Materiały źródłowe

• #1 Anal Pain: What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/symptoms/anal-pain

  Anal pain is a common condition with many possible causes. Most aren’t serious, but some may require treatment. It’s important to acknowledge anal pain and notice if it gets worse or doesn’t get better. Don’t be embarrassed to consult a healthcare provider about anal pain or seek treatment if you need it. […] In many cases, you can treat anal pain at home. It often goes away within a few days. In other cases, it doesn’t get better or gets worse. It’s never a bad idea to check in with a healthcare provider about anal pain, especially if it’s severe, long-lasting or comes with other concerning symptoms, like rectal bleeding. […] For immediate anal pain relief, you can try: Over-the-counter (OTC) pain relievers, like acetaminophen or NSAIDs. Applying a medicated cream, like hydrocortisone or lidocaine. Soaking your anus in a sitz bath for 20 minutes, several times a day. Taking an over-the-counter laxative to improve constipation.

• #1 Anal Pain: What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/symptoms/anal-pain

  A healthcare provider will ask questions about your symptoms and examine your anus, if necessary, to diagnose the cause of your anal pain. The treatment will depend on the cause. In many cases, they’ll advise the same home treatments listed above. But some more complicated conditions might require: Antibiotics, antivirals or antifungals to treat an infection. Prescription pain medications (analgesics). Targeted medications to treat IBD-related rectal inflammation. Surgery to repair a fistula, remove a thrombosed hemorrhoid or release muscle tension. […] You can always consult a healthcare provider about anal pain if you aren’t sure what’s causing it or how to treat it. If you’ve already tried to treat it at home and it hasn’t worked, contact a healthcare provider before it gets worse. See a provider right away if you experience any of the following alarming symptoms: Pain that’s severe enough to interfere with your daily activities or wake you at night. Pain that isn’t relieved by over-the-counter medications or that gets worse. Pain accompanied by heavy or continuous bleeding. Pain that prevents you from pooping, or constipation that’s not relieved by laxatives.

• #1

  https://www.nhs.uk/conditions/anal-fissure/treatment/

  If you have particularly severe anal pain, the GP may prescribe a topical anaesthetic to numb your anus before you have a poo. […] Topical calcium channel blockers are thought to be about as effective as GTN ointment for treating anal fissures, and may be recommended if other medicines have not helped. […] Botulinum toxin is a relatively new treatment for anal fissures. It’s usually used if other medicines have not helped. […] Surgery may be recommended if other treatments have not worked. It is generally considered to be the most effective treatment for anal fissures, with more than 9 out of 10 of people experiencing good long-term results.

• #1

  https://www.nhs.uk/conditions/anal-fissure/treatment/

  Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. However, you should see a GP if you have an anal fissure as they can give you advice and medicines to help ease your symptoms and allow the fissure to heal more quickly. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you do not follow self-help advice. […] There are a number of different medicines a GP may recommend to help reduce your symptoms and allow your anal fissure to heal. […] If you have prolonged burning pain after having a poo, the GP may recommend taking common painkillers, such as paracetamol or ibuprofen, which you can buy from a pharmacy or supermarket. […] If your symptoms do not improve within a week or 2, the GP may prescribe a medicine called glyceryl trinitrate (GTN), an ointment applied to the anal canal, usually twice a day. GTN works by expanding blood vessels in and around the anus, increasing the blood supply to the fissure and helping it heal faster.

• #1 Anal pain

  https://www.nhs.uk/conditions/anal-pain/

  Anal pain (pain in the bottom) is common. There are things you can do to ease it, but see a GP if you’re in a lot of pain or it does not get better. […] Treatment for anal pain depends on what’s causing it. A GP will examine you and may prescribe: a cream or ointment to ease your pain, laxatives to help you poo more easily, antibiotics if you have an infection. […] The GP may also recommend changes to your diet or arrange for tests to look for a cause of the anal pain. […] Sometimes surgery or other treatments may be needed if the pain is caused by severe anal fissures, piles or fistulas.

• #1 Anal Fissure: What It Is, Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/13177-anal-fissures

  An anal fissure is a crack or tear in the lining of your anal canal. Its a common cause of anal pain and rectal bleeding, especially during bowel movements (pooping). […] Most anal fissures heal by themselves in a few weeks, but complications can develop when they dont. These are called chronic anal fissures. Instead of healing, they continue to reinforce themselves in a vicious cycle, leaving a persistent wound. […] When you have a chronic anal fissure one that has lasted more than eight weeks medical treatment focuses on relaxing the anal sphincter muscles that surround your anal canal. This should allow the fissure to begin to close and help restore blood flow to the tissues. […] Medications for anal fissures include: Nitroglycerin ointment. Nitroglycerin is a vasodilator, a medicine that makes your blood vessels expand.

