Delicate wound.

 On the last time at WC visiting am I feeling strong aches in anus, and on the toilet paper I  see a blood. Though about haemorrhoid, visited doctor and after checking, that am having anal  crack. What is it? And how to fight this?

Anal crack is very spreading reasons for ache feels in anus back, and meeting as in women's and males. As a wound or scratch for mucus membrane anal canal on 1.5 cm a length, width 3-5 mm, and depth 2-3 mm, which a most often cannot self-healing as in force for an own special localization. And cracks having on a back wall of anal canal, rare on the front and very rare on the both walls.

Provoking for breaks in a mucus rectum  are often diarrheas, or hard stool, and all, what is worsening bowel motor. And these are hypodynamias, wrong meal, and insufficient liquid in ration. Crack is displaying of bowels inflammations as ulcerative colitis, infection diseases as syphilis, AIDS, herpetic infection , problems with vessels. And patients with suffering from veins diseases, as trombophlebitis, vasculitis, and patients with haemorrhoid also leading to ruptures for mucus bowel. And risk increasing in pregnancy and births. Thus  on  50 percent are women's for young and middle age. And mechanical damaging for anal canal which injuring a mucus also leading to cracks forming. 

A most bad displaying for this disease is hurt, which a very strong ,that her a hard to compare with etalon teeth hurt. And increasing in defecation and after calms, and patient feeling fear for visiting toilet, and keeping 2-3  days for bowel s emptying , and stops to eat, and such tactic a more increasing hard stools and patient s sufferings are increasing. Other frightening symptom is blood secreting from anal hole.A colour is bright-scarlet and by drops or leaving traces of blood on the toilet paper and underwear.

And a most early patient will visit doctor as proctologist ,thus you can fight a disease conservatively, without a surgery.In lots of patients are with right selected therapy and stool normalization, a disease faster recedes.And chronic cracks neglected are healing longer, but are in risks for complications.

They are leading to colitis, rectal fistulas, polyps and other troubles.And risk for infecting  a crack and displaying paraproctitis  is rectal abscess. Thus not wait, visit a doctor!

Before a cure for patient prescribing analyses and colonoscopy is endoscopic testing for bowel mucus, that to find a crack is self diseases, or  reason for her are other diseases.And not rare, taking here a piece of tissue of mucus bowel for histologic testing. That to make sure in absence of tumour. And thus a few tumor diseases are displaying analogically: when patient feeling aches and blood secreting from anus.

On an early stage are cracks curing conservatively as complex, in his base a creating favourable conditions for healing defect a mucus for anal canal, thus for patient prescribes:

Rectal ointments, suppository as with anti inflammation effect, blood stopping, healing and analgesic effects as suppositors -Relieve  ultra , Proctozan, Proctosedil,  Procto-glivenol, Hepatrombin G.

Ointments: Levomecol, Heparin, Ultraproct, Solcoseril, Spasatel.

Suppository  entering in anus for 2 times/day, before use his to warm, knead in hands, after entering delay for 3 min and push in anus, Delay for entering allows a better to work for suppository in a beginning for anus.

In hard stool prescribing remedies for stool softening and relieving for defecation and usually these are vegetable origin as of cellulose or Lactulose/Mucofalc, Fitomucil, Duphalac, Exportal, Forlax/.

 In vessels problems,  prescribing remedies, improving theirs work and blood circulation/Detralax, Flebodia/.

And sometimes for patients before a stool advising doing oily enemas on 500 ml. warm water plus 50 ml. sunflower oil, and infusion adding in enema on 200 ml, and such procedure doing within 15 days.

Manipulation allowing softening hard faeces, which is injuring for mucus.

And warm baths sitting    too    prescribing with sol. Manganese or herbs as chamomile, calendula, hypericum, bark of oak, yarrow. Warm water contributes for spasm fighting a sphincter, which also displaying in cracks and removing ache with oedema.

By I. Tulina M.D. Manager for oncologic proctology department..