How to treat a rectal fissure
A rectal fissure or anal fissure is caused by a defect in the mucosa of the anal canal and the anoderm. A crack appears spontaneously in the area of the mucosal transition into the skin. This is a very common proctologic disease in people of working age. This is a very unpleasant disease, so every patient should know how to treat a rectal fissure.
In acute cracks patients are prescribed a diet that excludes alcohol, as well as sharp, salty, acidic dishes. The diet is accompanied by cleansing enemas during the first two weeks. Often patients prefer to take a laxative instead of an enema, but it does not give the desired result. Taking laxatives can increase pain and irritation in the anal area.
Immediately after cleansing the bowels appoint a bath with diluted potassium permanganate. To do this, the basin is filled with a weak solution of potassium permanganate, heated to 35-36 ° C. The patient must squat down so that the buttocks are diluted and the solution is washed with the anus. Duration of the procedure is up to 15 minutes. Then, in the anus, you should insert a candle or put an ointment of anti-inflammatory effect( posterizan, ultraproct, proctosan, natalyside).
Laxatives are prescribed to regulate stools. It is recommended to use herbal products( Senada).Senada stimulates the peristalsis of the large intestine, normalizes the stool after 8-10 hours after administration. It selectively affects the colon, normalizes the work of the intestines, without causing addiction and without affecting the digestion process.
Normase is a laxative-based laxative. The latter is a synthetic oligosaccharide, which includes the remains of fructose and galactose. The action of lactulose is based on an increase in osmotic pressure in the lumen of the large intestine. This leads to the fact that the liquid from the blood passes into the large intestine. Lactulose restores and maintains a natural microflora, which facilitates the full absorption of nutrients, normalizes metabolic processes.
For spasms of the anus, it is recommended to take nitrate preparations. But their use is limited due to the effect of vasodilation, accompanied by dizziness and weakness.
Salicylic acid preparations, for example Salofalk, are prescribed as an anti-inflammatory drug. Salofalk is available in the form of suspensions and rectal suppositories.
The outer area of the rectal fissure should be lubricated with ointment several times a day( 2 weeks course)( posterizan, ultrarproct, proctosan, natalyside).Only then is an independent chair allowed. On the first day of treatment, the ointment is applied up to 4 times a day, in the subsequent - 2 times. On the tube of the drug, it is necessary to screw the tip and squeeze a little ointment through it into the anus. Candles 1 per day should be deeply injected into the rectum: on the first day of treatment 3 times a day. In the presence of hemorrhoids, inflamed and painful, it is better to first apply ointments. Even with rapid improvement, it is recommended to adhere to the treatment within 1 week. In this case, the medicine is used less often: ointment once a day or 1 candle every other day. This will help avoid relapse. Do not use drugs longer than 4 weeks.
Proctosan is a combination drug used for the local treatment of the anorectal area( rectal suppositories and ointments).Has anti-inflammatory and analgesic effect, as well as wound healing effect.
If treatment with medicines proved ineffective, then the next step is surgery( partial posterior sphincterotomy, sphincter sprain).
A chronic rectal fissure can not be treated with conservative methods, since it is nothing more than a trophic ulcer. Such cases require surgical intervention. Excision of scar-modified edges and bottom of the ulcer, as well as hemorrhoid fimbria, external tubercle, hypertrophied papillae is performed.
