For many people with anal fissures, once a day, a bowel movement is like torture. Before the trip, I repeatedly tell myself that I can do it, and I gather the courage to do the “big” thing, concentrate my energy, sink my qi into the dantian, try to precisely control every bit of force, slowly relax the muscles, and slowly increase the abdominal pressure, just like a master of the delicate fight, but with the first “grain” of stool But as the first “grain” of stool is squeezed out of the anus along with heartbreaking pain, the party realizes that all past efforts have been in vain, and is gloomy and sad. What exactly is anal fissure? Definition: Anal fissure is a longitudinal fracture of the entire skin of the anal canal and the formation of an infected ulcer. The clinical manifestations of anal fissure: 1. Pain The pain of anal fissure is unique (difficult to imitate by outsiders) and is cyclical. When the stool passes through the anus, the anal canal dilates, tearing and stimulating the ulcerated surface, causing a tearing-like pain, or a hot sensation, or like a knife cut. The pain directly caused by a bowel movement is reduced or relieved a few minutes after the bowel movement and is medically known as the pain interval (see the illustration below). After the interval, there is a more intense wave of pain approaching …… The peak of this pain is daunting and can last for several hours, which is the “big devil” that hurts. The pain is due to involuntary spasmodic contraction of the anal sphincter after stimulation and can be intense and unbearable. The ulcers of anal fissures can be stimulated without the need for defecation, and coughing and sneezing can cause pain. 2. Constipation Most patients with anal fissures have a history of constipation, and constipation and anal fissures are causal and mutually influential. Due to the fear of severe pain during defecation, many patients do not defecate, resulting in the stool in the intestinal tract for too long, water is excessively absorbed, the stool is dry and hard. The pain of anal fissure leads to subjective fear of defecation, resulting in a vicious cycle of constipation – painful defecation – withholding defecation – dry stool – constipation. Blood in the stool is not usually the first reason for patients with anal fissures to visit the doctor. Bleeding from anal fissures is usually small, bright red, dripping or stained with toilet paper, or attached to the surface of the stool. Pus, blood and mucus can be seen after infection. If you have any of these symptoms, we recommend that you go to the hospital promptly. After a clear diagnosis, the doctor will take different treatments according to the severity of the condition. Treatment: 1. Early anal fissures can heal normally with the intervention of early medication. At this time, the anal ulcer is relatively light and shallow, so you can take internal laxative drugs to first put down constipation, the accomplice of anal fissure, and give the anus a chance to repair itself, and at the same time, use some external herbs to activate blood, reduce swelling, relieve pain and generate muscle to help the local trauma grow. 2.Old anal fissure cannot be repaired under conservative treatment due to repeated tearing, infection, sphincter spasm and anal canal narrowing. If the condition is more serious and dilation still cannot be solved, you can choose to do a small surgery (with a small trauma) to trim and remove the thickened ulcer surface, and give herbal sitz baths and muscle-generating drugs after the surgery to promote normal healing of the trauma and keep your buttocks worry-free. Conservative treatment of anal fissure, in addition to the above briefly described methods there are local closure method, acupuncture method, corrosion method, cauterization method, etc., all have their own indications, this can be selected as needed after hospitalization.