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Anal Fissure

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What is it?

An anal fissure is a small tear in the skin around the anus, often caused by passing large or hard stools. It can cause intense pain and discomfort during or after bowel movements.

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What are the symptoms?

  • Sharp pain during or after bowel movements

  • Visible tear or crack in the skin around the anus

  • Blood on the toilet paper or in the stool

  • Itching or irritation around the anus

  • Spasms in the anal muscles

What else could it be? (Differential diagnosis)

  • Hemorrhoids

  • Anal abscess

  • Proctitis

  • Rectal prolapse

What are the aggravating factors?

  • Constipation or straining during bowel movements

  • Diarrhea

  • Sitting for long periods of time

  • Inadequate hydration or a low-fiber diet

  • Poor hygiene

What types of food are helpful?

  • High-fiber diet: Helps to soften stools and reduce straining.

  • Adequate hydration: To keep the stools soft and prevent constipation.

  • Avoid spicy or acidic foods: These can irritate the anal area.

Sample Recipe: Lentil Soup

  • Ingredients: Lentils, carrots, celery, onions, garlic, vegetable broth.

  • Directions: Cook lentils and vegetables in vegetable broth for a high-fiber, soothing meal.

What are the traditional treatments?

  • Fiber supplements: To prevent constipation and make stools softer.

  • Topical treatments: Nitroglycerin ointment or calcium channel blockers can relax the anal sphincter muscle.

  • Sitz baths: Warm water baths can soothe the affected area.

  • Surgical intervention: If conservative treatments fail, surgery to remove the fissure or relax the sphincter muscle may be necessary.

What are the natural and alternative treatments?

  • Aloe Vera: Known for its soothing and anti-inflammatory properties, aloe vera gel can be applied to the affected area.

  • Coconut oil: Used for its moisturizing and healing properties to promote skin repair.

  • Witch hazel: Has astringent properties that may help reduce pain and inflammation.

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