Anal fissures

Anal fissures Anal fissures are linear lesions in acute or chronic ulcers oval anal squamous epithelium, causing severe pain, sometimes bleeding, particularly in the bowel. They are formed by dilacererea produced a bulky stool, which infect evolutie.Trauma anal (the gay), is a rara.Fisura can cause more internal anal sphincter spasm detemina, leading to transient ischemia and the perpetuation of the crack. Cracks are diagnosed by direct examination or rectal examination. Treatment aims to decrease anal sphincter pressure on the seat by the conservative cure most constipatiei.Tratamentul preventing cracks in a few weeks or luni.Daca they persist or develop into ulcers and surgical methods may try medication.

Causes Anal fissures can be caused by trauma anus: -Chronic constipation -Forcing a bowel movement -Prolonged diarrhea Anal-sex Insertion of foreign pbiecte-anus -Spastic sphincter Anorectal area-scars Crohn's disease and ulcerative colitis- Anal-cancer, tuberculosis anal -Syphilis, gonorrhea, chlamidya, HIV Anorectal area-ischemia. Anal fissures are encountered and lehuze and young children.

Signs and symptoms Symptoms and signs reported by the patient and physician highlighted include: -Rectal pain, described as burning, cutting or torn -Curere in bowel movements, anal spasm -Stools with blood, drops of blood on the toilet, blood is not usually mixed with Bowls -Large amount of mucus in bowel movements Anal-itch

Diagnosis and treatment Diagnosis is by inspection of the anorectal area. Treatment aims at preventing the formation of new cracks and treatment of complications if present. Prevention includes: -Prevent constipation with laxatives -Increasing the amount of liquid ingested per day -To prevent dehydration -Increasing amount of fiber consumed fruits, vegetables, cereals -Avoid caffeine-containing product that initiates dehydration -Warm baths every day, 10-20 minutes to relax your anal muscles Anorectal area-hygiene Defecation-avoid unbalancing -Use lubricants for the anorectal-petroleum ointment Medications for severe cases include: -Hydrocortisone suppositories, or creams to reduce inflammation -Application of topical antibiotics for infections: metronidazole, ampicillin, ticarcillin -Topical nitroglycerin, nifedipine-muscle relaxation -Injection with botulinum toxin type A -Topical anesthetics with lidocaine or benzocaine -Laxatives, Metamucil, diazepam-indicated in muscle spasm. Surgery can be a solution in cases of severe ulcers or anal spasm anal.Tehnicile used consist of anal sphincter myotomy.