Hemorrhoids | Hemorrhoids Treatment | Hemorrhoids Symptoms

Hemorrhoids, commonly known as piles, are swollen veins in your rectum and anal region. Due to the increased pressure in the lower rectum region, the veins in this area gets swollen, resulting in hemorrhoids. In some cases, it may even cause bleeding. But not every case of rectal bleeding is due to hemorrhoids. Changes in your bowel habits or discoloration of the stool can also cause rectal bleeding. Anal cancer and colorectal cancer may also cause rectal bleeding.

What are Hemorrhoids?

Hemorrhoids are a common medical condition that causes the veins in the rectum and anus to swell and bulge. Hemorrhoids are common and almost three out of four individuals develop them. There are two types of hemorrhoids – internal hemorrhoids and external hemorrhoids.

Internal hemorrhoids develop inside the rectum, whereas external hemorrhoids develop under the skin around the anus.

What are the symptoms of Hemorrhoids?

Different types of hemorrhoids show different signs and symptoms.

• Internal Hemorrhoids

Internal hemorrhoids are found deep inside the rectum. You can’t see or feel them. Generally, they don’t hurt as much because of a few pain-sensing nerves present there. You may notice these symptoms:

• Painless bleeding when you pass a stool
• Pain or irritation when you pass a stool
• Bloodstains on the toilet bowl or toilet paper

• External Hemorrhoids

External hemorrhoids are found under the skin around your anus. These hemorrhoids hurt more because several pain-sensing nerves are present in this region. The signs and symptoms include:

• Bleeding
• Irritation or itching in your anus
• Discomfort or pain
• Swelling around the anus region

• Thrombosed Hemorrhoids

Sometimes, external hemorrhoids turn into a blood clot or a  thrombus. It is called a thrombosed hemorrhoid. You may notice symptoms such as:

• Inflammation
• Itching
• Severe pain
• Swelling
• Bleeding
• A hard lump in the anus region

If you notice any of these symptoms, visit a doctor to get yourself checked.

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What are the causes of Hemorrhoids?

Sometimes, the veins present in your anus region stretch under pressure and may swell. Hemorrhoids occur because of the increased pressure in the lower rectum due to:

• Obesity
• Pregnancy
• Chronic diarrhea or constipation
• Sitting for a prolonged time on the toilet
• Eating a low-fiber diet
• Anal sex
• Regular heavy lifting
• Straining during bowel movements

What are the risk factors associated with Hemorrhoids?

The risk of developing hemorrhoids increases as you age. It is because the tissues that support the vein in your rectum may stretch or start to thin out. Sometimes, pregnancy can also increase the risk of developing hemorrhoids in women. During pregnancy, the baby’s weight may put excess pressure on the anal region, which may also cause hemorrhoids.

What complications can arise if Hemorrhoids are left untreated?

Since it resolves on its own in most cases, the complications of hemorrhoids are rare. Some of the complications that may still arise are:

• Blood clot

Sometimes, a blood clot can form in the hemorrhoids, known as thrombosed hemorrhoids. It is not dangerous but may cause extreme pain.

• Strangulated hemorrhoid

In some cases, the blood supply to an internal hemorrhoid gets cut off, resulting in strangulated hemorrhoids which may cause severe pain and discomfort.

• Anemia

Though extremely rare, the blood loss from hemorrhoids can cause anemia.

• Infection

Some external hemorrhoids can get infected and cause pain.

Can Hemorrhoids be prevented?

To prevent hemorrhoids or reduce its symptoms, follow these preventive measures:

• Drink plenty of water

Water will help you avoid constipation and hard stools. It will minimize the strains during bowel movements.

• Eat high-fiber food

Food items high in fiber help food pass through your body easier. You can go for food items such as fruits, vegetables, whole grains, beans, seeds, legumes, and nuts.

• Exercise regularly

Physical activity, such as walking at least for half an hour a day, will keep your blood and bowels moving. Exercising will also help you lose weight, which is one of the causes of hemorrhoids.

• Don’t ignore the urge

Go to the toilet as soon as you feel the urge. If you wait, your stool could dry out, and it can be difficult to pass out later.