• #1 Anal Fissure Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy

  https://emedicine.medscape.com/article/196297-treatment

  Failure of medical therapy to resolve the acute fissure is an indication for surgical intervention. The presence of a symptomatic chronic fissure is also an indication for surgery because few of these heal spontaneously. […] Initial therapy for an anal fissure is medical in nature, and more than 80% of acute anal fissures resolve without further treatment. The goals of treatment are to relieve the constipation and to break the cycle of hard bowel movement, associated pain, and worsening constipation. Softer bowel movements are easier and less painful for the patient to pass. […] First-line medical therapy consists of administration of stool-bulking agents, such as fiber supplementation and stool softeners. Laxatives are used as needed to maintain regular bowel movements. […] Second-line medical therapy consists of intra-anal application of 0.4% nitroglycerin (NTG; also called glycerol trinitrate) ointment directly to the internal sphincter. Nitroglycerin rectal ointment is approved by the US Food and Drug Administration (FDA) for moderate-to-severe pain associated with anal fissures and may be considered when first-line conservative therapies have failed.

• #1

  https://fascrs.org/patients/diseases-and-conditions/a-z/anal-fissure

  NONSURGICAL TREATMENT Your physician will discuss the benefits and side effects of treatments. Treatment includes: A high-fiber diet and over-the-counter fiber supplements (25-35 grams of fiber/day) to make stools soft, formed, and bulky. Over-the-counter stool softeners to make stools easier to pass. Drinking more water to help prevent hard stools and aid in healing. Warm tub baths (sitz baths) for 10 to 20 minutes, a few times per day (especially after bowel movements to soothe the area and help relax anal sphincter muscles). This is thought to help the healing process. Medications, such as lidocaine, that can be applied to the skin around the anus for pain relief. Medications such as diltiazam, nifedipine, or nitroglycerin ointment to relax the anal sphincter muscles which helps the healing process.

• #1

  https://fascrs.org/patients/diseases-and-conditions/a-z/anal-fissure

  Although most anal fissures do not require surgery, chronic fissures are harder to treat and surgery may be the best option. The goal of surgery is to help the anal sphincter muscles relax which reduces pain and spasms, allowing the fissure to heal. Surgical options include Botulinum toxin (Botox) injection into the anal sphincter or surgical division of an inner part of the anal sphincter (lateral internal sphincterotomy). […] Most patients can return to work and go back to daily activities a few days after surgery. Complete healing after both medical and surgical treatments can take 6 to 10 weeks. Even when the pain and bleeding lessen, it is important to maintain good bowel habits and eat a high-fiber diet. Continued hard or loose bowel movements, scarring, or spasm of the internal anal muscle can delay healing.

• #1 Common causes of anal or rectal pain, and how to treat them | Digestive | Men’s Health | Prevention | Women’s Health | UT Southwestern Medical Center

  https://utswmed.org/medblog/anal-rectal-pain-causes/

  Common causes and treatments of anal pain […] Hemorrhoids are veins in the rectum that are usually internal but can stick out through the rectum. When there is too much pressure on the veins, usually caused by straining during bowel movements or sitting for long periods of time, the hemorrhoids can become enlarged or swollen. […] Symptoms: Internal hemorrhoids typically dont hurt but may bleed. External hemorrhoids can cause throbbing pressure and often dont bleed unless they rupture. You may feel pain, irritation, itching, or hard lumps around your anus. […] Treatment options: While taking stool softeners sounds like a solution, these medications may not solve the problem because they dont increase how often you go and they dont add water to your stools. Increasing fiber and water intake is a better bet for mild to moderate hemorrhoids. Some health care providers choose ointments or foam to soothe and reduce inflamed tissues. Severe hemorrhoids may require surgery, but about 80% of patients get relief without it if they are consistent with a conservative bowel regimen.

• #1 Rectal Pain Treatment: First Aid Information for Rectal Pain

  https://www.webmd.com/first-aid/rectal-pain-treatment

  See your doctor if: […] Pain is persistent. […] Take acetaminophen (Panadol, Tylenol) or ibuprofen (Advil, Motrin, Nuprin) for pain. […] If you know you have hemorrhoids, use over-the-counter hemorrhoid cream. […] If you have fissures (cracks or splits in anal opening), use an over-the-counter hydrocortisone cream. […] The doctor will do an exam and may prescribe creams or suppositories. […] In some cases, surgery or other treatment may be necessary.

• #1

  https://fascrs.org/patients/diseases-and-conditions/a-z/anal-pain

  Anal pain can occur before, during, or after a bowel movement. It can range from a mild ache that can get worse over time to pain that is bad enough to restrict daily activities. Anal pain has many causes, most of which are common and treatable. However, if anal pain does not go away within 24 to 48 hours, it is important to see your physician. […] Nonsurgical treatment includes warm tub baths (sitz baths), pain medications, and stool softeners. Most experts recommend that the blood clots be removed surgically. This short surgery can be done in the surgeons office or at the hospital under local anesthesia. After the clot is removed, patients feel instant relief. […] The goal of all nonsurgical treatments is to make stools soft, formed, and bulky. One should avoid constipation. Treatments include a high-fiber diet, which may include over-the-counter fiber supplements (25-35 grams of fiber/day); over-the-counter stool softeners; warm tub baths (sitz baths) for 10 to 20 minutes, a few times per day; and several types of medication to help ease bowel movements. Increasing the blood supply to the area of the anal fissure is also key to recovery. Topical medications like Nitroglycerin and Nifedipine have proven to be very successful in enhancing blood supply to the affected area and facilitating healing.

