Perineum tear occurs when the perineum or the area between the anus and the vagina is torn during childbirth. It could also occur if a doctor or a midwife would cut of the perineum just before the head of the baby comes out of the birth canal. This process is called episiotomy. Episiotomy is sometimes required especially if the baby’s heart rate starts dropping because of too much pushing or if his position is making it difficult for him to come out of the birthing canal. This is usually done during first time pregnancies.
Common types of perineum tears are known as first degree lacerations and second degree lacerations. When only the skin of the perineum is torn, these are classified as first degree lacerations. When both vaginal muscles and skin are torn, this becomes second degree lacerations.
Anal fissures are completely different from perineum tears but the concept between the two is similar. Anal fissures involve tears along the anal canal, anus and the lower intestinal track. This occurs when you are constipated, have diarrhea, passed a huge stool or have given birth. Anal fissures are classified as either acute or chronic. Acute fissures are those that heal within 6 weeks and chronic fissures are those that don’t heal after 6 weeks.
Anal fissure vs perineum tear treatment has its differences and similarities. One difference between anal fissure vs perineum tear treatment is that the fissures might require surgery to treat while perineum tear usually heals on its own. Another difference lies in the medication needed to heal anal fissures.
These are the similar treatments that can be used for both anal fissure and perineum tear.
- 1. A sitz bath or warm bath can provide relief for both anal fissure and perineum tear.
- 2. Not exerting too much effort when urinating and defecating also lessesn the pressure on both perineum tear and anal fissure.
- 3. Ensuring that the affected areas are clean also speeds up the healing process.
- 4. Letting the wounds heal naturally and not touching it frequently can also help speed up the healing process. This also lessens the chances of infection as dirty hands are home to millions of bacteria. Be sure to wash your hands thoroughly before and after cleaning the affected areas.
- 5. A topical cream is sometimes needed to help heal anal fissures and perineum tears. Seek the advice of your doctor before putting any cream on the affected areas.
- 6. Resting the affected areas from sexual activities is also highly recommended. Avoid having sex while treatment for anal fissure and perineum tear is ongoing.
- 7. Getting help from a doctor if any of these two have not healed within the normal healing times. There might be an infection or other problems that the doctor has to check.
Caring for both anal fissure and perineum tear involves patience and support from the people around you. So enlist the help of your husband, mother, sister or friend whom you truly trust. Follow the instructions of your doctors exactly so that you can ensure that you will heal properly. Add fiber to your diet and eat fruits rich in vitamin c and zinc to help you heal faster.
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