How to distinguish hemorrhoids from anal fissure

At an early stage of development, hemorrhoids and fissures are quite easy to treat. There are many effective folk remedies and medications against symptoms such as itching, redness and cracks in the rectum.

One of the causes of hemorrhoids is heredity. The main risk factors include constipation and obesity. Secondary causes of hemorrhoids include a sedentary lifestyle, pregnancy, and age.

obesity can cause hemorrhoids

a sedentary lifestyle is one of the causes of hemorrhoids

Treatment for rectal fissures depends on the severity of the disease. There are many medications used to relieve the unpleasant symptoms of hemorrhoids. In any case, if there is a rectal fissure, serious treatment is mandatory. Only slightly pronounced hemorrhoids disappear when using simple remedies - compresses, lotions, infusions.

First aid

A rectal fissure usually occurs due to sphincter tension during bowel movements. Along with it, irritation and severe pain occur.

When treating rectal fissures in the acute stage of development, irritation is first relieved. This can be achieved by improving nutrition. Patients are advised to drink plenty of water and eat foods high in fiber.

Regulating the frequency of bowel movements is key. Physical activity stimulates digestion. Exercise for hemorrhoids is mandatory to avoid taking laxatives, which are contraindicated if rectal fissures are present.

What characterizes these problems?

With hemorrhoids, there is blockage, inflammation and dilation of the hemorrhoidal veins, which subsequently form nodes around the rectum. There are several types of hemorrhoids, which differ in the course of the pathological process:

• Chronic. The mild severity of symptoms and pain creates the feeling that the problem is insignificant.
• Spicy. The appearance of blood clots in internal and external hemorrhoids, severe pain in the anus.

An anal fissure can be either a consequence of hemorrhoids or an independent defect in the rectal mucosa. Initially, a small gap appears and gradually it becomes larger by a couple of centimeters. There are fissures in the anus at the surface of the anus, reaching the muscular layer of the sphincter. Most often, this problem occurs in men aged 35 to 50 years.

Treatment of anal fissures with Hemobye

Hemobye is a new system for the care of rectal disorders such as hemorrhoids, fissures, itching, burning. The procedure does not require prior preparation of the patient. Hemobye is effective in 90% of cases.

The specific modulation currents produced by the device cause beneficial effects:

1. Anesthesia.
2. Reducing the volume of the inflamed vein.

Effects produced by microvibrations in addition to millions of invisible and painless sparks:

1. They have a positive effect on blood circulation in connective tissue.
2. They affect the tone of the veins, increasing collagen and elastin fibers.
3. They affect the formation of edema, reduce enzymes 15, 19, 20 that promote coagulation. Thus, rectal cracks with hemorrhoids heal.

Using the device does not cause side effects, it is safe and allows you to treat hemorrhoids faster. Healing occurs in less than a week.

Features of the anamnesis

Hemorrhoids are varicose veins in the anal canal. Varicose veins are localized in the anorectal intestine. It is based on degenerative-dystrophic disorders of the cavernous plexuses, characterized by modifications of hemorrhoids. When blood flow in the pelvis deteriorates, they become overfilled, become inflamed, bleed, and are injured. Possible complications of blood stagnation include the formation of blood clots and pinched hemorrhoids. This situation not only causes discomfort - the disease deprives a person of his ability to work.

The tendency of the corpora cavernosa to stagnate blood, which coagulates to form inflamed nodes inside or outside the anus, can be congenital or acquired. Other reasons for the development of pathology include:

• Insufficient physical activity, including professional activity (drivers, hairdressers);
• Inadequate muscle loads (athletes, loaders);
• Bad eating habits (abuse of fatty, salty, canned foods, violation of drinking regime);
• Excess weight (abdominal obesity, when internal fat accumulates in the abdominal area);
• Disturbances in the rhythm of bowel movements (increased pressure on the problem area occurs both with diarrhea and constipation);
• Gestation period and natural childbirth;
• Hypothermia and inflammation of the pelvic organs;
• Alcohol abuse.