• #1 Common causes of anal or rectal pain, and how to treat them | Digestive | Men’s Health | Prevention | Women’s Health | UT Southwestern Medical Center

  https://utswmed.org/medblog/anal-rectal-pain-causes/

  Anal fissures are one of the most common causes of anal pain we see in our clinic they are commonly self-misdiagnosed as hemorrhoids. These are cuts in the anal tissue that can occur after large, hard stools or profuse diarrhea episodes and can reopen without proper treatment. […] Symptoms: Anal fissures cause burning, throbbing, sharp, and sometimes radiating pain. You may notice a few drops of blood in toilet water or while wiping, but fissures typically dont bleed a lot. […] Treatment options: Establishing healthier bowel habits is the top treatment option to address the cause of trauma. Moderate to severe fissures may require medication to help relax the external sphincter and anal muscles to encourage healing without reopening the wound on every bowel movement. […] Fistulas are abnormal tissue bridges that can form between the anal canal and the skin of the buttocks and infect the skin. If you have an abscess, theres a 50% chance it could develop into a fistula.

• #1

  https://fascrs.org/patients/diseases-and-conditions/a-z/anal-pain

  Although most anal fissures do not require surgery, chronic ones (lasting greater than 6 months) are harder to treat and surgery may be the best option. The goal of surgery is to help the anal sphincter muscle relax, which reduces pain and spasms, allowing the fissure to heal. […] An abscess is an infected cavity filled with pus near the anus or rectum. In most cases, an abscess is treated by draining it surgically. A fistula is a tunnel that forms under the skin, connecting the clogged, infected glands to the abscess and out to the skin near the anus. Surgery is often needed to cure an anal fistula. […] Treatment includes topical or oral antibiotics and antifungal medications. […] Treatment is tied to the results of the skin biopsy and/or physical exam. Early diagnosis is key so treatment can begin as soon as possible. […] Treatment of anal cancer or other anal tumors may involve chemotherapy, radiation and/or surgery.

• #1 Common causes of anal or rectal pain, and how to treat them | Digestive | Men’s Health | Prevention | Women’s Health | UT Southwestern Medical Center

  https://utswmed.org/medblog/anal-rectal-pain-causes/

  Treatment options: Along with better bowel habits, taking antibiotics can help relieve an abscess. Some may require incision and drainage. A fistula may require surgery, and the type of surgery may depend on the location of the fistula. The provider may recommend soaking in a warm bath a few times a day to aid discomfort. […] Pain can be caused by spasms of the pelvic floor muscles, anal sphincter, or rectum. These spasms should be evaluated by a pelvic floor expert. […] Treatment options: Depending on the condition, patients may benefit from physical therapy or surgery to support the pelvic floor muscles. […] Pruritis ani can be caused by simple factors such as changing laundry detergents, stress, aggressive wiping, or using a new body soap or perfume. […] Treatment options: To determine the cause, the provider will give you a list of things to remove from your diet or environment. Most of the time pruritis ani is caused by moisture, in which zinc oxide ointments are beneficial. In the event pruritis ani is a severe case, your provider may recommend prescription-strength medicated ointments.

• #1 Chronic anal pain: A review of causes, diagnosis, and treatment | Cleveland Clinic Journal of Medicine

  https://www.ccjm.org/content/89/6/336

  Neuropathic pain syndromes are rare but can be positively diagnosed to allow specific management. […] But this need not be so. Clinicians armed with a relatively basic knowledge of possible diagnoses and treatments for chronic anal pain can make a specific diagnosis and initiate treatment even without a complex evaluation. […] From a treatment perspective, the problem with diagnosing proctalgia fugax is that symptoms are generally too brief or infrequent to treat. Thus, the key is patient reassurance and explanation, such as describing the condition as a cramp in your bottom that is harmless and not indicative of any serious bowel disease. […] The best evidence is for behavioral training with biofeedback. […] However, behavioral training with biofeedback is not universally available, and most patients with levator ani syndrome are referred for a comprehensive program of pelvic floor physical therapy focused on pain management.

• #1 Anal Pain Symptoms, Causes & Treatments | Spire Healthcare

  https://www.spirehealthcare.com/symptoms/anal-pain/

  Depending on the cause, your GP may recommend: Antibiotics or surgical draining for an anal abscess, Laxatives, a special cream or medication for an anal fissure, Minor surgery to remove painful haemorrhoids, Surgery for an anal fistula. […] If you have proctalgia fugax, you may not need any treatment. Currently, there are no proven treatments but your doctor may recommend: A cream that relaxes the blood vessels around your anus eg diltiazem or glyceryl trinitrate cream, An injection into a nerve in the anal area to make the nerve less sensitive, Using a salbutamol inhaler these inhalers are used by people with asthma to open up their airways; it may therefore also relax the muscles around your anus. […] If you have levator ani, treatments include: Biofeedback therapy therapy to learn how to relax your pelvic floor muscles, Botulinum toxin injections, Electrogalvanic stimulation using a probe to stimulate the anus with an electric current, Nerve stimulation to make nerves in and around your anus less sensitive, Using a salbutamol inhaler these inhalers are used by people with asthma to open up their airways; it may therefore also relax the muscles around your anus.

