Doctors pointed out that the causes of anal fissures are constipation, high anal pressure, severe diarrhea, natural childbirth, and anal sex.
; The picture shows the situation.
(picture taken from shutterstock)
[Health Channel/Comprehensive Report] A 28-year-old man had tearing pain when he defecated and saw blood in the toilet. He thought it was hemorrhoids. After diagnosis by the doctor, he found several small tearing wounds near the anus. It is determined that the bleeding in defecation is due to anal fissure, and the causes of anal fissure are constipation, high congenital pressure in the anus, severe diarrhea, natural childbirth, and anal sex.
Chen Weiyou, director of Tianxin Colorectal Surgery Clinic, posted on the Facebook page "Dr. Chen Weiyou, Colorectal Surgery" that many people often can't distinguish between hemorrhoids and anal fissures. As long as they feel pain in defecation and see blood when wiping their buttocks, they guess it's hemorrhoids. Hemorrhoids and anal fissures do have pain in defecation, itching near the anus, and bleeding in defecation.
The pain caused by hemorrhoids and anal fissure is still slightly different. Hemorrhoids are a dull pain like being squeezed, while the pain of anal fissure is a stinging pain like a knife.
Please read on...
Hemorrhoids and anal fissures are different pain methods
●Hemorrhoids are the original "anal cushion" tissue on the body, and the appearance is a group of bulging small blood cells.
The pain caused by hemorrhoids is mainly the pain caused by the pulling and swelling of external hemorrhoids (which grow below the dentate line of the anus).
If hemorrhoids cause bleeding in defecation, it is usually caused by the rupture of internal hemorrhoids (growing above the dentate line of the anus), but internal hemorrhoids have no nerves, so hemorrhoids usually do not cause "painful defecation and blood".
An anal fissure is a small tear in the skin of the anus when stool passes through the anus.
Therefore, it is easy to have a stabbing pain during defecation. If the wound is large, bleeding may also occur during defecation.
Causes of anal fissures
●Constipation: When people are constipated, they need to use force to defecate.
However, because the feces are too hard, it is easy to cause tearing in the anus; or the feces lack fiber, resulting in repeated scratches in the anus and wounds.
●Congenitally high pressure in the anus: This situation is more likely to occur in young men. Some people are born with high pressure in the anus, which makes the anus easy to crack and leave wounds.
●Severe diarrhea: The feces during diarrhea tend to be loose or watery, and the impact force is too large, which will cause the anus to be pulled to the anus during defecation and form a laceration.
●Spontaneous childbirth: Women who have natural childbirth may leave scars on the anus during childbirth because the lower pelvic cavity is stretched.
●Anal intercourse: Accidents occur during anal intercourse, prompting the anus to leave a wound.
Chen Weiyou pointed out that anal fissure is a kind of skin injury, such as a fall, abrasion, or a broken mouth, which can heal on its own. If the wound is large and the pain is obvious, you can wipe it with anti-inflammatory and pain-relieving drugs, or take oral medicine in combination. Protect wounds and accelerate wound healing.
However, some patients reported that the wound was too deep, and it was difficult to apply the ointment directly by hand. At this time, the ointment can be made into a solid bullet-shaped suppository through the ointment injected into the plastic tube, which can reduce the chance of rubbing and bumping the stool again during defecation. Anal fissure wound.
Chen Weiyou reminded that anal fissures are mainly wounds caused by improper impact on the anal sphincter.
If you want to completely prevent anal fissures, the most important thing is to soften the stool and maintain a stable bowel habit, so as to reduce the force of the stool against the anal sphincter and reduce the occurrence of anal fissures. In addition, eat more high-fiber vegetables and fruits in your daily diet and drink plenty of water The best way to prevent anal fissures is to get up and move in moderation every day and avoid long-term sedentary treatment.
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Health Net - Urology