After determining that a patient has a recurring case of anal fissure, the patient must then consult a doctor to ask for expert advice depending on the severity of the case. Fissures in the anal region are cause by trauma within the inner lining of the anus. Several studies have proven however that developing a chronic case might have been due to friction of tight anal muscles. Whatever the cause may be, a repetitive case of this complication can be cured.
Upon consulting with the doctor, a patient’s anus is inspected to locate possible fissures within the area. If the doctor has visual confirmation then he may order home remedies as initial treatments especially if the case is not too severe. These home remedies that includes the consumption of foods that are reach in fiber and getting into a regular warm bath that focuses on cleansing the area between the anus and the scrotum (for males) or vulva (for females). These remedies can also provide long-term solutions by initially bulking the stool and permanently softening the feces.
Softer fecal matter puts less pressure to the anus preventing trauma within the inner lining. Patients can purchase fiber supplements that they can take in on a daily basis to soften the stool further. When bathing their nether regions, they can apply topical anesthetics whenever they are experiencing pain in the perineum. Lotions can also be applied within the area to have a soothing effect while relaxing the anal muscles.
If the above does not work, it is important for a patient to pay his doctor another visit. As the natural treatment may have failed, the doctor may now issue prescription for drugs to do what baths and high-fiber diet can’t.
Among the prescription medicines that the doctor may advice you of are: (a) nitroglycerin, (b) steroids, (c) anesthetic ointments and (d) calcium blocking drugs.
Unless the patient has a severe case of anal fissure, treatment does not necessarily require surgical intervention. Fissures tend to recur and become a chronic case especially after experiencing a tough bowel movement that may result to trauma in the anal lining. Patients who have been experiencing a recurring case of anal fissure must adapt habits that promote good hygiene and a diet focused on foods containing plenty of fibers.
Now, if the patient continues to experience trouble and counteractive measures failed to yield results then it is time for further examination. Delayed healing may have been caused by spasm of the anal muscles, scarring and recurring hard bowel movements. Chronic anal fissure may also have been due to the occurrence of other medical complications like anal tumors, infections or Crohn’s disease to name a few. If the symptoms lead to other complications, the doctor will be issuing a colonoscopy. If the results is conclusive that that other medical complications may have caused the recurrence of the fissures then there might just be a need for surgery.
Injecting Botox to anal sphincter and opening the lining within the anal muscles are both parts of the surgical intervention required to treat worst cases of anal fissure. For more information, it is best that the patient consult with his doctor.
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