Depending on the location, there are internal (located above the sphincter), external (located at the anus) and combined hemorrhoids.

An anal fissure is a minor anadermal defect. The linear or ellipse-like damage is localized in the most sensitive area - at the border of the transition of the mucous membrane of the anal canal to the perianal zone. The pathology develops against the background of severe diarrhea or constant trauma to the anus with dense feces due to chronic constipation. In this case, the elasticity of the intestine deteriorates, the mucous membrane becomes thinner and tears. It is easier for pathogenic microbes, always present in feces, to penetrate the problem area. Over time, the edges of the crack become denser and the gap grows.

Prerequisites for the occurrence of the disease may be:

• Injury to the anus by feces or a foreign body (“adult toys”, medical instruments);
• Pregnancy and labor;
• Sudden lifting of weight;
• Thrombosis of hemorrhoids;
• Overload in athletes (abdominal strain);
• Frequent feasts with overeating and alcohol abuse;
• Gastrointestinal pathologies (ulcers, gastritis, cholecystitis);
• Worm infestation, proctitis, condylomas;
• Anal sex.

Anal fissures are often diagnosed with chronic hemorrhoids: inflammation of the veins worsens the tone of the mucous membrane, leads to swelling, so the tissue cracks. In a healthy person, tissue in the anal canal is rarely damaged, except perhaps due to unexpected overload.

Ointments and gels for cracks

To relieve pain and ensure the subsidence of the tumor of the mucous membrane, ointments are prescribed. To combat pain and burning sensations during or after bowel movements, local anesthesia ointment is used as prescribed by a doctor.

Some pain-relieving gels and creams are administered using a small applicator:

1. Diltiazem hydrochloride, gel 2% is administered 2 times a day after bowel movements, for 4–8 weeks.
2. Diltiazem hydrochloride, cream 2% is used 2 times a day after bowel movements, for 4-8 weeks.

In addition to all measures, in the treatment of rectal fissures, medications with nitroglycerin as an active ingredient are prescribed. Calcium channel blockers (Nifedipine and Diltiazem) are also used. These agents relax the sphincter, promoting smooth bowel movements and preventing further rupture of the fissure.

Nifedipine or Diltiazem is applied 4 times a day for the next 6 to 12 weeks. In most cases, rectal fissure due to hemorrhoids heals after 6 weeks of using ointments.

In addition, Vishnevsky ointments, Proctosedyl, Heparin, Levomekol, Aurobin, Ichthyol, Bezornil, Girudoproct, Troxevasin, Posterizan, Pylex, Ultraproct do an excellent job with cracks.

Treatment Options

To normalize blood flow in the vessels of the rectum, phlebotonics are prescribed.
Hemorrhoids can be treated with conservative methods or surgery. In the initial stages, phlebotropic drugs are prescribed, which increase the tone of the veins and blood vessels and bring blood flow back to normal. Gymnastics, suppositories for pain relief, laxatives help in the fight against this disease. Diets aimed at normalizing stool are also used. Doctors usually suggest eating more fruits and vegetables and switching to wholemeal bread with bran. You should stop consuming spicy foods and alcohol. Surgical treatment methods include:

• Long's operation;
• infrared photocoagulation;
• doping of hemorrhoids with latex rings;
• hemorrhoidectomy;
• sclerotherapy.

After surgery there is a long period of remission. A relapse can occur after 10 years, but in most cases the disease disappears forever.

When treating anal fissure, diet and medications to normalize stool are also recommended. Anti-inflammatory and painkillers are prescribed. Ointments with nitroglycerin are used to stop sphincter spasms. In the last stage of the disease, surgical intervention is required. It is aimed at removing tissues that have become rough and interfere with the natural healing of cracks.