• Don’t strain

Holding your breath or straining during a bowel movement creates more pressure on the veins in the lower rectum.

How are Hemorrhoids diagnosed?

External hemorrhoids may be diagnosed with a physical examination. However, to diagnose internal hemorrhoids, your doctor may conduct a  rectal and anal canal examination. It includes:

• Digital Examination

Your doctor will insert a lubricated, gloved finger inside your rectum to feel for unusual growths.

• Visual Inspection

In most cases, internal hemorrhoids are too soft to feel through a physical exam. So your doctor will use a proctoscope, anoscope, or sigmoidoscope to examine the lower portion of the rectum and colon.

Home Remedies for hemorrhoids

If your symptoms and pain are mild, you can try out these home remedies-

• Eat high-fiber food

Eat food that contains high fiber such as whole grains, vegetables, and fruits. It will soften the stool and make it easier for it to pass.

• Soak in warm water

To soften the stool, soak your anal area in warm water for about 10 to 15 minutes. Do this two to three times a day.

• Oral pain relievers

You can use aspirin, acetaminophen, or ibuprofen to relieve the pain and discomfort.

• OTC ointments

On over-the-counter cream containing hydrocortisone or lidocaine can be applied to the area. If you are using an over-the-counter steroid cream, consult with your doctor first. Its prolonged use can thin out your skin.

What are the treatment options for Hemorrhoids?

If your symptoms get severe, your doctor will devise a treatment plan for you.

The treatment options include:

• Medications

If your symptoms are mild, the doctor will prescribe over-the-counter ointments, creams, or pads. These products contain ingredients such as hydrocortisone or lidocaine that help relieve the itching and pain.

• External Hemorrhoid Thrombectomy

If a blood clot develops within an external hemorrhoid, your doctor will perform a procedure to remove the blood clot. The procedure is more effective when performed within three days of developing the blood clot.

• Minimally Invasive Procedures

For painful hemorrhoids or persistent bleeding, your doctor will perform minimally invasive procedures, which include:

• Rubber band ligation: Your doctor will place one or two small rubber bands around the internal hemorrhoid to cut off its blood circulation. Hemorrhoid shrinks and falls off in a week.
• Sclerotherapy: Your doctor will shrink the hemorrhoid tissue by injecting a chemical solution into it. The injection will cause little or no pain.
• Coagulation: This procedure uses laser or infrared light to cause small hemorrhoids to harden and shrivel. It causes little discomfort and has few side effects.

• Surgical Procedures

In rare cases, patients suffering from hemorrhoids may require surgery. If other treatment options don’t work or you have large hemorrhoids, your doctor may suggest one of these surgical treatment options:

• Hemorrhoidectomy: Using this procedure, the surgeon will remove excess tissues that cause the bleeding. The surgery can be performed with local anesthesia combined with spinal anesthesia, general anesthesia, or sedation.
• Stapled hemorrhoidopexy: Also known as hemorrhoid stapling, this procedure will block the blood flow to the tissues of the hemorrhoids. Typically, this procedure is performed for internal hemorrhoids.

Frequently Asked Questions (FAQs)

1. Can Hemorrhoids be popped?

   Hemorrhoids are uncomfortable, and popping them will cause more pain and discomfort. It may also lead to serious infections and damage to delicate tissues.

2. Do Hemorrhoids smell?

   Hemorrhoids can cause leakage of anal mucus and feces. They may also make it difficult for you to clean the anus region after a bowel movement. Due to this, hemorrhoids may produce a bad smell.

Book an Appointment With General Surgeon

Call 1860-500-1066 to book an appointment

Gastro Intestinal Bleeding: Prevention and Home Remedies

Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Gastrointestinal Bleeding is a dangerous condition, immaterial of it being in upward or downward direction. Since it is a symptom or complication of some other disease, it becomes important to address the primary disease causing the bleeding many times. 

Read related: Gastro intestinal Bleeding Causes, Symptoms, Differential Diagnosis

Table of Contents

Preventive measures

Preventive measures of GI Bleeding
Prevent or effectively treat the related condition (primary disease causing the bleeding)
Eat a healthy and balanced diet
Have regular and light exercise
Avoid alcohol and tobacco
Drink plenty of water
Review your aspirin regiment with your doctor before starting treatment

Prevent hemorrhoids, Have regular and timely bowel movements, never withhold the urge to defecate forcibly and resist the urge to strain while having a bowel movement. Consume fiber and laxatives as and when needed.

