Update: October 2018
Almost everyone who is interested in health problems has heard or
read about hemorrhoids. But not everyone knows that itching, burning and
even bleeding in the anal area can cause no disease
veins, and rectal fissure.
More often it is an acute illness, lasting up to 4 weeks,
related to surgical pathologies or disease section
rectum. The crack has a linear shape, can be located on
the mucous membrane of the anal canal or on the skin of the anus and have different
depth and extent.
Much less common is chronic fissure with prolonged
undulating course with improvements and deterioration.
Chronization process contributes to prolonged exposure
factors leading to this problem.
The reasons трещин возле заднего прохода:
- Chronic constipation forcing a person excessively
strain, increasing pressure in the rectum.
- Mechanical injuries by solid stool, toilet
poor quality paper, anal sex practitioners,
инструментальном исследовании rectum.
- In childbirth in the period of attempts the crack of the anus or mucous
rectum – an unfavorable sign, as it may become
harbinger of perineal rupture 4 degrees.
- Inadequate hygiene, diaper rash can also lead to
- Inflammatory changes in the intestinal mucosa on the background of proctitis,
diarrhea, dysbiosis, helminthic invasion can also occur
cracks, which, in this case, will be only one of the manifestations
- The pain is stronger, the deeper the crack. First she appears
only with bowel movements or mechanical irritation. Later, as
joining inflammation, pain can take
persistent and disturb a person already and without any
irritation problem area. The nature of the pain can be stinging,
burning, stitching, or pulling and pressing with significant edema and
chronic inflammatory process. With chronic course also
there is a spasm of the locking muscle of the rectum, which increases the pain
with bowel movement.
- Itching and discomfort are provoked by narrow, uncomfortable or
synthetic linen, long sitting, constipation or liquid
by the chair. The greater the length of the crack, the wider the itchy area
and the more pronounced the discomfort.
- Isolation of scarlet blood not mixed with feces during bowel movements or
straining is the result of the destruction of the capillary walls in the anal
areas (see causes of blood in feces). If the damage is very
deep veins can be injured and then dark
venous blood and bleeding will be similar to hemorrhoidal
(long and bulky, see bleeding from the back
The appearance of these symptoms – discomfort, itching in the back
passage, pain, blood during defecation may be more serious
diseases such as hemorrhoids, inflammatory and oncological
processes in the intestines, therefore, for diagnosis
requires a rectoscopy.
The crack delivers significant discomfort and not to aggravate
condition should be eliminated factors support its existence
and provoking the formation of new damage:
- Lead an active lifestyle, avoiding prolonged sedentary
provisions. Walk more, practice healing
- Fight against constipation (see all candles from constipation), avoiding
delays stool more than two days. Timely adjust
dysbacteriosis and treat intestinal infections with diarrhea.
- Use soft toilet paper and wash it cool.
water after stool.
- Do not get involved in unconventional sex or use
Dietary activities are reduced to the selection of such a table, which
normalizes stool regularity. It is also important to exclude fried
пряности и алкоголь (см. диета при hemorrhoids and cracks).
For constipation, a good breakfast is helpful (a glass of cool
juice, after 20 minutes – hot oatmeal), on an empty stomach
dessert spoon of sunflower or olive oil, beets in all
types, bran bread, cereals, apples, plenty of drinks (at least 3
liters per day) and soups for lunch.
Diarrheas require the restriction of cabbage, legumes, fresh vegetables and
fruit (fiber), yeast baking, whole milk.
What kind of medicine treat rectal fissures?
Sharp cracks are taken to heal using different forms.
drugs, that is, lead conservatively. In the arsenal
Proctologist today have ointments, creams, gels and suppositories. Also sometimes
resorted to tablet drugs.
Before local treatment, anal fissures are prescribed.
антисептические и противовоспалите
They need to produce after defecation. Solution temperature
составляет 30 градусов по Цельсию, продолжительност
- As a therapeutic solution, a decoction of chamomile and bark is used.
oak (separately or in the ratio of 2 to 1). Chamomile suppresses
inflammation in the tissues, facilitating healing. Oak bark gives astringent
effect, drying the crack. You can use and decoctions of calendula
- Less often use a weak solution of potassium permanganate (pale pink
colors), as an antiseptic.
Crack ointment should contain a fatty base, do not cause
irritation of the skin and mucous membranes and, ideally, combine
properties. Introduced 1-2 times a day after bowel movements and
ten-minute bath in the amount of one centimeter. Average
makes 7-10 days. Most crack preparations are applied
and for the treatment of hemorrhoids (see the list of all hemorrhoid ointments).
