27 year old male, having slightly itchy, very red, almost purple around the anus. a bit of cuts that are very painful, was told by one doctor there was a small hemmorhoid and by another that there wasn't. Used Rectosegic on it but it made it SO much more painful, and gave extreme head aches. Hurts incredibly when needing to have a bowel movement, so much that he's not able. Sitz baths do feel good, but it is not healing. Any ideas on what is wrong or what can help? Thanks!
An anal fissure is an unnatural crack or tear in the anus skin. As a fissure, these tiny tears may show as bright red rectal bleeding and cause severe periodic pain after defecation. Most anal fissures are caused by stretching of the anal mucosa beyond its capability.
Many acute anal fissures will heal spontaneously. Some fissures become chronic and will not heal. Treatment included warm baths, topical anesthetics, stool bulking agents, mechanical anal stretching, and, sometimes, surgery. Furthermore, treatment used for hemorrhoid such as eating a high-fiber diet, using stool softener, taking pain killer and having a sitz bath can help.
Painful deep chronic fissures, on the other hand, will not heal because of poor blood supply caused by sphincter spasm. Traditionally surgical operations were required which are both painful and associated with various long term complications, particularly incontinence in a small proportion of cases. Discuss these treatment options with your doctor or a referral to a colorectal surgeon may be needed for further evaluation and management.
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