An anal crack, or fissura rectums, is a crack (a small tear) in the anal canal. Patients normally suffer sharp anal pain during and after defecation, lasting minuters or hours. This small injury can sometimes bleed a bit during or after defecation.
It’s not completely clear what causes an anal fissure. It is potentially caused by constipation, too much strain on the anal sphincter (the circular muscle of the anus), minimized blood circulation, the skin is not made dry enough after showering or swimming, the skin has been stretched excessive, pregnancy, giving birth, and not changing a baby’s diper in time.
After the anal fissure closes, it takes 6 weeks to 3 months prior to the wound is healed totally. In this period the crack easily opens once again. Therefore, the wound can return consistently.
Having injuries near the rectum or the anus can be an issue. The area is susceptible to an increased quantity of microbial presence. This can result in excellent chances of infections.
- There can be a number of reasons for anal injuries.
- These need to be treated as quickly as possible in order to avoid infections.
- It might also be required to investigate the cause of the injury as it can be a symptom of hemorrhoids or rectal cancer.
- It is likewise essential for patients to look into avoidance.
- Sometimes, an infected wound might be one of the causes for recurring bladder infections.
So, if there is an open wound near anus, it is basically getting feces all in it whenever you use the restroom. How does this not lead to terrible infections and illness?
Possible Causes of Wound in Anus
Here are some of the possible causes of injuries in or near the anus:
- Straddle Injuries– this can happen to children and to adults also.
- Falls– a fall can lead to an injury when the anal area gets a bow or gets punctured.
- Irritation/Rash– In kids, diaper rash can infect the anal area and might result in ulcerations. The option of underclothing in adults may likewise be a precipitating element for anal wounds.
- Rectal Foreign Bodies.
It is essential to look for immediate medical attention when patients experience the following symptoms with their anal injuries:
- Pain that lasts more than a week.
- The injury was caused by a foreign body lodged in the rectum.
- Bleeding from the rectum.
- High fever (over 101 F or 38.3 C).
- Abdominal pain— particularly when it is ending up being progressively even worse.
- Worsening anal pain.
- Repeated vomiting.
Some of the possible complications of having a rectal wound include:
- Cellulitis– infection of the much deeper layers and the connective tissues of the skin.
Home Remedies for Treatment of Anus Wound
A doctor can recommend numerous products to treat the anal fissure. For instance, a pain relieving lotion or suppository (an anal medication); a laxative (that makes it easier to go to the toilet); zinc-ointment (this will secure the skin and agreement it, so it will heal faster). Further more a doctor can give advice about looking after the injury and enhance food digestion and defecation.
Many fissure are acute, lasting about 4-6 weeks. The anal fissure ends up being chronic and will not go away if it lasts for more than 6 weeks. In such cases medical surgery can be an option. The circular muscle of the rectum is typically cut or stretched. Likewise an injection with botox in the muscle can have a positive result.
Anal wounds need routine cleansing since of their location. Without correct cleansing, it can lead to further problems.
Take care of these types of injuries include:
- Control of bleeding– this can be finished with the application of pressure on the injury.
- A gauze or any clean fabric can be used to use pressure.
- It needs to be obtained a minimum of 10 minutes.
- Tidy the wound with mild soap and water.
- Keep from scrubbing the injury as it can resume.
- Apply dressing or antibacterial lotion as directed by doctor.
- Tidy the injury 2 to 3 times a day or as required.
- Keep the injury tidy and, if necessary, covered.
- As long as the injury is not recovered, taking an everyday bath with soda (sodium carbonate) can give relief. Further more that will keep the injury tidy. Sit in a tub filled with a few inches of warm water for 20 minutes, 2 or 3 times a day. This is called a sitz bath. It unwinds the tissue and helps unwind the anal muscle.
Due to the fact that of the nature of the wound, doctors may recommend tetanus shots.
To Prevent the Fissure to Return
The anal crack can burst open really quickly as much as 3 months after healing, for instance during defecation. The patient can do a number of things to reduce the chance that the crack will return. The guidance includes the following pointers.
As long as the fissure is open (a painful, small tear beside the rectum which can bleed a little) the patient can put an ointment with zinc oxide (secures and agreements) and pramocaïne (eases pain and itching) on and around the crack. Use toilet your finger with a glove to spread out the ointment and wash hands later with soap. This treatment needs to be continued for a number of weeks to reduce the chance that the crack will open once again.
Besides it is very important to have an excellent food digestion and defecation. The longer the faeces remains in the intestinal tract, the more liquid will be withdrawal. Due to the fact that of this, the faeces will become harder and get more volume, which provides more possibility that the skin around the rectum will crack once again.
Patients are advized to eat fibres every day (for example: unpolished rice, muesli, whole grain bread, dried apricots, figs, dates, prunes, saltless nuts, beans, peas, etc.); to eat the suggested quantity of veggies and fruit every day; to use a little bit of butter or oil every day; to drink enough during the day; and to work out every day.
The patient needs to avoid food that can cause constipation (possible: white bread, white pasta/pizza/noodles, eggs, cheese, sugar, coffee, chocolate, and so on). If necessary, one can take enzymes as food supplement with every meal that includes bread.
Patients ought to not postpone going to the toilet. While waiting, the faeces will press on the circular muscle of the anus, which causes a pressure. Besides the faeces can become harder and get more volume after a while.
When the patient feels the desire to go to the toilet, the best thing is to go right away. While resting on the toilet, the patient has to push as low as possible, however rather relax the circular muscle.
It’s very important that the skin around the rectum is completely dry prior to the patients gets dressed. The smallest moisture in the folding of the skin can be the reason that the skin will get damaged quickly.
Some patients advantage by putting basic oil around the rectum. For instance, olive oil or sunflower oil. The skin softens and will not tear or split as easily. Always advise health.
If the ideas that are pointed out above do not help enough and the fissure continues to break open, the cause could be using toilet tissue after defecation. The paper rubs too strong over the skin and causes the injury to open once again.
One can attempt to use another brand name of softer toilet tissue, baby wipes, or rather use warm water to tidy himself after bowel movement.
While following all pointed out ideas and recommendations, do not forget the great principles of hygiene.
These recommendations just make good sense if the patient is sure that the problem is an anal crack. If there is any doubt, especially when there is blood in the stool, please seek advice from a doctor!
Good luck! Have a nice weekend!