Chronic persistent constipation

2021-02-05 12:00 AM

An anal fissure may have some hemorrhoid-like symptoms, but the difference is that a fissure can be observed in the anal area. A manual examination can be very painful.

The anus is about the last 4cm of the digestive tract, where stool passes to be passed out of the body. An anal fracture is a rupture, a tear in the anus, causing the patient to feel sharp pain each time of defecation.

Reason

This is usually caused by an ulcer from the anal sphincter spreading up the anal canal.

Sometimes anal fissures result from a tear in the anal lining due to hard, dry stools.

Diagnose

The patient feels a sharp pain in the anus every time he defecates because the muscles of the anus constrict.

There may be some blood in the stool.

An anal fissure may have some hemorrhoid-like symptoms, but the difference is that a fissure can be observed in the anal area. A manual examination can be very painful.

Treatment

This is mainly symptomatic, as cracks usually go away on their own after a few days, especially when constipation can be controlled.

Instruct patients on a high-fiber, fluid diet to avoid constipation and soften stools.

If the spasm is causing the patient much pain, can instruct the patient to soak the anus in warm water after each defecation to reduce the spasm, the patient will feel more comfortable.

Anal plugs such as Xyloproct or Proctosedyl can be taken before each bowel movement to help the colon to relax and make the patient less painful.

Severe anal fissures, or persist that do not go away on their own, or recur many times, may require intervention with anesthesia, or sometimes surgery to remove the fracture.