Will anal fissure heal after anal dilation? What are the treatment options?

After patients undergo anal dilation surgery, they will have a certain degree of anal fissure sequelae. This sequelae will cause great pain to the patient in a short period of time, so anal fissure repair after anal dilation becomes the top priority for many patients after anal dilation. Currently, the hospital also provides a variety of anal fissure treatment methods after anal dilation, and different treatment plans are selected according to the patient's anal fissure condition.

1. Internal treatment is based on the general principle of TCM syndrome differentiation and treatment, including:

①Heat 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 Dihuangchang Ma Ren Wan;

② For patients with damp-heat, the treatment principle is to clear away heat and dampness, and the analgesic 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.

Second, external treatment method anal local medication treatment, the methods are:

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. You can choose to use Chinese herbal medicine for fumigation and sitz bath or use 1:5000 potassium permanganate solution for sitz bath.

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. Generally speaking, fresh anal fissures can be treated with Shengji Powder and Jiuhua Paste; old anal fissures can be treated with Hongshengdan to remove the putrefactive substance, and then Shengji Paste or Baiji Paste can be used for treatment. The anal soothing ointment prepared by Gu Baoqing of the Fourth Military Medical University has anti-inflammatory and analgesic effects and can treat acute and chronic anal fissures.

3. Blockade 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 As early as 1829, Recamier reported the use of anal dilation to treat anal fissures. It required that under local anesthesia, the tight pecten bands be torn with fingers to relax the spasmodic sphincter, improve local blood circulation in the anus, and achieve the purpose of curing anal fissures.

5. Massage therapy: Massaging specific Tianshu acupoints can promote intestinal peristalsis, relieve constipation and alleviate symptoms. It is suitable for the treatment of anal fissures at all stages and has a certain effect.