How to treat the triad of anal fissures

Anal fissure triad refers to the presence of anal fissure over time, resulting in the simultaneous presence of anal fissure ulcer surface, anterior sentinel hemorrhoid, and anal papilloma. I. Conservative treatment: It is advisable to eat a light diet with more fruits and vegetables and dietary fiber foods, such as bananas, apples and eggplants, to soften stools and keep bowel movements open. For dry stools, laxative drugs such as probiotics or Shou Wu laxative capsules are available. For medication, medication to promote fissure healing, such as recombinant human epidermal growth factor gel or tylenol suppositories, can be inserted in the anus. For those with significant pain, compound lidocaine cream or bupivacaine paste can be applied to the fissure in the anal area, which can reduce pain. There are also herbal sitz bath, infrared physical therapy, anal dilation, and symptomatic treatment. Second, surgical treatment: after conservative treatment is ineffective, choose surgical treatment, commonly used surgical methods are sentinel hemorrhoid, anal fissure, anal papilloma excision; sentinel hemorrhoid, anal papilloma excision; anal lateral sphincter picking.