- Ультрапрокт 420-500руб– сочетание
glucocorticoid fluocortolone and local anesthetic zinchocaine.
льное, противозудное и
- Ауробин 190-230руб– комбинация преднизолона
ельный и противоаллергиче ский эффект) с
lidocaine hydrochloride (local anesthesia) and dexpanthenol
(acceleration of healing and recovery of the skin and mucous membranes). A drug
is contraindicated in pregnant, lactating, people with bacterial or
viral inflammation or intolerance to the constituents
- Декспантенол, Бепантен, Пантесол 70-120руб –
ointments and creams based on pantothenic acid, affecting protein and
fat exchanges and accelerates healing.
- Солкосерил 160-180руб. in the form of ointment or gel
accelerates the absorption of glucose by the tissues, thereby improving nutrition
- Актовегин 100-120-180руб. improves cellular
breathing and glucose utilization, contributing to tissue
- Метилурацил 60-80руб.– лекарство, сочетающее
свойства анаболика и противовоспалите
- Проктозан 230-270руб. contains bismuth
subgallate, titanium dioxide, lidocaine and befexamak. Dries and
heals the crack.
- Эмла 1400-1600руб – местное обезболивающее на
based on lidocaine and prilocaine. The drug is indicated for spasm.
Anal sphincter on a background of chronic fissure. May cause
a decrease in heart rate and allergies.
- Катеджель 120-140руб. combines lidocaine and
antiseptic chlorhexidine. Indications are similar to emla.
- Левомеколь 80-120руб. – антибактериальны
chloramphenicol and methyluracil, accelerating the closure of the crack. A drug
indicated for chronic or inflamed fissure. Should remember
that prolonged use may be complicated by anemia and a decrease in
blood leukocytes. Ointment Levomekol contraindicated nursing.
я мазь0,2% расширяет
vessels and relieves sphincter spasm. Prepared according to the recipe.
Candles – a convenient dosage form that allows the main
drug substance rapidly absorbed into the hemorrhoidal veins
plexus. In addition, candles are made on the basis of cocoa butter or
other neutral fat that simultaneously play a role
laxative. When there is a chronic anal fissure,
treatment is best done using a combination of means containing
painkillers and antispasmodics. A drugы в свечах применяют дважды
per day after defecation.
- A drugы с местными обезболивающими, которые ослабляют боли и
- свечи с экстрактом Красавки 40 руб.,
Анузол 60руб.(белладонна, висмута трибромфенолят,
- Anestezol (benzocaine, bismuth subhallate, menthol, oxide
- Proktozan (lidocaine hydrochloride, bismuth subhallate, dioxide
- свечи с экстрактом Красавки 40 руб.,
- Релиф, Релиф Адванс 250-350руб. and ointments and candles
relieves, suppresses inflammation, stimulates healing,
prevent bleeding. A drugы противопоказаны до 12 лет,
in violations of blood clotting and leukopenia, feeding and
- Постеризан 200-300руб мази и свечи –
hydrocortisone and E. coli killed by phenol. Under the same
The name is also an ointment that can be applied simultaneously on
1-2 weeks. Candles are contraindicated in the early stages.
- Ауробин – комбинированные свечи с действием,
similar ointment with the same name.
- Свечи с метилурацилом 60-80руб. stimulate
improvement of metabolic processes at the site of tissue damage, have
- Свечи с облепиховым маслом 100руб. effective
in acute shallow cracks.
- Прокто-гливенол 300-400руб свечи и мази – это
pain-reducing lidocaine and tribenozide stimulating venous
outflow and removing puffiness.
For more information on drug instructions, see the article.
candles from cracks and hemorrhoids.
The role of laxatives in the treatment
By making stools softer and stool daily, you can
eliminate one of the main reasons for the crack
around the anus. Medications that facilitate bowel movement are divided.
on the following groups.
- Emollients (vaseline and sea buckthorn oils, Norgalax). AT
home conditions for problems with the anal sphincter use
oncoming microclysters 10 minutes before emptying (100 ml
pasteurized sunflower oil and 200 ml of boiled water
- Means to increase the volume of intestinal contents:
plant based on agar or psillium (Naturolax, Mukofalk,
Fayberlex), based on cellulose (Fiber, Fiberkon).
