What should I do if an anal fissure doesn't heal?
Disease description:
The patient has long suffered from anal fissures, with wounds that fail to heal, accompanied by symptoms such as pain and constipation, significantly affecting daily life. What should be done if the anal fissure persists without improvement?
Doctor's answer (1)
Dr. Li Jingxiang
An anal fissure is a tear in the skin or mucous membrane around the anal area, commonly occurring at the lower end of the anal canal. It is usually associated with hard stools and excessive straining during bowel movements. If an anal fissure fails to heal, possible reasons include persistent chronic inflammation, obstruction caused by spastic sphincter muscles, bowel movement irritation and contamination, poor drainage and local ischemia, as well as improper patient care and treatment.
For persistent anal fissures, patients are advised to consume foods rich in vitamins and fiber, drink plenty of water, maintain regular bowel movements, avoid straining during defecation, and reduce pressure on the anal area. Clean the perianal region daily with warm water to maintain hygiene. Sitz baths with warm water may also be used to improve local blood circulation and alleviate symptoms.