• #1 Chronic anal pain: A review of causes, diagnosis, and treatment | Cleveland Clinic Journal of Medicine

  https://www.ccjm.org/content/89/6/336

  Local anesthetic injections also have shown efficacy when administered as an adjunct by trained clinicians. […] Pharmacologic treatments for pudendal neuralgia are primarily tricyclic antidepressants and antiepileptic agents. […] Pudendal nerve infiltration is another option. It has been shown to have good short-term effects but lacks efficiency in the long-term. […] Surgical decompression of the pudendal nerve has been proven effective for patients in whom other treatments have failed.

• #1 Anal pain – rectal pain, fissures, symptoms and treatments | healthdirect

  https://www.healthdirect.gov.au/anal-pain

  Your doctor or pharmacist may suggest medicines that will help with your anal pain. These will depend on the cause of your anal pain but may include: pain-relief medicines such as paracetamol, creams or suppositories to ease your pain and swelling, laxatives to make it easier to empty your bowels (poo), antibiotics. […] You may need surgery for some causes of anal pain. This may be recommended with: an anal abscess, an anal fissure that has not healed with other treatments, an anal fistula, rectal prolapse when some part of your bowel is outside of your anus, thrombosed haemorrhoids (when a clot forms in the haemorrhoid) this is called a haemorrhoidectomy. […] You can help prevent some types of anal pain by: drinking lots of water, eating a balanced diet that has lots of fibre, exercising regularly. […] Any complications from anal pain will depend on their cause and treatment. Speak with your doctor if you have any concerns.

• #1 Soothing Relief for Anal Discomfort

  https://www.everydayhealth.com/digestive-health/soothing-relief-for-anal-discomfort.aspx

  Anal or perianal pain pain around or inside the anus or rectum is a common symptom that can cause severe discomfort. […] Many conditions can trigger irritation and discomfort in and around the anus. […] Simple methods can soothe anal discomfort and provide relief. […] You can try the following remedies at home to relieve anal discomfort. […] A sitz bath can reduce pain and spasms in the anal sphincter, rings of muscle at the bottom of the anus that open and close. […] Certain ointments may reduce symptoms in the short term, depending on the cause. […] Pain relief medications might also be an option for many people. […] A stool softener can make bowel movements easier to pass while anal fissures and hemorrhoids heal. […] Measures for relief include a sitz bath; a high-fiber diet for constipation relief; loose, comfortable clothing; and doctor-recommended creams or ointments to help reduce anal pain, irritation, and swelling. […] Most causes of anal pain resolve in a few days. If they dont, or if you have other symptoms like rectal bleeding, dizziness, or unintentional weight loss, see your doctor.

• #1 Common causes of anal or rectal pain, and how to treat them | Digestive | Men’s Health | Prevention | Women’s Health | UT Southwestern Medical Center

  https://utswmed.org/medblog/anal-rectal-pain-causes/

  This condition can present as rectal pain or rectal bleeding. Oral or enema anti-inflammatory medication can soothe irritation. Our first line treatment typically is to prescribe a sucralfate enema, which coats the lining of the rectum to help soothe and reduce inflammation. […] Commonly associated with the human papilloma virus (HPV), a sexually transmitted infection, anal condyloma causes lesions around the perineum. […] Treatment options: Condyloma doesnt go away on its own; youll need a procedure to remove the lesions with each recurrence. […] If you or your provider suspect you have cancer, we will refer you to the colorectal and anal cancer specialists for a full examination and personalized plan for next steps. […] By and large, most anal irritations, inflammations, and infections are easy to identify and treat if youre willing to bring up your symptoms with your provider. Taking simple precautions like cutting commode time, drinking more water, and filling up on fiber can make a world of difference for your gastrointestinal health and prevent most uncomfortable anal pain conditions.

• #1 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Anal-Fissures-Treatment.aspx

  Most cases of anal fissure heal spontaneously within a few weeks, without requiring treatment. However, some individuals may be affected by a chronic anal fissure that continues to plague them for six weeks or more. […] There are several self-care techniques that can help to increase the ease of passing stools. These assist skin healing following the occurrence of an anal fissure. This helps the skin in the area to develop strength and prevent the recurrence of anal fissures. […] Self-care tips to improve recovery for individuals with, or recovering from, an anal fissure, include: Increasing the intake of dietary fiber by consuming more fruit, vegetables and whole grains, with fiber supplements if necessary. Staying hydrated by drinking sufficient water. Having a bowel movement without delay when the urge presents. Exercising regularly for at least 30 minutes each day. Avoiding products containing fragrance or alcohol that will come into contact with the anus. Avoiding medications which cause constipation. Use a mild laxative regularly for a few weeks to allow the fissure to heal.