Have polyps evaluated regularly and as soon as possible. They can be a pre-cursor for colorectal cancer
After food, remain upright for at least an hour (do not sleep immediately after food) to avoid acid reflux

If you notice any signs of GI Bleeding, seek medical care immediately
Identify Shock and seek immediate medical intervention – Shock manifests with warning signs like feeling of freezing cold and uncontrollable shivers (shaking of body). In this condition you may need intravenous fluids. Therefore immediately call a doctor or report at a nearby hospital.

Identify and report warning signs of intestinal rupture or perforation – Fever, very rigid abdomen or tummy, severe shiver and constipation suggest intestinal rupture or perforation, this condition demands surgery (immediate). When you find these symptoms seek emergency medical attention without wasting time.

Home Remedies

Home Remedies for GI Bleeding
Gastro Intestinal Bleeding is a dangerous condition. Without being properly diagnosed and without the guidance of a qualified physician, it is unwise to try any home remedies because many remedies (home) are not proved to be effective in all cases of bleeding. If the bleeding is severe and if it is associated with a chronic illness, home remedies might just prove to be like ‘rubbing salt on wound scenario’, worsening the condition. I suggest an immediate appointment with doctor in case of GI Bleeding, especially if it happens repeatedly. You may try home remedies when symptoms of intestinal rupture and or shock are absent or when there are no complications associated with GI Bleeding. Anyhow it is good to try things by taking your doctors consent.

Below mentioned are some of the home remedies for GI Bleeding
Avoid these – Avoid foods that trigger gastric secretions like spicy and salty foods. Avoid alcohol and smoking, they increase gastric secretions and worsen bleeding

High fiber diet – Eat a high fiber diet. This increases the bulk of the stools. This prevents diverticulosis and hemorrhoids which are chief causes of GI Bleeding.

Water – Take good quantity of water because you are losing lot of fluids and electrolytes while experiencing GI Bleeding. If bleeding is moderate to severe, drink fluids continuously and repeatedly until bleeding stops. This avoids dehydration and electrolyte imbalance.

Juices – Drinks having Vitamin C with minerals and B vitamins, diluted apple or pear juice help in restoring fluid in the body and replenish the system

Olive leaf extract and wild oregano oil – Olive leaf extract or wild oregano oil are natural antibiotics / antimicrobials which can be used in GI Bleeding to eradicate and eliminate microorganisms. These may be used with high doses of probiotics.

Probiotics – Probiotics will help in replacing healthy bacteria in your gut and enhance gut health and immunity. They improve digestion and prevent recurrence of infection with microorganisms.

Aloe vera juice – This juice hastens the healing process in intestinal bleeding, reduces inflammation, heals ulcers and wounds and destroys virus. Pure and fresh juice not having additives or preservatives should be used. One forth cup shall be taken once or twice a day on empty stomach.

Coenzyme Q10 – It is a powerful antioxidant. It reduces free radical damage and promotes tissue repair. It should be recommended in a dose of 30-60 mg per day. It shall be taken with oil containing omega-3 essential fatty acids.

Omega 3s – Omega-3 essential fatty acid containing fish oil supplements, hemp seed oil and cold-pressed flax seed oil have strong anti-inflammatory properties and are useful in healing inflammatory bowel diseases. At least 1 tablespoon of EFAs should be taken in either oil or flax oil form every day.

N-Acetyl Glucosamine (NAG) – It is an amino sugar which is normally formed in our bodies from glucose. It is helpful in healing intestinal mucosa. It can be taken in a dose of 6-10, 500 mg capsules per day.

Licorice, Slippery elm, Marshmallow root – are good for GI bleeding either taken individually or as ingredients in some compounds

Retention enema – Retention enema consisting of comfrey root powder, marshmallow root powder and slippery elm (inner bark) powder mixed in 1-2 cups of filtered or spring water helps in controlling bleeding from colon very quickly.

