What to do if anal fissure bleeds and hurts, how to treat it

The anus is often in contact with feces, so it is easy to breed bacteria. If the hygiene is not properly handled, the impact will be very serious. Anal fissure is a common anal disease, which can cause severe pain and even heavy bleeding in severe cases.

1. Internal treatment

① Heat is accumulated in the intestines. The treatment principle is to clear away heat and relieve constipation, nourish yin and cool blood. The representative prescription is Liangxue Dihuang Changma Ren Wan;

② For patients with damp-heat, the treatment principle is to clear away heat and dampness, and the pain-relieving Rushen Decoction can be used with modifications;

③ For patients with Yin deficiency and dry intestines, the treatment principle is to nourish Yin and produce body fluid, moisten the intestines and promote bowel movements, and Zengye Decoction can be used with modifications;

④ For those with blood deficiency and dry intestines, the method of replenishing blood and nourishing yin, moistening the intestines and promoting bowel movements is often used. Runchang Pills are often used with modifications.

2. External treatment

① Sitz bath: A warm water sitz bath before defecation can relax the anal sphincter and reduce the impact of feces on anal fissures; a sitz bath after defecation can wash away fecal residues, reduce foreign body stimulation, and relieve sphincter spasms and anal pain.

② External application medication: Use Chinese and Western medicines to prepare anti-inflammatory and analgesic ointments, and apply them directly to the fissures. This can relieve pain and relieve sphincter spasms. Pain-relieving suppositories can also be used.

3. Block therapy is suitable for early simple anal fissures. Methylene blue procaine injection is used as a long-acting anesthetic. Local injection is performed on the anal fissure. The drug is injected into the base of the anal fissure and the surrounding tissues, and the fingers are gently massaged.

4. Anal dilation therapy requires that under local anesthesia, the tight pectenic membrane bands are torn with fingers to relax the spasmodic sphincter, improve local blood circulation in the anus, and achieve the purpose of curing anal fissure.