Why anal fissure is very famous in the world of medicine

2010
11.02

We have already commented on this forum that anal fissures is one of the most painful conditions known in medicine with the dreaded trigeminal neuralgia. It seems incredible that a wound the size of a sunflower pipe is capable of producing a sharp pain as incapacitating. It is important that patients understand the mechanism causing this pain so they can take appropriate therapeutic measures for its cure.

An anal fissure is a small wound in the anus, tearing skin right where a small change. Usually his debut on an episode of severe constipation. For example, during a trip that changed the diet. However, paradoxically can also crop up after gastroenteritis (diarrhea). Each time we make a deposition, the wound is opened, and it generates a fibrosis and with the passage of time, become chronic. Just below this injury, we have a muscle called the internal anal sphincter. This muscle “does not like” having a wound above and contracts violently, tetanus.

Therefore, patients suffering from cleft report a feeling of “tight year,” of having to make significant efforts to conduct the deposition in addition to having severe pain. It is typical that the pain is not so much at the time of the deposing, but appears at 10 or 15 minutes. Then maintained for hours. This is due to the paradoxical contraction of internal anal sphincter. To understand me, what hurts is not the wound itself, but the internal anal sphincter contraction.

Also, be applied based ointments muscle relaxant. Can be found in pharmacies called Rectogesic ointment, nitroglycerin is based (it is a powerful muscle relaxant and vasodilator). The drawback is that some patients can cause severe headaches due to its vasodilator effect. If this happens, you can try another type of ointment (you have to formulate them in pharmacies because they are not yet commercially available) based on the blockers, calcium channel blockers such as diltiazem or nifedipine. Their results are equal to or better than Rectogesic and do not cause headaches. In any case, we will use anti-hemorrhoid ointments, as are useless in these cases.

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