Get rid of your constipation – If constipation is a cause of your bleeding, take enough fiber diet and drink good quantities of water to get rid of constipation. High fiber foods include green vegetables, beans, squash, prunes, figs etc. Warm bone broths and hot herbal teas also work great. Avoid taking refined flour, pasteurized dairy products, alcohol and fried foods. Probiotics and more fermented foods also relieve constipation. Exercise (jumping on mini-trampoline etc) helps to stimulate bowels and lymphatic system. Light exercise can also support bowel function. This includes stretching, walking, jogging, yoga, swimming and dancing.

Take care of hemorrhoids – Avoid constipation and diet recommended for constipation (above), keep away from alcohol and spicy foods, do not forcibly control the urge to defecate and do not sit long on the toilet doing things. Clean your anal opening thoroughly after defecation. Do not cleanse roughly or use soaps that contain harsh chemicals, alcohol or perfumes. Use plain water to wipe yourself and then dry your bottom later. Practice Sitz bath for at least 10 minutes, twice daily for 10-15 minutes (each sitting). Try herbal creams which soothe and heal hemorrhoids. Cream consisting of turmeric and tea tree oil is useful.

Heal and improve your Ulcerative Colitis – Avoid foods which trigger UC, like dairy products, spicy foods and refined sugars. Take foods rich in omega 3 fatty acids and probiotics. These foods reduce inflammation and enable absorption of nutrients. Relax and rest. This will enable good digestion. Calming activities like deep breathing and stretching will help to improve circulation and regulate digestion.

Try stool softeners – Hard stools cause rectal bleeding. They also cause hemorrhoids and cause straining on the toilet, anal fissure etc which can cause rectal bleeding. You can use one or more of the below mentioned natural laxatives which also ensure that your stools are not hard. They also enable to make your stools soft and smooth.

• Water
• Aloe vera / Aloe vera juice
• Flaxseed / flaxseed oil
• Coconut water
• Leafy vegetables like kale, mustard greens, spinach etc
• High fiber fruits like figs, apples, pears and berries
• Psyllium husk
• Prune juice and other prune products
• Chia seeds
• Probiotic rich foods like coconut kefir, kombucha, sauerkraut, kimchi etc

Reduce your stress levels – It will help in promoting healing and decrease inflammation.

Talk to your doctor if you are using any of these in excess – aspirin, NSAID’s, they can cause peptic ulcers or worsen ulcers leading to bleeding

