Anal fissure and hemorrhoids

Anal pain is the most common pain in adults and the symptoms are varied according to the multiplicity of the cause, for example, it may be one of the stimulating factors for anal pain, including hemorrhoids and anal fissures, as well as cancer and according to the patient’s case, they are differentiated by the doctor.

What are hemorrhoids?

Hemorrhoids are the expansion of the veins, and according to their location, they are divided into two types, internal and external, where the internal is located in the rectum from the inside or the external, so the veins are dilated around the skin under the anal fissure.

What is an anal fissure?

A fissure is a tear in the skin of the lower wall of the rectum at the end of the anus, causing pain during defecation.

What causes that lead to the occurrence of hemorrhoids and anal fissure?

There are many causes for both of them, but they share because of constipation, where the anal fissure is caused by the passage of a large amount of solid stool, as well as on the other hand, diarrhea for a long time and a large amount may induce anal fissure, where liquid stool may change the structure of the skin around the anus, which leads to severe pain in the patient with pain Severe during defecation and is followed by severe pain after it, and the genetic factor plays a role in causing hemorrhoids in addition to age.

What are the symptoms of anal fissure and hemorrhoids?

• Severe pain during and after defecation that may last for several hours.
• Itching.
• Feeling of burning during defecation.
• Bleeding.
• Yellow secretions during defecation.

How is anal fissure and hemorrhoids diagnosed?

• Clinical examination by the doctor as he looks by separating the two butts and keeping them away from each other nicely.
• Digital rectal examination.
• Anoscopy.

What complications can occur in the case of anal fissure and hemorrhoids?

If the anal fissure and hemorrhoids are not treated, the following complications may occur:

• The wound does not heal.
• Recurring anal fissures.
• Extension of the incision to the muscles surrounding it.
• Anemia.
• Strangulated hemorrhoids, a condition that occurs as a result of the lack of blood supply to the hemorrhoid, which leads to severe pain and eventually the hemorrhoid tissue dies.

How is anal fissure and hemorrhoids treated?

They are often treated conservatively by avoiding everything that causes constipation:

• Changing the daily dietary habits and lifestyle of the patient, such as drinking a large amount of water, maintaining the presence of fiber in food, and walking for half an hour, all of which reduce the incidence of constipation.
• The use of laxatives in stubborn cases, but for a short period, as they are considered harmful to the colon, as well as not straining during defecation.
• Warm baths and wet tissues instead of dry ones, and keeping the anal area clean.
• In the case of sclerosing hemorrhoids, by injecting a solution that aims to reduce them and does not cause pain.
• In the case of hemorrhoids, coagulation is performed using laser or infrared rays.
• Refrain from anal intercourse.
• Medicines such as: hydrocortisone and lidocaine that work to relieve pain and itching temporarily.

Surgical intervention:

Anal fissure:

In the event of failure of the previous treatments, in the case of anal fissures, doctors resort to a lateral cut of the internal sphincter muscle, in which the surgeon partially cuts the internal sphincter muscle of the anus in order to relax the muscles that cause contraction of the anal fissures.

Hemorrhoids:

In the event that the previous conservative treatments did not succeed, the surgeon would resort to one of the following operations, according to the patient’s condition:

• Operation closed hemorrhoidectomy.
• Open hemorrhoidectomy.
• Hemorrhoidectomy by stapling.
• The internal sphincterotomy.
• Hemorrhoidal artery ligation guided by Doppler ultrasound.

The price of surgery for anal fissures and hemorrhoids in Turkey

The cost varies according to the type of operation that the patient needs according to his condition, so please contact us and we will provide you with a price quote.

Zein Clinic has an integrated health system, starting with its specialized centers equipped with the latest medical equipment and under the supervision of the most experienced general surgeon.

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General and Urological  Surgeries Categories