Anal fissure is a common anorectal disease with a relatively high incidence, which is only lower than that of hemorrhoids. The incidence ranks second in anorectal diseases, accounting for 15%-22% of anorectal diseases. The incidence is mainly young and middle-aged, with more women than men. It usually occurs in the anterior and posterior median of the anal canal. More than 75% of the anal fissures are in the posterior median of the anal canal, followed by the anterior median. Females often have the disease at the same time. . Traditional Chinese medicine vividly refers to anal fissures as "split hemorrhoids" and "uncut hemorrhoids".
So how to tell if it is an anal fissure? What are the symptoms of anal fissure?
1. Anal pain
Anal pain caused by a typical anal fissure is characterized by periodic pain. The specific manifestations are pain in the anus during defecation, with paroxysmal knife-cutting pain or burning pain. The pain is reduced or disappeared within a few minutes to more than ten minutes after defecation, which is called the pain intermittent period. Later, the pain was severe due to persistent spasm of the sphincter, which usually lasted for several hours to relieve gradually. In severe cases, coughing and sneezing can cause pain and radiate to the pelvis and lower limbs. It will not be relieved until the anal sphincter gradually relaxes and the contraction is weak. It presents a cyclical vicious cycle of "pain-relief-severe pain-stop", which makes people painful.
2. Bleeding during stool
It is bloody and bright red, usually dripping blood, but the amount is small, or it is only attached to the surface of the stool, and sometimes it is just blood stained on toilet paper. It should be pointed out that the characteristics of anal fissure blood in the stool are: bleeding during stool, blood is bright red, accompanied by anal pain, this feature is different from internal hemorrhoid bleeding.
Many patients can not tolerate the pain caused by anal fissures and tend to hold back their stools and urine habitually. Over time, the stools become dry and difficult to pass. The stools accumulate in the intestines for a long time, resulting in constipation. Constipation will make the anal fissure more and more serious, and the pain will become more and more severe, making it difficult for the crack in the anus to heal on its own.
The above three points are the main symptoms of anal fissure. If you have these conditions, you must go to the hospital to ask a specialist to see if it is an anal fissure. Because of the diagnosis of anal fissure, these symptoms alone are not enough. On the basis of these symptoms, a local examination is also necessary. This is very important. The local examination and symptoms are consistent with the anal fissure before the diagnosis of anal fissure can be made.