When there are cracks in the anus, the condition of the fissure arises. When a person’s stool is hard and large and he has trouble in passing stool, then he becomes a victim of what is a fissure. Fissures can cause pain while passing stools and may also cause bleeding. In this article, you will know about the treatment of fissures.
How to locate anal fissure? (Fissure symptoms in Hindi)
The symptoms of the fissure are similar to the symptoms of piles, due to this you can understand the problem of the fissure as piles. You may be hesitant to share these types of problems with your doctor. But remember, it is important to share such problems with the doctor. By doing this, the fissure will be treated in a timely manner and the chances of the condition becoming serious will be reduced.
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What to talk to the doctor?
It is helpful to tell the doctor openly about the symptoms and give them even small details, which treatment is better for you. Be sure to tell the doctor the following:
- When do you have pain, burning, and itching
- how uncomfortable are you with pain
- how long the pain and discomfort last
- what kind of blood
- What do you do to feel better after symptoms appear?
Your doctor may also ask you about your diet, bowel habits, or whether you are suffering from any other disease.
In most cases, doctors can determine from the symptoms that you have a problem with the fissure. However, a physical test is necessary for satisfaction. During this procedure, the doctor can look at the affected area.
It is not necessary that the doctor can detect the fissure on rectal exam or endoscopy. In a rectal exam, the doctor wears a glove and feels the anus. In an anoscopy, the doctor inserts a light scope into the anal canal.
Other Fisher’s tests
A physical examination of the anus is usually done. But if the doctor thinks that the problem of Fissure is due to inflammatory bowel disease (a similar disease-related to digestion that can lead to many types of problems), then you may need to get more tests done.
The doctor may also recommend a sigmoidoscopy. Apart from this, colonoscopy to see the large intestine can also be suggested by the doctor. In both tests, a long, thin, flexible, and lighted tube is inserted inside the anus to look at the colon.
Fissure treatment in Hindi
The aim of treating fissures is to provide relief from pain and ease to the patient.
Acute anal fissure: This type of fissure does not last more than 6 weeks. It fixes itself.
Chronic anal fissure: This lasts for more than 6 weeks. Surgery or medicine may be needed to correct this.
how to take care
If you have fissures due to constipation or diarrhea, then they can be cured by changing some habits. Keeping the following things in mind can make your situation better.
- drink more water
- eat fiber diet
- do not delay bowel movements
- Do not sit in the bathroom for long periods of time to have a bowel movement
- clean up after a bowel movement
- Do not use soap or bubble bath on the affected area
- If you have constipation or diarrhea for a long time, then do not ignore this problem.
In most cases, taking care of these things gives relief from the problem of fissure in a few weeks or months. But if you are not getting relief, then contact the doctor immediately and talk about other treatment options.
Nitrate ointment: The doctor may recommend this medicine to increase the flow of blood in the anal canal. Due to better blood flow in the anus, there is a lot of improvement in the fissure. Common side effects of this medicine include headache, dizziness, and low blood pressure. If you have taken any medicine for erectile dysfunction, do not take nitrate ointment within 24 hours of it.
Calcium channel blockers: These medicines are given to lower blood pressure. But some of these medicines are such that it is helpful in curing fissures. Its side effects include headaches.
Botox injections: If medicines don’t work, you can give botulinum toxin type A. With the help of this injection, there is relief in pain, and the fissure is also cured 60 to 80 percent. After the injection, you may go to the bathroom several times or pass more gas than usual for some time. But it is temporary for this to happen. Don’t panic.
If medicine or injections give you relief, you may not need surgery. But if you are not getting relief then definitely consult a doctor. He can advise you to have surgery. The surgery performed for fissures is called LSI. During this procedure, an incision is made in the anal sphincter muscle. After the operation, the pain is relieved and the fissure starts to heal.