Home remedies for bleeding gastric ulcers

Home remedies if Gastric (Peptic ulcers) are cause of bleeding –

• Flavonoids – Foods and drinks rich in flavonoids should be used. They include apples, soybeans, red grapes, berries, broccoli, legumes, kale, green tea etc. They are gastro-protective, fight against H. pylori bacteria, and heal ulcers.
• Licorice – Licorice (deglycyrrhizinated) heals ulcers and inhibits the growth of H. pylori bacteria. It is available as a supplement.
• Probiotics – They are living bacteria and yeast which provide healthy and important microorganisms to your digestive tracts. They are present in many common foods, mainly in fermented foods. The foods having probiotics include buttermilk, yoghurt, miso, kimchi, kefir etc. Probiotics are also available as supplements.
• Honey – They contain many useful elements including polyphenols and other antioxidants. It is a powerful antibacterial agent and inhibits the growth of H. pylori bacteria. It soothes your ulcers.
• Garlic – It inhibits H. pylori growth. It can be taken directly or in the form of garlic supplements.
• Cranberry – Cranberry and its juice help fighting H. pylori infections. It is also available in the form of supplements.
• Mastic – It is a sap of a tree grown in Mediterranean. Chewing its gum has shown to help fight H. pylori. The gum can be chewed or its supplement be taken.
• Bananas – Have bananas. They have antacid effect. They also help heal ulcers. Banana milk shake is also beneficial.
• Combined vegetable juices (of carrot, cucumber, beetroot, spinach, cabbage etc) is good for curing ulcers
• Cabbage – It is one of the natural remedies for gastric ulcers. Boil about 500 grams of cabbage in one liter of water till the amount of water reduces to half. Cool it and strain the solution. Consume this 2 times per day. Take this remedy for 2 weeks. Carrot juice can be added to make it tastier.
• Wood apple – Soak about 15 grams of wood apple leaves overnight in approximately 250 ml of water. Strain and consume it first thing in the morning. Continue taking this remedy for few weeks.
• Drumstick leaves – grind about 10-15 grams of drumstick leaves. Add it to half cup of yoghurt and consume this on regular basis.
• Fenugreek tea – is one of the natural remedies for healing gastric ulcers. Herbs like cinnamon, chamomile, calendula, licorice, slippery elm etc are also useful and can be consumed in the form of tea.
• Aloe vera juice – should be consumed before meals.
• Almond milk – prepared by blending about 5 blanched almonds should be taken regularly.
• Yoga and aromatherapy will help in ulcer healing
• Butter, cream, raw goat’s milk is useful in reducing symptoms of ulcer.
• Fruits, Vegetables and Whole grains – A diet containing fruits, vegetables and whole grains are good for overall health. Vitamin rich food helps body to heal ulcers. Foods containing the antioxidant polyphenols may protect you from ulcers and help ulcer healing. Polyphenol rich foods and seasonings include – dried rosemary, dark chocolate, black olives, blueberries, flaxseed, Mexican oregano, raspberries, elderberries, strawberries, blackberries, etc
• When you have stomach ulcers and acid reflux, avoid – coffee, tea and other caffeinated beverages, carbonated beverages, chocolate, chilies and hot peppers, high salt diet, processed foods, fried, spicy and packaged foods containing preservatives, alcohol, cigarette smoking, acidic foods like citrus and tomatoes, deep fried foods etc. Overeating and eating within 2-3 hours of going to bed may also worsen the symptoms. Avoid too much alcohol.

Click to Consult Dr Raghuram Y.S. MD (Ayu)

What to do if a cat has bloody diarrhea?

1. What causes loose, bloody stools?
2. Clinical picture
3. Is it possible to be treated at home?
4. Peculiarities of specialized treatment

A pathological condition, when a cat has diarrhea with blood, can accompany many diseases. The owner of the animal is horrified by such manifestations, and this is quite justified. Bloody, loose stools in a pet is an alarming symptom that should never be ignored. Under any circumstances, you should not hesitate to visit a doctor, since inaction on the part of the owner of the cat can cause serious complications in the animal, which are often fatal.

What causes loose, bloody stools?

Most often in a cat, diarrhea with blood occurs with the following ailments:

• exacerbation of inflammation in the large intestine, which are diagnosed mainly in kittens;
• infectious colitis;
• viral infections, in particular panleukopenia;
• traumatic injuries in the rectum and anus;
• acute pancreatitis with destruction of the mucous membrane of the small intestine;
• helminthic infestations;
• acute and chronic intoxication with poisons, household chemicals, poor quality food, etc. ;
• tumors of the gastrointestinal tract.

Clinical picture

Bloody diarrhea in a cat, the causes of which lie in the pathology of the internal organs, is very rarely the only manifestation of a disease state. The underlying disease with liquid, bloody stools in the vast majority of cases occurs against the background of the appearance of digestive disorders in the form of dyspepsia, vomiting, refusal to eat. Decreased appetite and insufficient feeding lead to a sharp loss of weight and a deterioration in the general condition of the pet, which becomes lethargic, lethargic and drowsy.

Cats with blood-streaked loose stools have increased urination and associated polydipsia (increased thirst). Diarrhea with blood in a cat, the causes of which are directly related to the infection of the intestines of the animal with pathogenic microorganisms, occurs against the background of an increase in the general body temperature, sometimes severe intoxication and fever with convulsions.

What should I do if my cat has bloody diarrhea? The following symptoms should be a signal to visit the veterinarian:

• a doctor should be run immediately if the cat is feverish for several days, feels unwell, does not eat and vomits constantly;
• the animal must be shown to a specialist when it is suspected that the cat has been poisoned by toxic substances or rat poison;
• the reason for a visit to the veterinarian should be severe dehydration of the cat’s body, unconsciousness of the animal, convulsions or discoloration of the mucous membranes;
• it is imperative to show the veterinarian a cat with bloody diarrhea that has not been vaccinated or revaccinated in time.

