Hemorrhoids and anal fissure are common anorectal diseases. Their early symptoms are similar and are often confused by people. But relatively speaking, anal fissure is more serious. If it is not treated in time, it will make the fissure repeatedly inflamed. The infection can develop to the subcutaneous edge of the anus, and even form subcutaneous abscess and fistula. In fact, hemorrhoids and anal fissure are very different. We can't distinguish them foolishly.
In the early stage of hemorrhoids patients, there is a mass on the edge of the anus, neither sitting nor standing, and it is inconvenient to move. However, the pain will be reduced in about 5 ~ 7 days, and the mass will become softer and softer, so that the mass will disappear; When hemorrhoids are serious, there will be severe pain, dare not move, and the abscess is difficult to heal itself; Hemorrhoids and bloody stool have been laissez faire, which may lead to chronic blood loss or anemia, and even shock.
2. Anal fissure
Patients with anal fissure have severe pain in the anus. They dare not defecate because of pain. Over time, they form constipation, which makes the stool dry and hard. At the same time, it will also make anal fissure more and more serious, affect wound healing, and even develop into anal fistula; Pain around the anus is obviously felt during defecation, but most of the pain occurs after defecation, and sometimes the pain will radiate to the hips or inner thighs. When there is inflammation or a large amount of secretion at the site of anal fissure ulcer, it can cause anal pruritus and dampness.
1. Conservative treatment
Oral laxatives under the guidance of doctors can promote the softness and lubrication of feces; Drink more water, eat more fruits and vegetables and coarse grains containing dietary fiber, form the habit of defecating once a day, and slowly solve the problem of constipation; Wash the anus with warm water before and after each stool, or take a hip bath with 1:5000 potassium permanganate solution.
2. Anal canal dilatation
Anal fissure patients without nipple hypertrophy or sentinel hemorrhoids can receive anal canal expansion treatment, which is simple and convenient to operate and does not need special instruments. This method can promote the expansion and opening of anal canal wound, facilitate the smooth drainage of secretion, promote the healing of superficial wound and remove anal sphincter spasm. However, there may be some side effects, such as bleeding, prolapse of hemorrhoids or perianal abscess, or lead to transient fecal incontinence, and the recurrence rate is relatively high.
3. Surgical resection
Patients with severe anal fissure need to undergo surgical resection to remove the anal fissure and the triangular skin around the anal fissure. Although it can completely remove the lesions and smooth drainage, it will leave a large wound and slow wound healing. If the patient has obvious anorectal skin defect or serious stenosis, flap transplantation is required after anal fissure resection.
4. Laser therapy
Patients with chronic anal fissure can receive laser therapy. The cutting and hemostasis are very rapid, the analgesic effect is good, the anti infection ability is strong, the scar is small, the healing speed is fast, and the complications are few.
In daily life, we should keep the feces unobstructed, actively prevent constipation, and prevent tearing the anal skin when patting hard feces. In case of dry and hard feces, warm saline enema or kaisailu shall be used to moisten the bowel and defecate, and forced defecation shall not be allowed. Actively treat perianal eczema, pruritus, dermatitis and other symptoms, avoid perianal skin hardening, weaken skin elasticity, and then tear perianal skin; In addition, treat anal skin injury as soon as possible to avoid ulcer caused by infection. You can do more anal lifting exercise every day, which can improve local blood circulation, improve anal sphincter function and prevent anal relaxation. However, you can't do this exercise when you have local anal infection or perianal abscess.
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