How Do You Know if You Have a Tear in Your Rectum or Colon
The anal canal is a short tube surrounded by muscle at the stop of your rectum. The rectum is the lesser section of your colon (large intestine). An anal fissure is a small rip or tear in the lining of the anal canal. Fissures are mutual, simply are often confused with other anal conditions, such as hemorrhoids.
CAUSES OF ANAL Cleft
Fissures are normally acquired past trauma to the inner lining of the anus from a bowel movement or other stretching of the anal canal. This can exist due to a hard, dry bowel movement or loose, frequent bowel movements. Patients with a tight anal sphincter muscle are more likely to develop anal fissures. Less common causes of fissures include inflammatory bowel disease, anal infections, trauma or tumors.
SYMPTOMS
Anal fissures typically cause a sharp pain that starts with the passage of stool. This pain may concluding several minutes to a few hours. As a outcome, many patients may try not to take bowel movements to forestall the pain.
Other symptoms include:
- Bright red blood on the stool or toilet paper after a bowel movement
- A pocket-sized lump or skin tag on the pare about the anal cleft (more common when chronic or having been nowadays for greater than half dozen weeks)
NONSURGICAL Handling
Your physician will discuss the benefits and side effects of treatments.
Treatment includes:
- A high-cobweb nutrition and over-the-counter fiber supplements (25-35 grams of fiber/solar day) to brand stools soft, formed, and bulky.
- Over-the-counter stool softeners to make stools easier to pass.
- Drinking more than h2o to assistance preclude hard stools and assistance in healing.
- Warm tub baths (sitz baths) for 10 to 20 minutes, a few times per twenty-four hours (especially after bowel movements to soothe the area and help relax anal sphincter muscles). This is thought to assist the healing process.
- Medications, such as lidocaine, that tin be applied to the skin around the anus for pain relief.
- Medications such every bit diltiazam, nifedipine, or nitroglycerin ointment to relax the anal sphincter muscles which helps the healing process.
Narcotic pain medications are avoided because they can cause constipation which could make the situation worse.
SURGICAL TREATMENT
Although most anal fissures do not require surgery, chronic fissures are harder to treat and surgery may be the best option. The goal of surgery is to help the anal sphincter muscles relax which reduces hurting and spasms, allowing the crevice to heal. Surgical options include Botulinum toxin (Botox®) injection into the anal sphincter or surgical partition of an inner office of the anal sphincter (lateral internal sphincterotomy). Your colon and rectal surgeon will find the best treatment for you and discuss the risks of surgery. Both types of surgery are typically washed equally same-day outpatient procedures.
Mail service-TREATMENT PROGNOSIS
Near patients tin return to work and go back to daily activities a few days later surgery. Complete healing later on both medical and surgical treatments can take 6 to 10 weeks. Even when the hurting and bleeding lessen, it is important to maintain good bowel habits and consume a high-fiber diet. Continued hard or loose bowel movements, scarring, or spasm of the internal anal muscle tin can filibuster healing.
- Botox® injections are associated with healing of chronic anal fissures in 50% to eighty% of patients.
- Sphincterotomy is successful in more than 90% of patients. Although uncommon, this procedure may affect the patient'southward ability to fully control gas or bowel movements.
Fissures frequently come back. A fully healed fissure can come dorsum subsequently a hard bowel move or trauma. Medical problems such as inflammatory bowel disease (Crohn'southward disease), infections, or anal tumors tin cause symptoms similar to anal fissures. If a fissure does non better with treatment, it is of import to be evaluated for other possible atmospheric condition.
CAN ANAL FISSURES LEAD TO COLON CANCER?
Anal fissures practise not increase the risk of colon cancer nor cause it. All the same, more than serious weather condition can cause similar symptoms. Fifty-fifty when a fissure has healed completely, your colon and rectal surgeon may request other tests. A colonoscopy may be done to rule out other causes of rectal haemorrhage.
WHAT IS A COLON AND RECTAL SURGEON?
Colon and rectal surgeons are experts in the surgical and non-surgical handling of diseases of the colon, rectum and anus. They take completed advanced surgical training in the treatment of these diseases, also as general surgical training. Lath-certified colon and rectal surgeons complete residencies in full general surgery and colon and rectal surgery, and pass intensive examinations conducted by the American Board of Surgery and the American Board of Colon and Rectal Surgery. They are well versed in the treatment of both benign and malignant diseases of the colon, rectum and anus and are able to perform routine screening examinations and surgically treat conditions, if indicated to do so.
DISCLAIMER
The American Social club of Colon and Rectal Surgeons is defended to ensuring high-quality patient intendance by advancing the science, prevention and direction of disorders and diseases of the colon, rectum and anus. These brochures are inclusive only non prescriptive. Their purpose is to provide information on diseases and processes, rather than dictate a specific class of handling. They are intended for the use of all practitioners, health intendance workers and patients who desire information nigh the direction of the conditions addressed. It should be recognized that these brochures should not be accounted inclusive of all proper methods of care or sectional of methods of care reasonably directed to obtain the same results. The ultimate judgment regarding the propriety of any specific procedure must exist made by the physician in lite of all the circumstances presented by the individual patient.
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Source: https://fascrs.org/patients/diseases-and-conditions/a-z/anal-fissure
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