Is it possible to be treated at home?

What should I do if my cat has bloody diarrhea and how can I help the animal at home? First of all, you should change the approach to feeding the pet and if it has bloody, loose stools, stop feeding the animal during the first day from the onset of the disease, even if the cat retains its appetite. At the same time, the fluffy patient should not be limited in drinking, which must be necessarily in adequate quantities. Such actions will allow the cat to free its intestines from the rest of the feces and reduce the manifestations of the intoxication syndrome.

On the second day you can feed the cat. It is best to give the animal half of the usual amount of food.

If bloody stools do not stop and the stool does not normalize, it is necessary to take the sick animal to the veterinarian to determine the causes of the pathological condition and prescribe medication.

Specialty treatment considerations

Diseases that are accompanied by bloody diarrhea should be treated by a qualified specialist. Treatment of the disease should be implemented as soon as possible, otherwise the owner risks losing his pet.

Specialized treatment of bloody diarrhea in cats has several goals:

• determination of the cause of a pathological symptom using modern laboratory and instrumental diagnostic methods;
• appointment of etiotropic therapy;
• symptomatic treatment of complications;
• competent rehabilitation of the animal.

The decisive factor in choosing the tactics of treating liquid, bloody stools is the cause of the development of the underlying pathology, which led to such consequences. If the process was triggered by pathogenic microorganisms, then the doctor decides on the appointment of antibiotic therapy lasting from 14 to 21 days with a control analysis of feces. Worm infestations are treated with anthelmintic drugs, and chronic colitis is treated with normalization of feeding and restorative agents. Qualified treatment is effective in almost 90% of cases, and its results depend on the timeliness of the diagnosis of the disease, the correctness of therapeutic tactics and the individual characteristics of the sick cat’s body.

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Treatment of rectal fissure: causes, symptoms.

Fissure of the rectum (anal fissure) is the appearance of an ulcer or tear in the mucous membrane in the lower part of the digestive tract. It is a damage to the mucous membrane of the rectum. The size of the crack can reach 20 mm, which, of course, causes a lot of problems for a person. This pathology affects people of any age, including children. Due to the structural features of the body, the disease occurs in women even more often than in men.

Fissure can occur due to:

• Inflammatory processes in the intestines and their chronic form
• Digestive problems (diarrhea, constipation)
• Mechanical injuries of the rectum

Appointment

Proctologist

Online appointment with a proctologist.

Phones:

+7 (812) 30-888-03

+7 (812) 242-53-50

Clinic address: St. Petersburg, Vyborgsky district, st. Asafiev, 9, to 2, lit. A (Ozerki metro station, Prospekt Prosveshcheniya metro station)

Contents:

Treatment of rectal fissure

Symptoms of rectal fissure

Causes of rectal fissure

Diagnosis and treatment of rectal fissure

9001 2 Fissure treatment rectum folk remedies

Symptoms

The main symptom of a rectal fissure is severe pain in the anus during and after defecation. Moreover, with a severe form of a crack, the pain can be for hours. The appearance of blood in the stool.

There are two forms of anal fissure. First, an acute form appears, which, in the absence of timely treatment, becomes chronic. Recognizing problems with the lower intestine is simple: during the act of defecation, severe pain occurs, which disappears after 10-15 minutes. This symptom of a rectal fissure is typical for patients with an acute form of pathology. In the chronic form, the pain is not so strong, but it lasts much longer. In addition, it appears not only during a visit to the toilet, but simply during prolonged sitting.

In both forms of rectal fissure, bleeding from the anus is noted. Little blood flows out; it is red in color and does not mix with the feces, as in bleeding from the upper intestines. Usually, bleeding opens after the act of defecation due to the passage of feces, but it soon disappears.

Another symptom of anal fissure is often problems with bowel movements and, as a result, frequent constipation. Problems are associated with severe pain during the passage of feces. The severe pain that occurs during this causes a spasm of the muscles, leading to constipation. Frequent constipation leads to the accumulation of feces, their compaction and the formation of new rectal fissures. In advanced cases, a rectal fissure is also characterized by the release of pus, among other symptoms.

