Anal fissure is a painful and embarrassing disease, when defecation is worse than death, when not defecation and feel as if it disappeared, and because of the privacy of the site, many patients choose to “bear it”. Today, we will analyze whether your anal fissure can be “tolerated”. Classification of anal fissure Fresh anal fissure The course of the disease is shorter (about three months or less), the pain is mild, the pain time is shorter, the color of the anal fissure wound is bright red, and the edge is neat. Old anal fissure Longer course (about three to five months or more), recurrent episodes, severe pain, anal fissure wound color gray, wound edge was cylinder mouth like thickening, the bottom of the formation of flat and hard gray and white tissue (pectineal band), due to the fissure of chronic inflammation around the hemorrhoid, often accompanied by the connective tissue external hemorrhoids (sentinel hemorrhoids), single-port endocutaneous fistulae, anal papillae, sinusitis, anal papillitis, and so on. The reason why anal fissure is difficult to heal Many people think that anal fissure is just literally, as long as no longer hold up the wound can be automatically healed, in fact, anal fissure belongs to a kind of infected ulcers, susceptible to infection, severe pain, short-term can be evolved into a chronic old anal fissure. Anal fissure is generally not self-healing, there are three reasons: fecal stimulation When the feces is too hard, the anal muscles do not adapt, resulting in anal fissure. When diarrhea occurs, the secretions in the feces are irritating and corrosive, stimulating the fissure and making the wound ulcer more and more serious. And when the intestinal flora imbalance, the feces become acidic, which will also stimulate the fissure, triggering pain and inflammation. Disease develops quickly Initial anal fissure, slight stimulation can cause serious pain, and in a short period of time can evolve into chronic, old anal fissure, the disease develops quickly, so, in the discovery of anal fissure seedling, it should be given timely treatment, do not delay. When the patient himself exists perianal abscess, sinusitis and other inflammatory diseases of the anus, it is easy to make the wound of anal fissure infected, and give anti-inflammatory treatment in time, the situation is also more complicated, not to mention the self-healing. What kind of care can promote the self-healing of anal fissure? Smooth bowel movement Long-term constipation is the main cause of anal fissure, therefore, keeping smooth bowel movement is crucial to the prevention of anal fissure, patients should develop the habit of defecation every day, defecate regularly, increase outdoor activities appropriately, and take laxative when necessary, such as liquid paraffin, fruit guide tablets, etc., and also use traditional Chinese medicines such as rhubarb and Pandan leaf to make tea to drink, which can make the bowel movement soft and facilitate defecation, and use hot water to sit in the bath after defecation, which can improve the local blood circulation and promote the absorption of inflammation. Hot water bath after defecation can improve local blood circulation, promote the absorption of inflammation, reduce pain and ease the tension of patients to facilitate defecation. Adjustment of psychology: Strengthen the hygiene knowledge of anal fissure, explain the pathogenesis, regression and healing of the disease to patients in detail, so as to relieve their nervousness and enhance their confidence in fighting against the disease, and thus keep their moods comfortable and peaceful. Reasonable diet Reasonable arrangement of meals, help to ensure smooth stool, meals should eat more fresh fruits, vegetables and crude fiber food, eat less or avoid spicy and stimulating diet, drink more water to ensure that the gastrointestinal tract has abundant secretion of digestive juices, which is conducive to gastrointestinal peristalsis, prevent constipation. Pay attention to personal hygiene, maintain anal hygiene, wash the anus in time after defecation, take a bath and change the underwear, which can effectively prevent infections, such as bleeding, should go to the hospital, and those with small amount should be strengthened to observe and pay attention to the consumption of blood replenishment of nutrients and food to enhance the resistance of the organism. Local sitz bath: Use potassium permanganate warm water sitz bath before and after bowel movement, 2-3 times a day, 20-30 minutes each time, sitz bath can make the sphincter relax, reduce the pain, improve the local blood circulation, promote the absorption of inflammation, which is conducive to the healing of anal fissure. Increase physical exercise because physical exercise is beneficial to blood circulation, can harmonize human body qi and blood, promote gastrointestinal peristalsis, improve pelvic congestion, prevent constipation. On the other hand, you can use self-massage to improve the local blood circulation in the anus. There are two methods: one is before going to bed with the hands of self-massage tailbone tip of the long strong point, each time about 5 minutes, you can dredge the meridians and improve blood circulation in the anus; another method is to use the idea of consciously upward contraction of the anus, morning and evening each 1 time, each time to do 30 times, this is a kind of internal massage method, there are transporting blood stasis, exercise anal sphincter muscle, the role of lifting up the qi.