Anal fissures are not a major disease, but they are so painful that they are like torture when they use the toilet. A doctor once described the situation of an anal fissure patient: like a novice embroiderer who frequently encounters needles in the hand, not only painful, but also blood oozing out. Summer is the peak season for anal fissures in women, and fissures can be triggered by picking your mouth and poor menstrual hygiene. In addition, young and middle-aged people, both men and women, are among the “favored” groups for anal fissures. The main causes of anal fissures? 1, occupational factors: long-term standing or sedentary. Because of the upright or sedentary posture, the anorectum resides in the lower part of the body, and the hemorrhoidal veins do not reflux well. 2, chronic diseases: such as long-term malnutrition, physical weakness, causing the anal sphincter relaxation and weakness. Chronic hepatitis, hepatic steatosis, diarrhea, colitis, etc. are all triggers for the occurrence of anorectal diseases. Therefore, in the prevention should pay attention to the patient’s general condition and take reasonable and effective preventive measures. 3, defecation abnormalities: constipation is the biggest bane, force to solve the dry fecal mass, will certainly make the anus under greater pressure, resulting in a series of pathological changes such as stasis, swelling, fissures. Diarrhea can also increase the chances of local anal infection, producing diseases such as anal sinusitis, inflammatory external hemorrhoids and perianal abscesses. 4, dietary factors: daily life, the quality of food, water intake, can directly affect the stool composition, causing anorectal disease. Long-term drinking or eating spicy food will stimulate the mucous membrane of the digestive tract, leading to colon dysfunction and a significant increase in the incidence of anorectal diseases. 5, bad defecation habits: squatting and prolonged defecation time, easy to cause stasis of blood in the anorectum and induce disease. Some people do not care whether the feeling of defecation is strong, blindly keep struggling hard, so that the rectum anus and pelvic floor muscles increase unnecessary burden and local stasis, leading to disease. What are the symptoms of anal fissure? Patients with anal fissures have typical clinical manifestations, namely pain, constipation and bleeding. The pain is mostly severe and has a typical periodicity. During defecation, due to the stimulation of the nerve endings in the anus, the patient will immediately feel a burning or cutting pain in the anus, which is called pain during defecation; it can be relieved for a few minutes after defecation, which is called intermittent period; then the pain is severe again due to the contraction and spasm of the anal sphincter, and this period can last for half to several hours, which is clinically called sphincter contracture pain. The pain is relieved after the sphincter is fatigued and relaxed, but the pain occurs again when defecating again. The above is called the anal fissure pain cycle. Patients are reluctant to defecate for fear of pain, which leads to constipation over time, and the stool becomes more dry and hard, which in turn aggravates the fissure, forming a vicious cycle. A small amount of blood or drops of fresh blood is often seen on the surface of the stool or on the stool paper during defecation, and heavy bleeding is rare. The danger of anal fissure? 1, anal fissure without treatment may lead to neurasthenia. 2, severe pain aggravates the patient’s mental burden, affecting rest and causing neurasthenia. 3, anal fissure without treatment may aggravate constipation. 4, the fear of pain caused by fear of defecation, in order to reduce the number of pain, do not want to defecate regularly, feces more dry. 5.Anal fissure without treatment may suffer from anemia and fainting. 6, defecation often see fresh blood on the surface of the feces or stool paper, over time, easy to form anemia, and even lead to fainting. 7.Anal fissure left untreated for a long time induces other complications. 8.Anal fissure left untreated for a long time can lead to complications such as anal canal ulcers, sentinel hemorrhoids, perianal abscess, anal fistula, and anal papillary hypertrophy. Treatment of anal fissures: 1, conservative treatment: can be through the anal anal anal into taining cream. 2, sitz bath: warm water sitz bath before defecation, so that the anal sphincter relaxation, can reduce the impact of feces on the anal fissure; sitz bath after the stool can be washed clean fecal residue, reduce foreign body stimulation, reduce sphincter spasm and anal pain. Chinese herbs can be used as fumigation bath or 1:5000 potassium permanganate solution bath. 3.Surgery: treatment of anal fissure. Advice: eat more fruits and vegetables to avoid spicy experts suggest that in order to prevent anal fissures, it is best to develop a good habit of defecating in the morning. “After waking up in the morning, the person’s position changes from lying down to standing, plus the peristaltic movement of the stomach and intestines is enhanced, all of which is conducive to promoting defecation. “Morning moderate exercise such as exercise, taijiquan, qigong practice, etc., can prevent constipation.” Experts pointed out that the occurrence of constipation, can be used to lubricate the laxative, but be careful with fruit guide, rhubarb and other laxatives, these laxatives can make stool thinning, but also lead to diarrhea after constipation, aggravating anal fissures. Experts point out that once a day is the most appropriate stool. If the stool stays in the colon and rectum for a long time, the water is heavily absorbed, and it is easy to dry and constipated. But several times a day, the pain and damage will be aggravated by the stimulation of defecation. In order to make the stool smooth, people with anal fissures should eat more fruits and vegetables rich in fiber and vitamins, and avoid spicy, fried and other foods to prevent constipation. Fruits such as apples, peaches, apricots, pears and bananas, and vegetables such as celery, spinach, leeks, alfalfa, yellow cabbage, wild rice and bamboo shoots are rich in fiber and vitamins, which can make the stool soft and easy to discharge, thus reducing the stimulation of the fissure wound by dry and hard stools. Sesame seeds, honey, vegetable oil and walnuts can also laxify the bowels and open the bowels. Patients with anal fissures should avoid or eat less stimulating diets, such as white wine, yellow wine, chili, ginger, onion, garlic, etc. These diets can aggravate constipation, make anorectal congestion obvious and induce anal fissures.” Warm tip: Those with severe symptoms should be operated. For patients with anal fissures, surgery is recommended only for those who have not healed for a long time, conservative treatment is ineffective, and the symptoms are severe. As for those patients who do not heal for a long time and have formed old anal fissures or even subcutaneous fistulas, they should consider surgical treatment.