• #1 Rectal Pain: 9 Causes, Symptoms, Relief, and Treatment

  https://www.emedicinehealth.com/rectal_pain/article_em.htm

  What Is the Medical Treatment for Rectal Pain? […] To help control the pain of levator ani syndrome, your doctor may prescribe an anti-inflammatory medication or a muscle relaxer. […] The best time to treat a thrombosed hemorrhoid is in the first 48 hours. If the patient goes to their doctor during this time period, a simple office procedure can bring instant relief. […] To help heal an anal fissure, your doctor may give the patient prescription creams such as diltiazem (Cardizem, Tiazac, Cartia XT, Dilacor XR, Diltia XT) or glycerine nitrate that will relax the anal muscle. […] For underlying problems that may also cause rectal problems (colorectal cancers, some prostate diseases), pain management often involves treatments of the underlying problems. […] The best way to prevent rectal pain is to eat a high-fiber diet and drink plenty of water. This will produce soft stools that are easy to pass and result in fewer traumas to the anal passage. […] Ninety percent of anal fissures heal in three weeks. […] Two-thirds of people suffering from levator ani syndrome will get some relief with treatment. […] Proctalgia fugax remains the most difficult condition to treat, but new therapies are being tested.

• #2

  https://fascrs.org/patients/diseases-and-conditions/a-z/anal-pain

  Anal pain can occur before, during, or after a bowel movement. It can range from a mild ache that can get worse over time to pain that is bad enough to restrict daily activities. Anal pain has many causes, most of which are common and treatable. However, if anal pain does not go away within 24 to 48 hours, it is important to see your physician. […] Nonsurgical treatment includes warm tub baths (sitz baths), pain medications, and stool softeners. Most experts recommend that the blood clots be removed surgically. This short surgery can be done in the surgeons office or at the hospital under local anesthesia. After the clot is removed, patients feel instant relief. […] The goal of all nonsurgical treatments is to make stools soft, formed, and bulky. One should avoid constipation. Treatments include a high-fiber diet, which may include over-the-counter fiber supplements (25-35 grams of fiber/day); over-the-counter stool softeners; warm tub baths (sitz baths) for 10 to 20 minutes, a few times per day; and several types of medication to help ease bowel movements. Increasing the blood supply to the area of the anal fissure is also key to recovery. Topical medications like Nitroglycerin and Nifedipine have proven to be very successful in enhancing blood supply to the affected area and facilitating healing.

• #2 Anal pain

  https://www.mayoclinic.org/symptoms/anal-pain/basics/when-to-see-doctor/sym-20050918?p=1

  Anal pain usually can be treated with nonprescription pain relievers and hot water soaks, also called sitz baths. […] Depending on the cause of your anal pain, there are some measures you can try at home to get relief. They include: […] Sitting in a tub of hot water up to your hips, known as a sitz bath, several times a day. This helps ease the pain of hemorrhoids, anal fissures or rectal muscle spasms. […] Applying nonprescription hemorrhoid cream for hemorrhoids or hydrocortisone cream for anal fissures. […] Taking a nonprescription pain reliever such as acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others).

• #2 Anal pain

  https://www.nhs.uk/conditions/anal-pain/

  Anal pain (pain in the bottom) is common. There are things you can do to ease it, but see a GP if you’re in a lot of pain or it does not get better. […] Treatment for anal pain depends on what’s causing it. A GP will examine you and may prescribe: a cream or ointment to ease your pain, laxatives to help you poo more easily, antibiotics if you have an infection. […] The GP may also recommend changes to your diet or arrange for tests to look for a cause of the anal pain. […] Sometimes surgery or other treatments may be needed if the pain is caused by severe anal fissures, piles or fistulas.

• #2

  https://fascrs.org/patients/diseases-and-conditions/a-z/anal-pain

  Although most anal fissures do not require surgery, chronic ones (lasting greater than 6 months) are harder to treat and surgery may be the best option. The goal of surgery is to help the anal sphincter muscle relax, which reduces pain and spasms, allowing the fissure to heal. […] An abscess is an infected cavity filled with pus near the anus or rectum. In most cases, an abscess is treated by draining it surgically. A fistula is a tunnel that forms under the skin, connecting the clogged, infected glands to the abscess and out to the skin near the anus. Surgery is often needed to cure an anal fistula. […] Treatment includes topical or oral antibiotics and antifungal medications. […] Treatment is tied to the results of the skin biopsy and/or physical exam. Early diagnosis is key so treatment can begin as soon as possible. […] Treatment of anal cancer or other anal tumors may involve chemotherapy, radiation and/or surgery.