Suppositories for the treatment of anal fissures

Suppositories (suppositories or anal tampons) are especially effective. Tampons are inserted into the rectum; they do not slip further, remaining in place where the crack is located, and release active substances for healing.

Rectal suppositories eliminate the symptoms of the disease. It is recommended to treat cracks in hemorrhoids with the following suppositories:

1. Hepatrombin.
2. Relief.
3. Natalsid.
4. Proctosan.
5. Ginkor Procto (Fort).

Homeopathic medicines are in demand

suppositories. Doctors recommend candles based on sea buckthorn, belladonna, sandalwood oil, yarrow, and plantain. Suppositories based on natural products minimize side effects.

In some cases, the doctor prescribes painkillers or drops when the symptoms become unbearable. Anesthesia will also help relieve the patient from pain. It is carried out once. The doctor injects an anesthetic into the area of ​​the rectal fissure, thus constricting the blood vessels and speeding up healing.

Treatment of hemorrhoids and fissures

It is necessary to treat hemorrhoids from the moment the first symptoms appear. But this rarely happens - most often people seek help at the moment when hemorrhoids or anal fissures with blood appear. The longer the patient tries to solve the problem on his own, the more difficult it is to treat hemorrhoids, especially if the disease is fissure.

Many people worry that fissures from hemorrhoids can become infected, which poses a danger to the entire body. There is a risk, but it is minimal, and this rarely happens in medical practice.

If you follow the basic rules of personal hygiene and carry out the treatment recommended by the proctologist, this is impossible. The cracks heal in a few days, the hemorrhoids themselves take a little longer, but the unpleasant symptoms no longer bother you.

Only a doctor can decide how to identify and treat hemorrhoids. The patient can independently prescribe traditional medicine, but be sure to consult with a doctor before doing so.

The fact is that many traditional medicines have a binding effect, which is not always useful for getting rid of problems such as hemorrhoids or fissures.

Typically, such symptoms force proctologists to prescribe laxatives. In addition, the doctor prescribes drug treatment using painkillers and antispasmodics.

Anal fissures and hemorrhoids are treated with:

• candles;
• ointments;
• sitz baths;
• compresses.

In order to alleviate the patient's suffering, the attending physician recommends using enemas with herbal decoctions. This is where traditional medicine will be needed. Acute pain, when hemorrhoids worsen or a crack appears, is relieved with novocaine.

Diet, simple physical therapy exercises, an active lifestyle - and the symptoms disappear. But this must be followed regularly.

The best remedies for cracks

People who have had hemorrhoids know from sad experience that treatment does not provide a long-term guarantee. The crack may appear again. One of the reasons for its re-formation is treatment with chemicals instead of natural ingredients.

Fortunately, everyone can try natural treatments for themselves. Doctors recommend:

1. VenaPro.
2. HemaPro.
3. ZenMed Ziro.

VenaPro will help cure fissures and hemorrhoids.

The drug ranks first among other natural remedies. It is produced as a spray, cream and tablets. VenaPro cream contains: horse chestnut extract, arnica, lime fluoride, witch hazel, purified water and alcohol. The drug has been clinically tested and is excellent at healing cracks.

The use of HemaPro tablets or cream lasts at least 30 days. The products are designed to reduce swelling, relieve acute pain and heal wounds. HemaPro ointment contains witch hazel and sunflower extract, rosemary and grape seed oil, aloe, chrysanthemum flower, chamomile, gardenia, panthenol, bisabolol, carbomer, menthol, disodium, potassium, propylparaben.

ZenMed Ziro is effective in treating cracks. Consists of natural ingredients. ZenMed Ziro is designed to relieve swelling, irritation and pain, and treat cracks. The ointment has an anti-inflammatory and soothing effect.

For fissures and hemorrhoids, tablets containing flavonoids are often prescribed. The results of the study show that flavonoids reduce the dilation of the hemorrhoidal vein, prevent the appearance of cracks and have an anti-inflammatory effect.

