A coloproctologist discusses treating anal fissures without surgery. An anal fissure is a cut in the anal region, often caused by hard, dry stools. While most fissures heal on their own, chronic cases may require treatment. Non-surgical treatments include:
1. Improving intestinal function through fiber and liquid intake
2. Physical activity to increase blood circulation and tissue oxygenation
3. Ointments that relax muscles and improve blood circulation, such as vasodilators and muscle relaxants
4. Sitz baths (warm water baths) to relax muscles and improve blood circulation
5. Botox injections to block muscle contraction and improve healing
The doctor emphasizes the importance of good nutrition, physical activity, and local treatments to avoid surgery. Botox injections are a promising non-surgical treatment option, as they can block muscle contraction and improve healing.
Here are the key facts extracted from the text:
1. An anal fissure is a cut in the anal region.
2. Hard, dry stools can cause anal fissures.
3. Stools should have a pasty consistency to prevent anal fissures.
4. Most people have had an anal fissure at some point in their lives.
5. Anal fissures can heal on their own without surgery.
6. Some anal fissures can become chronic and require treatment.
7. Chronic anal fissures can cause swelling, skin folds, and muscle hypertonia.
8. Muscle hypertonia can prevent blood circulation and healing of the fissure.
9. Physical activity can help improve blood circulation and tissue oxygenation.
10. A diet high in fiber and liquid can help prevent anal fissures.
11. Ointments can be used to relax muscles and improve blood circulation.
12. Sitz baths can help relax muscles and improve blood circulation.
13. Botox can be used to relax the internal sphincter muscle and improve healing.
14. Botox is a reversible treatment that can be used to avoid surgery.
15. Adequate nutrition, sitz baths, and ointments can be combined to treat anal fissures.
16. Physical activity is essential for improving blood circulation and healing.
17. Anal fissures can cause significant pain, especially after bowel movements.
18. Muscle spasms can cause pain that lasts for several hours after bowel movements.
Note: I've only extracted facts and not opinions or recommendations.