- Polyhydric alcohols: Duphalac, Normase, Lactulose (standard, not
irritating bowels), Sorbitol, Macrogol, Lactiol (see all
Child’s anus crack
The immaturity of the child’s digestive tract causes that
the ease with which they develop various bowel dysfunctions
and, as a result, cracks appear in the anus.
If babies under one year old have most often cracks, this is the result.
diarrhea with dysbiosis or intestinal infections, then more
older children, like adults, the main problem is
constipation, including neurogenic origin.
Therefore, in parallel with the beginning of the treatment of cracks should take care
about the normalization of intestinal motility and correction of dysbacteriosis. Without
eliminating these moments therapy may be difficult and prolonged,
which contributes to the chronization of the process and will translate it into the category
When a sharp crack appears in the anus, the child becomes
restless (or crying) when trying to poop. With a bowel movement or
after the release of drops of bright red blood. When appearing
These symptoms should be shown to the child by a pediatrician or child
- With constipation, Duphalac (Lactulose), a diet,
sufficient drinking regimen
one feeding, divided into parts during the day), older children
years must receive soups and liquids in volumes of at least a liter, and
older than three years – one and a half to two liters per day. With neurotic
constipated child advise a neurologist, prescribe a course
sedatives for children. It is advisable to diagnose and
treatment of dysbiosis and elimination of helminthic invasions (see pinworms in
- Diarrhea to be sanitized intestinal nitrofurans (Ersifuril,
Stop diar) or bacteriophages with the subsequent appointment of eubiotics
for a month.
- The drug of choice for children – candles with sea buckthorn oil. In children
up to a year, half of the candle is used twice a day.
For children older than one year – 1 suppository twice a day.
- To correctly light a candle for a child up to a year, you need to put
him on his side or raise his legs and pelvis from a position on his back. Then
the candle tip of a clean index finger is pushed on
a distance of 1-3cm and hold the child’s buttocks for three minutes to
the candle did not flow out (see what to do with constipation in infants).
- Baths – it is also possible for children to use baths with
chamomile or calendula before applying candles or ointment.
- Since children hate pain, the cracks are trying
heal as quickly as possible, applying the ointment Levomekol and Oflokain.
Levomekol can not be used for longer than a week and in large doses, so
How can I get anemia and leukocyte fall due to chloramphenicol
in its composition. Oflokain also contains an antibiotic in combination with
lidocaine, so better relieves.
- Aurobin in candles and ointments can be used in children older than a year.
no longer than five days. At the same time it is necessary to apply no more.
half a candle and half a centimeter ointment.
- Drugs with Methyluracil, D-panthenol,
Bipanthen healing fissure.
So, the drugs of choice for the treatment of anal fissures
- children – candles with sea buckthorn
- adults – Dexpanthenol, Methyluracil, Aurobin (not
- as a painkiller – Anuzol
How to cure an anal fissure after childbirth
The cause of a crack in the anus can be childbirth. During
pressure period in the rectum increases, and tissue
crotch stretch. Since in birth the crack is a trifle, with
which are not considered, then all problems begin in a couple of days,
when there is pain during a bowel movement. Here you have to resort to
laxatives and drugs that are either not absorbed into the blood,
either do not penetrate the milk. The most important thing is to get there as soon as possible.
Do not miss the hemorrhoids under the mask of anal fissure.
In general, the treatment tactics are the same as in children under one year old (Dufalac,
candles with sea buckthorn, Methyluracil). Posterized in can be added
candlelight, Emla for the skin of the perianal area, gel Katedzhel.
Healing of anal fissures, which exist more than three
months, it is very difficult because of the keratinization of the edges of the defect and
reduce metabolic processes in tissues. In such a situation are shown
different options for surgical treatment.
- Devulsiya – a compromise between operational and
conservative treatment may be the manipulation of anal anal
holes. At the same time, under anesthesia, the spasmed sphincter is expanded,
which solves some problems. This procedure is not carried out at
- Cryodestruction – there is a crack cryodestruction option liquid
nitrogen, which is expensive and does not always radically solve the situation
(it is difficult to achieve a clear freezing of only pathologically changed
- Sphincterotomy – classical surgery
involves the excision of cracks in the plane within healthy
tissues. If the crack is combined with sphincter spasm, then
dissect from the inside (sphincterotomy surgery). Timing
wound healing – 5-6 days. Up to this point doing dressings with
Thus, the treatment of acute anal fissure is worth
start at the first manifestations. It is very important to contact
to the doctor, since similar symptoms give hemorrhoidal
rectal veins and tumors (see which doctor to consult with
hemorrhoids and cracks).