. Plus, you may notice blood when you wipe or spot blood in the toilet bowl.

To see a diagram of a fissure, watch the video “Anal Fissure–3D Medical Animation.”

Differentiating Between The Two

The symptoms of a fissure and a hemorrhoid can be similar. Either can cause pain, itching and bleeding. However, if you are in pain and don’t feel an external lump, the condition is more likely to be a fissure. If you notice that you are leaking mucus from your anus, the problem is probably a hemorrhoid.

The best way to settle the question of anal fissures vs. hemorrhoids is to see a doctor, who will perform an examination using anoscopy. This involves looking at the area with a special tool.

You might also be referred to a specialist to perform an internal examination. The procedure, called sigmoidoscopy, examines both your rectum and part of your colon with a lighted instrument.

Your symptoms could also be the result of a more serious condition, such as an infection, an abscess or cancer. Before trying to self-treat, have a doctor rule out these other possibilities.

Anal Fissures From Giving Birth

Like hemorrhoids, anal fissures bleed and increase in pain during a bowel movement. What makes fissures different is that the anal tissue is torn. Difficulty passing a hard stool may cause tearing of the anus. Urination or subsequent bowel movements cause severe pain and stinging to the affected area.

It takes a few weeks for fissures to heal, or they are considered chronic if they havent healed in 6 weeks. When they dont clear up in a reasonable amount of time, medical treatment may be necessary.

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How To Treat Anal Fissures

Although anal fissures are not dangerous, you should always see your doctor if you have any blood in your stool or rectal bleeding. Your doctor can usually diagnose an anal fissure from your history and a rectal examination. The other common cause of rectal bleeding is hemorrhoids. Hemorrhoids also cause bright red bleeding during a bowel movement, but the bleeding is usually not painful. Bleeding from a rectal or anal cancer can cause bright red blood, but not the severe pain of a fissure.

Is Hemorrhoid Fissure Surgery Worth It

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Hemorrhoid fissures can be so painful and disrupt your life so much that you may need surgery.

One of the best surgeries for hemorrhoid fissures is called lateral internal sphincterotomy.

The goal of this surgery is to divide the internal layer to promote healing of anal fissures.

This surgery is invasive and can require a lot of pre and post-operative maintenance, like watching your diet, taking and not taking certain medications, and the recovery time can be anywhere from two to three weeks.

If your fissures do not heal on their own within a few days or weeks, or you are experiencing rectal bleeding more often than not, talk to your doctor to see if a hemorrhoid fissure surgery is worth it for you.

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Prevention Of Anal Fissure

You can reduce your risk of developing an anal fissure by preventing constipation. This is really important if youve already had an anal fissure thats healed, as it can help to stop the fissure from coming back. You can help to prevent constipation by making sure you have a healthy balanced diet that contains plenty of fibre. Its also important to make sure youre drinking enough fluids and exercising regularly.

If you have another health condition that increases your risk of getting an anal fissure, speak to your doctor. They will tell you the best way to manage your condition and reduce your risk of getting an anal fissure.

Healing Your Anal Fissure

Most anal fissures heal on their own with conservative treatments. For our patients, treatment focuses on softening stools and preventing constipation. In addition to recommending a stool softener, we also encourage drinking plenty of water and adding fiber-rich foods to your diet.

Soaking in warm water a sitz bath for 10 to 20 minutes several times a day may help relax your anal sphincter, prevent the muscle spasms, and promote healing of the tear.

If your anal fissure fails to heal within eight weeks, we may recommend more aggressive treatment such as surgery to stop the muscle spasms, thereby allowing the tear to heal.

Ignoring the warning signs of a rectal disorder like anal fissures wont make them go away. Let us help. Call our office at 636-228-3136 to schedule your consultation with Dr. Clemens, or book online today.

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How To Prevent Haemorrhoids

Unfortunately, having your haemorrhoids injected does not guarantee that they will never come back. Injection usually improves symptoms for a few months, but in many cases the injections need to be repeated. You may also wish to try

  • Increasing the fibre in your diet is known to be as effective as injections for preventing further problems
  • Increasing your fluid intake which can help prevent further problems with haemorrhoids
  • Avoiding straining and constipation which is the most useful thing patients can do to prevent the problem coming back. If the fibre content of your diet is not sufficient to keep your stools soft, then a fibre supplement can help.

What Causes Anal Fissures

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Anal fissures mainly occur when the anus or anal canal experiences trauma. The trauma may be caused when you pass hard or large stool, strain during bowel movements because of constipation, chronic diarrhea, childbirth, anal intercourse, or unusually tight sphincter muscles that can easily be torn when tension is exerted.