• #2 Anal Fissure Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy

  https://emedicine.medscape.com/article/196297-treatment

  Failure of medical therapy to resolve the acute fissure is an indication for surgical intervention. The presence of a symptomatic chronic fissure is also an indication for surgery because few of these heal spontaneously. […] Initial therapy for an anal fissure is medical in nature, and more than 80% of acute anal fissures resolve without further treatment. The goals of treatment are to relieve the constipation and to break the cycle of hard bowel movement, associated pain, and worsening constipation. Softer bowel movements are easier and less painful for the patient to pass. […] First-line medical therapy consists of administration of stool-bulking agents, such as fiber supplementation and stool softeners. Laxatives are used as needed to maintain regular bowel movements. […] Second-line medical therapy consists of intra-anal application of 0.4% nitroglycerin (NTG; also called glycerol trinitrate) ointment directly to the internal sphincter. Nitroglycerin rectal ointment is approved by the US Food and Drug Administration (FDA) for moderate-to-severe pain associated with anal fissures and may be considered when first-line conservative therapies have failed.

• #2 Anal Fissure: What It Is, Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/13177-anal-fissures

  An anal fissure is a crack or tear in the lining of your anal canal. Its a common cause of anal pain and rectal bleeding, especially during bowel movements (pooping). […] Most anal fissures heal by themselves in a few weeks, but complications can develop when they dont. These are called chronic anal fissures. Instead of healing, they continue to reinforce themselves in a vicious cycle, leaving a persistent wound. […] When you have a chronic anal fissure one that has lasted more than eight weeks medical treatment focuses on relaxing the anal sphincter muscles that surround your anal canal. This should allow the fissure to begin to close and help restore blood flow to the tissues. […] Medications for anal fissures include: Nitroglycerin ointment. Nitroglycerin is a vasodilator, a medicine that makes your blood vessels expand.

• #2 Anal fissure – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anal-fissure/diagnosis-treatment/drc-20351430

  OnabotulinumtoxinA (Botox) injection paralyzes the anal sphincter muscle and relaxes spasms. […] Blood pressure medicines, such as nifedipine or diltiazem, help relax the anal sphincter. These medicines are generally applied to the skin but also can be taken by mouth. However, when taken by mouth, their side effects can be greater. These medicines may be used when nitroglycerin is not effective or causes serious side effects. […] If you have a chronic anal fissure that is resistant to other treatments, or if your symptoms are severe, surgery may be recommended. Surgeons usually perform a procedure called lateral internal sphincterotomy (LIS). LIS involves cutting a small part of the anal sphincter muscle. This technique may help promote healing and reduce spasm and pain. […] Studies show that surgery is much more effective than any medical treatment for chronic fissure. However, surgery has a small risk of causing incontinence.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3170

  Pain in the opening to the rectum (anus) can be caused by diarrhea or constipation or by scratching a rectal itch. A common cause of anal pain is a tear in the lining of the lower rectum (anal fissure). This type of anal pain usually goes away when the problem clears up. Injury during anal sex or from an object being placed in the rectum also can cause pain. A rare cause of anal pain is spasms of the muscles in the rectum. Some of these conditions may cause some light bleeding. […] Home treatment usually can relieve anal pain. If you continue to have anal pain, your doctor may prescribe medicine to relieve pain and other symptoms. Depending on the cause, you may need other treatment. […] Your doctor may recommend an over-the-counter laxative, such as Milk of Magnesia or Restoralax. Read and follow all instructions on the label, and do not use laxatives on a long-term basis. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse pain. You have new or worse bleeding from the rectum.

• #2 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Anal-Fissures-Treatment.aspx

  Most cases of anal fissure heal spontaneously within a few weeks, without requiring treatment. However, some individuals may be affected by a chronic anal fissure that continues to plague them for six weeks or more. […] There are several self-care techniques that can help to increase the ease of passing stools. These assist skin healing following the occurrence of an anal fissure. This helps the skin in the area to develop strength and prevent the recurrence of anal fissures. […] Self-care tips to improve recovery for individuals with, or recovering from, an anal fissure, include: Increasing the intake of dietary fiber by consuming more fruit, vegetables and whole grains, with fiber supplements if necessary. Staying hydrated by drinking sufficient water. Having a bowel movement without delay when the urge presents. Exercising regularly for at least 30 minutes each day. Avoiding products containing fragrance or alcohol that will come into contact with the anus. Avoiding medications which cause constipation. Use a mild laxative regularly for a few weeks to allow the fissure to heal.

• #2

  https://www.nhs.uk/conditions/anal-fissure/treatment/

  Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. However, you should see a GP if you have an anal fissure as they can give you advice and medicines to help ease your symptoms and allow the fissure to heal more quickly. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you do not follow self-help advice. […] There are a number of different medicines a GP may recommend to help reduce your symptoms and allow your anal fissure to heal. […] If you have prolonged burning pain after having a poo, the GP may recommend taking common painkillers, such as paracetamol or ibuprofen, which you can buy from a pharmacy or supermarket. […] If your symptoms do not improve within a week or 2, the GP may prescribe a medicine called glyceryl trinitrate (GTN), an ointment applied to the anal canal, usually twice a day. GTN works by expanding blood vessels in and around the anus, increasing the blood supply to the fissure and helping it heal faster.

