What medicine to take for anal fissures?

Anal fissure medicine is a question of many people, because this condition is currently one of the common diseases that are easy to see in people with frequent constipation. Oral medication is one of the methods to treat anal fissures when the disease is in its early stages. So what drugs do people with anal fissures take?

Anal fissure is a condition in which the lining of the anus has one to many small tears. After defecation, the patient often feels pain in the anus and may be accompanied by bleeding.
Anal fissure includes the following 02 stages:
Acute: Small and shallow fissure, mild inflammation. This condition usually lasts no more than 6 weeks, but it affects daily activities and causes pain. Chronic: The fissure is wider and deeper, can last for more than 6 weeks. With chronic anal fissures, the patient feels tired because he has to endure the pain in the anus for a long time. Anal fissures can affect both women and men of any age, but are most common in infants, young children and middle-aged adults who are prone to constipation.

It is not known what the specific cause of anal fissures is, however, doctors think that constipation causes patients to strain when defecating or because stools are too hard can cause anal canal. hurt. When the muscles in the anus are tight due to spasm, blood flow is reduced and the anal fissure takes longer to heal. Irritated bowel movements also cause the fissure to recur or get worse.
Here are some causes that increase the risk of anal fissures:
Constipation, difficulty passing stools Increased pelvic pressure due to pregnancy or childbirth Digestive problems such as enteritis, disease Crohn's, bowel cancer Sexually transmitted infection or skin infection, skin disease such as psoriasis Patient is taking medication for certain diseases or opioid pain reliever An anal trauma from surgery or sex

Anal fissure needs to be treated properly and promptly so that the disease does not progress to chronic. Therefore, when you see symptoms of painful defecation in the anus accompanied by bleeding, the patient should see a doctor or medical facility soon.
Treatment of anal fissures often combines both medical and surgical, but depending on the condition of the disease, the doctor will appoint the appropriate treatment method. Usually, medicine is indicated for the early stages of anal fissure, when the fissure is small and shallow, the patient is mainly given drugs to heal the anal fissure, including the following:
Stool softeners to treat anal fissures by reducing constipation, easier defecation such as Bisacodyl, Duphalac, ... Pain relievers to relieve burning pain in the anus, especially after defecation. Pain relievers often have Paracetamol as the main ingredient, such as Anusol-Hc, Lidocaine, or topical pain relievers such as zinc oxide. Antibiotics to reduce inflammation, infection, swelling, pain and discharge in the anus) such as Cefadroxil, Cefazolin, Cefixim, Cephalexin Drugs to treat anal fissures help dilate the veins and increase blood circulation in the anus. anus to heal wounds such as anusol-Hc, Nitroglycerin, Proctolog, Tetracycline, ... Along with the treatment of anal fissures with drugs, the patient needs to keep the anal area clean, and at the same time have a healthy diet. Drink and do scientific activities such as drinking lots of water, eating a lot of fiber, limiting hot spicy and greasy foods, for effective treatment.

When the disease is in the chronic stage, with repeated recurrences, deep and many cracks leading to infections and dangerous complications, surgical methods will be indicated for treatment.
Surgical anal fis surgically make a small cut inside the sphincter with a length corresponding to the crack. This is the main method indicated in the treatment of anal fissures. Tissue removal surgery: The tissue around the anal fissure will be completely removed so the wound can heal. Usually, this method is combined with medical treatment of anal fissures with drugs or surgery to open the internal sphincter. Anal dilatation: This surgery is performed to widen or loosen the sphincter in the anus to prevent the anal opening from being narrowed by the fissures. This procedure is often indicated for chronic anal fissures and patients with repeated recurrences. Medication is a method of treating anal fissures indicated when the disease is in its early stages, the fissures are small and shallow. Medications can be stool softeners, antibiotics, anti-inflammatory or pain relievers.