Other non-trauma causes of anal fissures are:

  • Inflammatory bowel diseases such as Crohns diseases
  • Having a sexually transmitted infection such as herpes and HIV that can cause ulceration and infect the anus
  • Anal cancer
  • Less blood flow to the anal and rectal areas

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Soothinging Sprays: Lidocaine And Dermoplast

Lidocaine spray, found over-the-counter at the drugstore, can also help relieve pain associated with tearing or hemorrhoids, says Ashley Roman, M.D., clinical assistant professor, Department of Obstetrics and Gynecology at NYU Langone Medical Center. Dont underestimate the hemorrhoids. They can be quite a shock, especially if you have been pushing for a long time, she advises. If your hemorrhoids are extremely painful to the extent that you have trouble even sitting down, you may have to be evaluated by your doctor, she adds.

Women can also use Dermoplast Pain Relieving Spray to give skin a quick aerosol mist after using the bathroom or changing a pad. It should cool and numb your sore private parts.

Home Remedies For Anal Fissures

Heres how to treat anus fissures at home using easily-available items and ingredients:

Increase Your Water IntakeWater hydrates you and helps along with the digestive functions. It softens stool so that you dont have to struggle to pass it and cause tears. Drink 6 to 8 glasses of water every day.

Increase Your Fibre IntakeFiber helps in softening stool and adding its bulk so that it passes out smoothly and easily. You should include foods that are rich in fiber into your diet like fruits, vegetables, nuts, beans, wholemeal grains, and wholemeal flour.

Sitz BathA sitz bath is a small bath with warm water that you can sit in to relieve the pain of anal fissures. It also relaxes the sphincter muscle so that passing stool doesnt stretch it too much and cause a tear. Moreover, warm water improves blood circulation to the anal and rectal region and promotes quicker healing. Soak in the bath 2 to 3 times a day for 20 minutes.

Exercise RegularlyExercising helps with improving the digestion process and stimulating bowel function. Therefore, exercise daily to prevent constipation.

Ice PackMake an ice pack by placing ice cubes inside a towel and press it on the anal fissure. It will soothe the pain and irritation by shrinking the blood vessels.

Dont Delay Going to the ToiletWhen you ignore the urge to move your bowel, stool gets hard so when you eventually go to the toilet, you struggle to pass it. This can lead to anal fissure or aggravation of the condition.

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When To Call Your Doctor About Hemorrhoids During Pregnancy

If you experience any bleeding, be sure to see your doctor. It could be its the hemorrhoids bleeding or it may be an anal fissure . But its best to check in with your practitioner just to be safe.

From the What to Expect editorial team and Heidi Murkoff, author of What to Expect When Youre Expecting. What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy.

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A common concern is that hemorrhoids increase the risk of colorectal cancer, but thats not true. However, the two conditions do cause similar symptoms. This is why its important to mention your hemorrhoids to your health care provider. Even when a hemorrhoid is healed completely, a colonoscopy may be done to rule out other causes of rectal bleeding. According to the American Society of Colon and Rectal Surgeons , every person age 50 and older should undergo a colonoscopy to screen for colorectal cancer.

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Home Treatment For Anal Fissures

In most cases, treatment of an anal fissure starts with home treatment. Because constipation and large hard stools are the usual cause of a fissure, softening your stool and preventing constipation are the first steps in-home treatment. Home treatment instructions may include:

  • Add fiber to your diet by eating more fruit, vegetables and whole grains. Try to get about 30 grams of fiber each day.
  • Increase the amount of water you drink every day.
  • Use a fiber supplement like Metamucil as directed.
  • Use an over-the-counter stool softener as directed.
  • Sit in a warm tub for 10 to 20 minutes a few times during the day, especially after a bowel movement. This may relieve pain and increase healing.

If these home care treatments are not helping, your doctor may prescribe medications to take at home. These include medications to increase blood flow to your anal area and topical creams or ointments to relieve pain.

Watch Out For Depression

Baby blues are common for the first 1 to 2 weeks after birth. You may cry or feel sad or irritable for no reason. If your symptoms last for more than a few weeks, or if you feel very depressed, ask your doctor for help. You may have postpartum depression. It can be treated. Support groups and counseling can help. Sometimes medicine can also help. For more information, see the topic Postpartum Depression.

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How To Treat Anus Fissures

  • Post author

Passing stool without any pain or discomfort is a luxury that many people may take for granted. Its not until you develop a condition like anus fissures and moving your stool becomes a nightmare, that you realize you had it easy before. If you have anus fissures and wondering how to treat anus fissures, then look no further.