How to distinguish an anal fissure from hemorrhoids

Hemorrhoids and anal fissures are proctological diseases that have very similar symptoms. The main clinical manifestations of these pathologies are pain and bleeding during defecation. Timely consultation with a doctor allows you to cure the disease in the early stages. The specialist will prescribe all the necessary studies and rational therapy. You can learn more about the difference between hemorrhoids and fissures, as well as methods for diagnosing and treating them from our article.

Treatment process

Therapy for anal mucosal defects and hemorrhoids involves conservative or surgical treatment, and the methods can complement each other. Diseases are successfully treated with conservative methods in the early stages of development.

General therapy includes the following regimen:

• suppositories for rectal administration (anti-inflammatory, antibacterial, regenerating, laxative;
• laxatives to treat constipation;
• fixatives for diarrhea;
• painkillers (rectal suppositories, systemic drugs);
• antibiotics when bacterial microflora is attached;
• antispasmodics to reduce spasms of the sphincter muscles;
• enzyme agents for indigestion and reducing the aggression of intestinal factors.

Additionally, systemic drugs are prescribed to relieve acute pain in the form of novocaine blockades. Acute forms of the disease, complicated course, heavy bleeding are the reason for hospital treatment of patients.

Surgery

Prolapse of hemorrhoids, as well as necrosis and complications of anal fissures require surgical intervention using various surgical methods.

The most famous methods:

• sphincterotomy - performed for spasms of the sphincter ring, consists of excision of the crack and electrocoagulation of the wound surface;
• laser or infrared coagulation (sometimes cryodestruction) - for bleeding, as well as in the absence of heavy bleeding;
• devulsion - expansion of the sphincter and suturing of the wound.

Hemorrhoids are removed by a sinusectomy . The rehabilitation period depends on the volume of surgical intervention and the severity of the clinical situation.

Diets and normalization of stool

An important criterion for successful treatment, including postoperative recovery, is adherence to therapeutic nutrition . The principles of nutrition are aimed at reducing the digestive load, reducing the traumatic factor on the intestinal lining, softening hard stool or preventing diarrhea.

Nutritionists highlight the following aspects in changing the diet::

• plenty of drinking regime;
• diet;
• fractional meals in small portions of no more than 200 ml at a time;
• cooking food only by boiling, stewing;
• excluding alcohol.

If you are prone to constipation, it is recommended to include vegetable oil in your diet (1 tablespoon of flaxseed, olive or sea buckthorn oil before each meal is enough). The menu necessarily includes puree of prunes, apples, carrots with cream.

Allowed products for anal fissures and hemorrhoids:

• slimy porridge;
• lean meat broths;
• minced poultry, beef, rabbit;
• soft wheat pasta;
• boiled vegetables;
• dairy products.

For anal fissures, completely exclude any foods that irritate the intestines (sour, spicy, salty), gas-forming foods (cabbage, legumes), fresh vegetables, fruits (coarse indigestible fiber injures the intestinal mucosa).

Exercises

Exercises are required to strengthen the abdominal muscles and improve intestinal motility . This is especially important for people with physical inactivity and a static body position. Effective exercises are “scissors”, “candle”, “bicycle”.

Particularly effective are exercises related to retracting the anal sphincter (5-10 approaches several times a day for a month are enough).

Important! Patients with anal fissures and hemorrhoids are advised to take long walks in the fresh air, Pilates, yoga, and stretching exercises for the muscles of the hip joint.

Traditional methods

Non-traditional treatment methods for mild cases are quite effective along with conservative therapy. The following recipes are often used :

• sitz baths with a decoction of oak bark and chamomile;
• compresses with honey and aloe juice;
• warm compresses with antiseptics, a decoction of string.

It is unacceptable to do enemas without knowing the nature of the disease and without consulting a doctor . After surgery, sitz baths with herbal decoctions are sufficient to speed up healing.