What is Anal Fissure (Anal Fissure)?

In this article, we will discuss topics such as what is anal fissure breech crack, what causes anal fissure breech crack, fissure treatment, what should be considered after fissure surgery, what are the types of fissures and the healing process after breech fissure. The anus region is sensitive because it has many nerve endings. Long-term digestive and intestinal system problems can damage this area due to excessive straining. For example, problems such as diarrhea and constipation are among the causes of fissure. For these reasons, at the end of the rectum, which has a sensitive skin layer; bleeding, burning, tenderness and pain may occur. As the defecation problems continue, the healing process of the anal fissure, in other words the anal fissure, will be adversely affected. In other words, solving diarrhea and constipation problems is as important as the importance of treatment for cracks. Let’s take a closer look at what a fissure is.

What is anal fissure? What is breech crack?

Many people wonder what it is and what is an breech crack. In the simplest sense, anal fissures are cracks that occur in the breech region for different reasons. Anus fissures can occur with frequent defecation due to diarrhea and frequent cleaning accordingly, as well as by constant straining as a result of hard defecation. Although these cracks look simple, they can cause sensitivity and pain. The feeling of breech crack impairs the quality of life of the person. This sensation will give a sharp stinging sensation that resembles a piece of glass. If the crack is large, the person may feel this feeling more and with bleeding. People with breech cracks may frequently contract their breech muscles and do not want to go to the toilet in order not to experience these feelings and breech crack symptoms. This will increase the severity of constipation. Increasing severity of constipation poses a major problem in the healing process. In other words, if the anal fissure spreads into the anal canal, the importance of constipation and diarrhea will increase.

What are the types of anal fissures & anal fissures?

Anal fissure types, namely breech fissure types, are divided into two; and acute anal fissure. While newly formed breech fissures are called “acute anal fissure”, non-healing and advanced breech fissures are called “chronic anal fissures”. Chronic anal fissure symptoms include; There is a deepened fissure line with muscle fibers on the floor, a skin piece that can be felt at the anus exit, and a fingerlike protrusion in the anal canal. These three symptoms are called “Fissure Triad”. These symptoms cause chronic anal fissure to be confused with hemorrhoids. At this point, the physician examination is of great importance.

What are the symptoms of anal fissure (anal fissure)?

When we say the symptoms of anal fissure breech crack, the following symptoms appear:

  • Pain and burning sensation

  • Sharp pain during defecation

  • Light red bleeding during defecation

  • Wetness and itching in the anal area

  • Skin blistering as a result of swelling at the outer edge of the fissure

  • Itching in the fissure

Why does anal fissure (breech fissure) occur?

Many people who have anal fissure problems ask the question of why anal fissure occurs. Anal fissure can occur for different reasons. These causes include childbirth, recurrent diarrhea, hard defecation, constipation, anal sexual intercourse, foreign bodies, and previous anal region surgeries. Hard stools and constipation, which are among the most important causes, should be considered. Not consuming enough liquid and fibrous products, not going to the toilet despite the need to go to the toilet can cause hard stools, that is, constipation.

How is anal fissure (breech fissure) treated?

We answered many questions such as what is anal fissure, why does anal fissure occur and what are the symptoms of anal fissure. Now let’s come to the most important question; How is anal fissure treated? Many people who suffer from anal fissure are wondering what happens if the fissure is not treated, how to treat the fissure, what should be considered after fissure surgery, what is the treatment for anal fissure and how long does the fissure surgery take? We have given above about the types of anal fissures. There are different treatment methods for these two types of fissures. Because when someone is newly formed and can be intervened by the person himself, a chronic type of physician intervention is essential. In the newly formed acute anal fissure, some applications that the person will make can heal this process in 3-4 weeks. For example, applying hot sitz bath 3-4 times a day, drinking plenty of water, consuming plenty of fiber foods, vegetables and fruits will prevent constipation and relieve fissure. In addition, using drugs to relieve constipation with the recommendation of a specialist can alleviate this process. But of course, there are cases where all these interventions at home do not have an effect. At this point, there are minor surgical interventions in cases where the drugs recommended by the physician and the drugs do not work. In the treatment of chronic anal fissure, which is another fissure type, sphincterotomy applications, nitrate ointment, anal dilatation and botox applications are available. The most common fissure treatment is “Lateral Internal Sphincterotomy”. In this treatment method, a small incision is made in the internal sphincter muscle, which keeps the anus closed, to prevent muscle spasm and relieve anal output. Improper application of this simple application, which has a very low probability of recurrence, causes problems such as stool incontinence and gas incontinence. The reason for the internal sphincter muscle application; It is the continuation of contraction of the internal muscle, which should normally relax while defecating, due to the anal fissure. This will increase the pressure on the anus, disrupt blood flow and prevent the fissure from healing. This will cause chronic fissure.

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