Surgical Treatment For Anal Fissures

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If you have a chronic anal fissure, you may need to see a rectal surgeon. The first option may be to inject your anal sphincter with a medication called Botox to relax the muscle and prevent spasms. This treatment is 50 to 80 percent successful. If all else fails, a surgical procedure may be needed to cut the anal sphincter muscle, called a sphincterotomy. Although this procedure is rarely needed, it is successful over 90 percent of the time.

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Vaginal And Perineal Problems

Soreness in the vagina and the area between it and the anus is common after delivery. You can ease the pain with home treatment. To reduce pain and heal:

  • Try using ice. You can put ice or a cold pack on the area for 10 to 20 minutes at a time. Put a thin cloth between the ice and your skin.
  • Cleanse yourself with a gentle squeeze of warm water from a bottle instead of wiping with toilet paper.
  • Try sitting in a few inches of warm water 3 times a day and after bowel movements.

Recovery from an episiotomy or perineal tear can take several weeks.

Amazing At Home Remedies For Hemorrhoids

Treating ailments with ingredients you can easily find at home saves you from spending too much money on costly medical procedures that may sometimes not take away the problem for good.

Hemorrhoids, a condition where the blood vessels in the anus and rectum swell with engorged blood, is one of the conditions you can treat naturally at home. The treatment is guaranteed to help you get better in a matter of a few weeks. These home remedies relieve pain, irritation, swelling, and bleeding which are symptoms characteristic of hemorrhoids.

Hemorrhoids affect 1 person in every 20 Americans so its a real problem that requires urgent solutions.

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When To Call Your Doctor

If you are being diligent in your home treatment, you should notice a gradual improvement in your hemorrhoids within the weeks following the birth. However, if your hemorrhoids are aggressively persistent or if you experience rectal bleeding, you definitely want to talk to your doctor or midwife. In extreme and rare cases, you may need to consult a specialist, and surgery may be required.

As a new mom, hemorrhoids are the last thing you want to be dealing with. But with a little bit of self-care, you should be feelingand sittingbetter in no time.

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About Our Health Information

Hemorrhoids: Piles, Fissure and Fistula

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Our information has been awarded the PIF TICK for trustworthy health information. It also follows the principles of the The Information Standard.

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Perianal Abscess And Fistulas

Anorectal abscesses represent a very common disease process that typically results from a cryptoglandular infection in the anal canal and can occur in the ischiorectal, intersphincteric, supralevator, perianal or submucosal spaces. They are more common in men and their incidence peaks around age 20-40 years . Abscesses and fistula often occur concomitantly, with 30-70% of those with active abscesses having a current fistula . Of people with anorectal abscesses who do not currently have a fistula, 30-50% will develop one in the future .

An anal fistula is a persistent epithelialized tract from the anal canal to the perianal skin, and can be intersphincteric, transsphincteric, suprasphincteric, or extrasphincteric. Fistulas are considered simple if they are low transsphincteric or intersphincteric and cross less than 30% of the external sphincter . Complex fistulas include those that are high transsphincteric , extrasphincteric or suprasphincteric, and cryptoglandular in origin, in addition to fistulas associated with inflammatory bowel disease, radiation, malignancy, chronic diarrhea or preexisting incontinence . Eighty percent of fistulas are secondary to cryptoglandular infection, with the remainder due to Crohns disease, trauma, radiation, malignancy or various infectious diseases .

Hemorrhoids And Fissures Together

As if hemorrhoids were not enough to make life uncomfortable, anal fissures can occur at the same time. Where hemorrhoids are swollen clusters of blood vessels that can form inside the rectum or outside the anus, fissures tend to develop on the anal opening or the lining inside the anal canal.

While you cannot feel internal hemorrhoids unless they prolapse, you can quickly tell the difference between an anal fissure and external hemorrhoids.

Anal fissures feel like paper cuts, and when visibly examined, look like small tears. External hemorrhoids are flesh-colored bumps that cause itching and pain.

Both conditions are common, nearly half of adults over the age of 50 have hemorrhoids, and there are over 200,000 cases per year of anal fissures, and there is a high probability they occur together due to both resulting from constipation and hard stools.

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Similarities And Differences In Prevention

Conveniently, prevention strategies for hemorrhoids and anal fissures are pretty similar. The best thing you can do is to maintain healthy bowel habits.

That means getting plenty of water, fiber and exercise. Those things can keep your stools soft and your bowels moving so that you don’t end up constipated. Also, you should respond to your body’s signals instead of putting off trips to the bathroom.

There’s one additional tip that may help with hemorrhoid prevention: losing weight. People who are overweight may be more likely than others to develop hemorrhoids. Weight doesn’t play a role in anal fissures, though.

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