What are Anal Fissures? Symptoms,causes,Risk Factors & Treatment

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ANAL FISSURES

• What are the Anal Fissures ?
• It is basically a cut or tearing in the anus part
  of the body that comes out upwards into the anal
  canal. Fissures are common situations of the anus
  and anal canal and are responsible for 6 to 15
  of the visits to a colon and rectal (colorectal)
  surgeon. It can be found in Men, Women, Young and
  Old ones. Fissures is the most painful situation
  in the bowel movement that often is severe. Anal
  fissure is the most common cause of rectal
  bleeding.
• Anal Fissures occurs in the specialized tissue
  that covers that lines the anus and anal canal 
  which is called anoderm. A line just inside the
  anus the skin of the inner buttocks changes to
  anoderm. Less likely to skin, anoderm has no
  hairs, sweat glands, or sebaceous (oil) glands.
  It contains a large number of sensory nerves that
  can feel the light touch and pain. The hairless,
  gland-less, extremely sensitive anoderm surrounds
  the entire length of the anal canal until it
  meets the demarcating line of the rectum, called
  the denate line.
• An anal fissures is a small tear in the thin,
  moist tissue (mucosa) that covers the anus. Anal
  fissure may occurs when you pass hard or large
  stools during a bowel movement. It usually causes
  pain and bleeding with the bowel movement. You
  may also some contraction in the ring of the
  muscle at the end of your anus.

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SYMPTOMS OF ANAL FISSURES

• Signs and symptoms of an anal fissure include
• Pain, sometimes severe, during bowel movements
• Pain after bowel movements that can last up to
  several hours
• Bright red blood on the stool or toilet paper
  after a bowel movement
• Itching or irritation around the anus
• A visible crack in the skin around the anus
• A small lump or skin tag on the skin near the
  anal fissure

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CAUSES OF ANAL FISSURES

• Common causes of anal fissure include
• Passing large or hard stools
• Constipation and straining during bowel movements
• Chronic diarrhea
• Inflammation of the anorectal area, caused by
  Crohns disease or another inflammatory bowel
  disease
• Childbirth
• Less common causes of anal fissures include
• Anal cancer
• HIV
• Tuberculosis
• Syphilis
• Herpes

4
RISK FACTORS OF DEVELOPING ANAL FISSURES

• Factors that may increase your risk of
  developing an anal fissure include
• Infancy. Many infants experience an anal fissure
  during their first year of life experts arent
  sure why.
• Aging. Older adults may develop an anal fissure
  partly due to slowed circulation, resulting in
  decreased blood flow to the rectal area.
• Constipation. Straining during bowel movements
  and passing hard stools increase the risk of
  tearing.
• Childbirth. Anal fissures are more common in
  women after they give birth.
• Crohns disease. This inflammatory bowel disease
  causes chronic inflammation of the intestinal
  tract, which may make the lining of the anal
  canal more vulnerable to tearing.

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FISSURE TREATMENT

• The goal of treatment for anal fissure is to
  release the spasm of anal muscle and cure the
  anal tear.
• Jyoti Nursing Home Proctology dept. offered the
  both conservative and laser treatment for anal
  fissure.
• Jyoti Nursing Home proctology team  treated the
  acute and chronic anal fissure with the
  self-researched Ayurveda medicine ( Anoac, Anoac
  Tablet, Constac Powder ) cream powder anal tablet
  for the acute fissure. )
• For chronic fissure, we offered the
  best-advanced laser treatment for release the
  spasm and heal the anal tear with the power of
   laser

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LIFESTYLE HOME REMEDIES

• Several lifestyle changes may help relieve
  discomfort and promote healing of an anal
  fissure, as well as prevent recurrences
• Add fiber to your diet. Eating about 25 to 30
  grams of fiber a day can help keep stools soft
  and improve fissure healing. Fiber-rich foods
  include fruits, vegetables, nuts and whole
  grains. You also can take a fiber supplement.
  Adding fiber may cause gas and bloating, so
  increase your intake gradually.
• Drink adequate fluids. Fluids help prevent
  constipation.
• Exercise regularly. Engage in 30 minutes or more
  of moderate physical activity, such as walking,
  most days of the week. Exercise promotes regular
  bowel movements and increases blood flow to all
  parts of your body, which may promote healing of
  an anal fissure.
• Avoid straining during bowel movements. Straining
  creates pressure, which can open a healing tear
  or cause a new tear.
• If your infant has an anal fissure, be sure to
  change diapers frequently, wash the area gently
  and discuss the problem with your infants
  doctor.

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TREATMENT DRUGS

• Anal fissures often heal within a few weeks if
  you take steps to keep your stool soft, such as
  increasing your intake of fiber and fluids.
  Soaking in warm water for 10 to 20 minutes
  several times a day, especially after bowel
  movements, can help relax the sphincter and
  promote healing.
• If your symptoms persist, youll likely need
  further treatment.
• Nonsurgical treatments
• Your doctor may recommend
• Externally applied nitrogylcerin, to help
  increase blood flow to the fissure and promote
  healing, and to help relax the anal sphincter.
  Nitroglycerin is generally considered the medical
  treatment of choice when other conservative
  measures fail. Side effects may include headache.
• Steroid creams, to help relieve discomfort.
• Botulin toxin type A (Botox) injection, to
  paralyze the anal sphincter muscle and relax
  spasms.
• Blood pressure medications, which can help relax
  the anal sphincter. These medications may be
  taken by mouth or applied externally and may be
  used when nitroglycerin in not effective or
  causes significant side effects.
• Surgery
• If you have a chronic anal fissure that is
  resistant to other treatments, or if your
  symptoms are severe, your doctor may recommend
  surgery. Surgery usually involves cutting a small
  portion of the anal sphincter muscle to reduce
  spasm and pain and promote healing. Surgery has a
  small risk of causing incontinence.

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THANK YOU

• Jyoti Nursing Home
• Road No 4, Opposite SBI Bank, Near Police
  Station, Sikar Road,Vishwakarma Industrial Area,
  Murlipura, Jaipur, Rajasthan 302013,
  India. Mobile [phone] Email
   jyoticashless_at_yahoo.in
• Web http//www.jyotinursinghome.com/