Diagnostic methods

A proctologist can accurately diagnose a fissure after a special examination. The sooner treatment begins, the faster and more successfully it will pass.

A proctologist will perform an external examination of the anus and a digital examination. Examination with the help of additional equipment (endoscopy and others) is usually not used due to the pain of these procedures for anal fissure, as well as in order to minimize the risk of patient infection. Only in case of emergency, the doctor resorts to these methods of treatment, and with the use of anesthesia.

Acute fissure of the rectum is a wound with smooth edges, while chronic anal fissure is an oval or triangular lesion with torn edges and scars. In addition, doctors perform general tests (urine, blood, feces) and tests for HIV, hepatitis and some other diseases. In children, the doctor takes tests for eggs of the worm.

After diagnosis, the doctor prescribes the appropriate treatment for rectal fissure, which depends on several factors: the form of the disease (acute or chronic), the causes of its occurrence, possible contraindications and complications, etc. Drug therapy includes the following procedures and events:

• Treatment of diseases of the gastrointestinal tract
• Normalization of stool
• Use of antiseptics at the site of the lesion
• Taking medication in the form of rectal suppositories, ointments, etc.

Before in total, with an acute form of a rectal fissure, relieve the patient of pain. For this purpose, the doctor prescribes painkillers and anti-inflammatory suppositories and ointments. The period of direct healing of the crack is carried out using suppositories with propolis, glycerin, etc.

Chronic anal fissure makes treatment difficult because it is covered with a scar. In this case, an operation under general anesthesia is required to excise the rectal fissure. Modern methods of treatment allow you to get rid of the crack with more gentle methods – coagulation or cryodestruction (cauterization of the crack and freezing of tissues, respectively) using local anesthesia.

Causes of occurrence

There are two main groups of causes for the development of rectal fissure. The first is inflammatory processes in the rectum, the second is mechanical damage and injury. Often both groups of reasons accompany each other. Moreover, inflammatory processes in the upper intestine can also lead to a crack in the rectum, despite the fact that the rectum belongs to the lower section. This is because all parts of the gastrointestinal tract are closely interconnected with each other, so cholecystitis and gastritis, leading to pathology in “their” areas, significantly increase the risk of damage to the mucous membrane in the rectum.

Mechanical fissures of the rectum are caused by too dense stool or foreign body. Both factors are especially often combined in children with endobiosis or, more simply, with worms. The lower part of the rectum in this case is very inflamed, and the eggs of the worm cause severe itching and, as a result, scratching. The mucous membrane is damaged due to constant scratching and is even more irritated after the passage of feces.

Treatment of rectal fissure

First of all, the treatment of fissure is carried out by medical methods, which includes several stages and procedures:

• Dieting to obtain permanent soft stools. The diet should include dairy and vegetable products rich in fiber. In addition, the patient is prescribed enemas with herbal decoctions and the addition of an antiseptic.
• Taking painkillers and anti-inflammatory drugs. Forms of application can be different: candles, baths, microclysters, injections, etc.
• Treatment of diseases of the gastrointestinal tract, if they are the cause of anal fissure.

Treatment of rectal fissure with traditional methods is successful in most cases. But if the crack grows and is accompanied by complications (chronic form), the patient may need surgery. Modern methods allow you to do this quite painlessly. A small operation is performed using the laser coagulation method (high temperatures) or the cryodestruction method (low temperatures).

In case of complications, a classic fissure operation is performed. To do this, under general anesthesia, the doctor performs an incision in the sphincter, makes an excision of the edges of the wound, and then sutures it. The recovery period after the operation lasts a month, and consists in following a strict diet and taking measures to prevent inflammation.

Treatment with folk remedies

Traditional medicine has developed several methods for treating rectal fissures. However, these methods are suitable at an early stage. In addition, even they can cause complications, so it is advisable to consult a proctologist before using them. Below are some popular anal fissure cures:

• Potato candles. This simple and well-known product, combined with honey, gives good results. To do this, a candle should be placed before bedtime, dipped in honey. The course of treatment is 1-2 weeks.
• Propolis. The resulting mixture should be soaked in a napkin and applied to the anus.