Hemorrhoids and anal fissure are common anorectal diseases. The number of initial symptoms is small and often confused. But relatively speaking, anal rupture is serious. If not treated in time, the cracked part will be repeatedly inflamed, the infection will develop to the subcutaneous edge of the anus, and subcutaneous abscess and tubes will be formed. David Asher, northern exposure (American television) in fact, hemorrhoids and anal fissure are very different. They can't be distinguished like fools.
At the initial stage, hemorrhoids patients have a mass at the edge of the anus, can not sit and have inconvenient movement, but the pain is reduced in about 5 ~ 7 days, the mass also gradually softens and the abscess disappears. When hemorrhoids are serious, there is severe pain, unable to work, and the abscess is difficult to heal itself. If you continue to place hemorrhoid cord blood, it will lead to chronic bleeding and anemia, resulting in shock.
2. Anal rupture.
Patients with anal fissure have anal pain, which makes them afraid to defecate. They have long-term constipation, stiff stool, more and more serious anus, affecting wound healing and even anal dehiscence. Pain around the anus can be clearly felt during defecation, but most of the pain occurs after defecation, and sometimes the pain is released to the hips and inner thighs. Anal rupture, inflammation of ulcer site or excessive secretion will cause anal pruritus and dampness.
1. Conservative treatment.
Taking oral laxatives under the guidance of a doctor can promote the softness and lubrication of feces. Drink more water, eat more vegetables and coarse grains containing dietary fiber, form the habit of one shift every day, and gradually solve the problem of constipation. Clean the area around the anus with warm water before and after defecation, or take a bath with 133605000 potassium permanganate solution.
2. Anal distension.
If patients with anal fissure do not have nipple hypertrophy or sentinel hemorrhoids, they can receive anal canal expansion treatment. The operation is simple and convenient and does not need special instruments. Through this method, it can promote the expansion and opening of anal wound, smooth the inflow of secretions, promote the healing of superficial wound, and eliminate anal sphincter spasm. However, side effects such as bleeding, prolapse of hemorrhoids and perianal abscess will also occur, and the rate of temporary fecal incontinence and recurrence will also be very high.
3. By surgical resection.
Patients with severe anal fissure underwent surgery on anal fissure and triangular skin around anal fissure. All lesions were removed and drainage was smooth, but huge wounds were left and the wound healing speed was slow. If there is obvious defect or severe stenosis of anal canal skin, it should be treated with flap transplantation after anal fissure resection.
4. Laser therapy.
Patients with chronic anal fissure can receive laser treatment. Amputation hemostasis is very fast, analgesic effect is good, anti infection ability is strong, scars are less, healing speed is fast and complications are less.
In daily life, keep feces unblocked, actively prevent constipation, don't beat hard feces, and don't tear anal skin. In case of dry and hard stool, use warm saline enema or wash Lu Runchang to defecate. Do not defecate with force. Actively treat Hangzhou eczema, pruritus, dermatitis and other symptoms, avoid Hangzhou skin hardening, weaken skin elasticity and tear Hangzhou skin. In addition, treat the skin damage of anal canal as soon as possible to avoid ulcer caused by infection. More anal exercise can improve local blood circulation, improve anal sphincter function and prevent anal relaxation, but this exercise can not be done for partial anal infection and perianal abscess.
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