The condition of anal fissure worsened by menstruation can be intervened in time with non-surgical treatments or surgical treatments after the menstrual period.
1. Non-surgical treatment
(1) Use warm water to clean after defecation, or take a sitz bath with 1:5000 potassium permanganate solution added to the warm water to prevent bacterial infection. After cleaning or sitz bath, wipe clean and keep dry.
(2) Oral laxatives such as Ma Ren Lun Bowel Pills can increase the water content in the stool and increase the softness of the stool, which can be easily discharged without causing excessive irritation to the wound.
(3) When the symptoms are serious, the anal canal can be dilated with the help of a doctor to relieve spasm of the sphincter muscle, thus promoting the healing of the wound.
(4) During the physiological period, women should change sanitary napkins regularly to keep the perineum and perianal area dry and breathable, so as to reduce the stimulation to the anal fissure area.
2. Surgical treatment includes excision of the anal fissure site and dissection of the internal anal sphincter and suturing of the incision. Surgical treatment may have different degrees of surgical complications, such as anal incontinence and slow wound healing. Surgical treatment needs to be performed after the physiologic period.
When the symptoms of anal fissure aggravate, patients should go to the hospital in time to improve the examination, to avoid the aggravation of fissure infection, and give the relevant treatment as soon as possible, and the drugs should be applied under the guidance of the doctor.