• #2 Anal Fissure: Treatment, Symptoms, Causes, Healing, and More

  https://www.healthline.com/health/anal-fissure

  Another possible treatment is Botox injections into the anal sphincter. The injections will prevent spasms in your anus by temporarily paralyzing the muscle. This allows the anal fissure to heal while preventing new fissures from forming. […] If your anal fissure fails to respond to other treatments, your doctor may recommend an anal sphincterotomy. […] This surgical procedure involves making a small incision in the anal sphincter to relax the muscle. Relaxing the muscle allows the anal fissure to heal. […] Topical pain reliever creams, like lidocaine creams, can also provide targeted relief, while anti-inflammatory pain relievers, such as ibuprofen, may help with more general pain symptoms. […] Frequent warm baths may help relax muscles in the anus and promote fissure healing. This may help to reduce some symptoms of pain. […] You can normally treat anal fissures at home with good wound hygiene, and avoid recurrences by making small dietary and lifestyle changes.

• #2 Anal pain – rectal pain, fissures, symptoms and treatments | healthdirect

  https://www.healthdirect.gov.au/anal-pain

  Your doctor or pharmacist may suggest medicines that will help with your anal pain. These will depend on the cause of your anal pain but may include: pain-relief medicines such as paracetamol, creams or suppositories to ease your pain and swelling, laxatives to make it easier to empty your bowels (poo), antibiotics. […] You may need surgery for some causes of anal pain. This may be recommended with: an anal abscess, an anal fissure that has not healed with other treatments, an anal fistula, rectal prolapse when some part of your bowel is outside of your anus, thrombosed haemorrhoids (when a clot forms in the haemorrhoid) this is called a haemorrhoidectomy. […] You can help prevent some types of anal pain by: drinking lots of water, eating a balanced diet that has lots of fibre, exercising regularly. […] Any complications from anal pain will depend on their cause and treatment. Speak with your doctor if you have any concerns.

• #2 Rectal Pain: Causes, Symptoms, Physical Therapy Treatment – APTA Pelvic Health

  https://www.aptapelvichealth.org/info/rectal-pain-causes-symptoms-physical-therapy-treatment

  Pain in the anus or rectum is often called rectal pain. Many successful treatments are available. Anorectal pain syndromes are treatable. Physical therapists who specialize in treating pelvic floor muscles are most qualified. Your therapist can teach how to relax your pelvic muscles to lessen your pain. They will give you exercises and strategies to help your symptoms. In addition to physical therapy, your medical provider may offer other treatments such as oral and topical medications or nerve blocks.

• #2 Anal Pain Symptoms, Causes & Treatments | Spire Healthcare

  https://www.spirehealthcare.com/symptoms/anal-pain/

  Depending on the cause, your GP may recommend: Antibiotics or surgical draining for an anal abscess, Laxatives, a special cream or medication for an anal fissure, Minor surgery to remove painful haemorrhoids, Surgery for an anal fistula. […] If you have proctalgia fugax, you may not need any treatment. Currently, there are no proven treatments but your doctor may recommend: A cream that relaxes the blood vessels around your anus eg diltiazem or glyceryl trinitrate cream, An injection into a nerve in the anal area to make the nerve less sensitive, Using a salbutamol inhaler these inhalers are used by people with asthma to open up their airways; it may therefore also relax the muscles around your anus. […] If you have levator ani, treatments include: Biofeedback therapy therapy to learn how to relax your pelvic floor muscles, Botulinum toxin injections, Electrogalvanic stimulation using a probe to stimulate the anus with an electric current, Nerve stimulation to make nerves in and around your anus less sensitive, Using a salbutamol inhaler these inhalers are used by people with asthma to open up their airways; it may therefore also relax the muscles around your anus.

• #2 Rectal Pain Treatment: First Aid Information for Rectal Pain

  https://www.webmd.com/first-aid/rectal-pain-treatment

  See your doctor if: […] Pain is persistent. […] Take acetaminophen (Panadol, Tylenol) or ibuprofen (Advil, Motrin, Nuprin) for pain. […] If you know you have hemorrhoids, use over-the-counter hemorrhoid cream. […] If you have fissures (cracks or splits in anal opening), use an over-the-counter hydrocortisone cream. […] The doctor will do an exam and may prescribe creams or suppositories. […] In some cases, surgery or other treatment may be necessary.

• #2 Rectal Pain: 9 Causes, Symptoms, Relief, and Treatment

  https://www.emedicinehealth.com/rectal_pain/article_em.htm

  What Is the Medical Treatment for Rectal Pain? […] To help control the pain of levator ani syndrome, your doctor may prescribe an anti-inflammatory medication or a muscle relaxer. […] The best time to treat a thrombosed hemorrhoid is in the first 48 hours. If the patient goes to their doctor during this time period, a simple office procedure can bring instant relief. […] To help heal an anal fissure, your doctor may give the patient prescription creams such as diltiazem (Cardizem, Tiazac, Cartia XT, Dilacor XR, Diltia XT) or glycerine nitrate that will relax the anal muscle. […] For underlying problems that may also cause rectal problems (colorectal cancers, some prostate diseases), pain management often involves treatments of the underlying problems. […] The best way to prevent rectal pain is to eat a high-fiber diet and drink plenty of water. This will produce soft stools that are easy to pass and result in fewer traumas to the anal passage. […] Ninety percent of anal fissures heal in three weeks. […] Two-thirds of people suffering from levator ani syndrome will get some relief with treatment. […] Proctalgia fugax remains the most difficult condition to treat, but new therapies are being tested.

• #2

  https://www.ccrsurgeons.com/anal-pain

  Anal pain that does not resolve with the use of over the counter medications within 24-48 hours should be investigated by a physician. […] Anal pain that lasts more than two weeks can be serious. […] Chronic anal pain that progressively gets more severe is possibly a cancer. […] Maintain a high fiber diet, which can relieve anal pain in the majority of treatable conditions and drinking 8-10 glasses of water daily. […] Avoid trauma to the area. Do not use soap of any kind on the anus. Do not scrub or scratch the anus. […] A painful hemorrhoid can be treated in several ways, often in the office. […] Fissures may respond to medical treatments or require an operation. […] In a large number of cases, cancerous tumors of the anus and rectum can be cured by early surgical removal or radiation and chemotherapy.

• #3 Rectal Pain Treatment: First Aid Information for Rectal Pain

  https://www.webmd.com/first-aid/rectal-pain-treatment

  See your doctor if: […] Pain is persistent. […] Take acetaminophen (Panadol, Tylenol) or ibuprofen (Advil, Motrin, Nuprin) for pain. […] If you know you have hemorrhoids, use over-the-counter hemorrhoid cream. […] If you have fissures (cracks or splits in anal opening), use an over-the-counter hydrocortisone cream. […] The doctor will do an exam and may prescribe creams or suppositories. […] In some cases, surgery or other treatment may be necessary.

• #3 Rectal (anal) pain: Causes, treatment, and more

  https://www.medicalnewstoday.com/articles/326085

  Rectal pain can result from injury, inflammation, or infections that affect the rectum or anus. Treatment depends on the cause. […] There are many possible causes of rectal pain, so it is important for people to contact a healthcare professional for a diagnosis and appropriate treatment. […] The treatment options for rectal pain may vary depending on the underlying cause. […] To relieve general pain around the rectum and anus, people can try the following: taking a sitz bath or sitting in warm water for a few minutes; gently washing the area with lukewarm water, particularly after a bowel movement or sweating; avoiding using any irritating detergents or soap; wearing breathable cotton underwear and loose, comfortable clothing; avoiding sitting for long periods; sitting on a cushion or rubber ring to relieve pressure; taking over-the-counter pain medication to alleviate pain; using a stool softener, which makes stools easier to pass; eating a diet high in fiber and drinking plenty of water to prevent constipation and straining during a bowel movement; taking any medications according to the prescribing doctors instructions. […] Some conditions may require surgical treatment if a person experiences severe or persistent symptoms that do not respond to more conservative treatment.

• #3 Anal pain

  https://www.nhs.uk/conditions/anal-pain/

  Anal pain (pain in the bottom) is common. There are things you can do to ease it, but see a GP if you’re in a lot of pain or it does not get better. […] Treatment for anal pain depends on what’s causing it. A GP will examine you and may prescribe: a cream or ointment to ease your pain, laxatives to help you poo more easily, antibiotics if you have an infection. […] The GP may also recommend changes to your diet or arrange for tests to look for a cause of the anal pain. […] Sometimes surgery or other treatments may be needed if the pain is caused by severe anal fissures, piles or fistulas.

• #3 Rectal Pain: 9 Causes, Symptoms, Relief, and Treatment

  https://www.emedicinehealth.com/rectal_pain/article_em.htm

  What Is the Medical Treatment for Rectal Pain? […] To help control the pain of levator ani syndrome, your doctor may prescribe an anti-inflammatory medication or a muscle relaxer. […] The best time to treat a thrombosed hemorrhoid is in the first 48 hours. If the patient goes to their doctor during this time period, a simple office procedure can bring instant relief. […] To help heal an anal fissure, your doctor may give the patient prescription creams such as diltiazem (Cardizem, Tiazac, Cartia XT, Dilacor XR, Diltia XT) or glycerine nitrate that will relax the anal muscle. […] For underlying problems that may also cause rectal problems (colorectal cancers, some prostate diseases), pain management often involves treatments of the underlying problems. […] The best way to prevent rectal pain is to eat a high-fiber diet and drink plenty of water. This will produce soft stools that are easy to pass and result in fewer traumas to the anal passage. […] Ninety percent of anal fissures heal in three weeks. […] Two-thirds of people suffering from levator ani syndrome will get some relief with treatment. […] Proctalgia fugax remains the most difficult condition to treat, but new therapies are being tested.

• #4 Anal pain – rectal pain, fissures, symptoms and treatments | healthdirect

  https://www.healthdirect.gov.au/anal-pain

  Your doctor or pharmacist may suggest medicines that will help with your anal pain. These will depend on the cause of your anal pain but may include: pain-relief medicines such as paracetamol, creams or suppositories to ease your pain and swelling, laxatives to make it easier to empty your bowels (poo), antibiotics. […] You may need surgery for some causes of anal pain. This may be recommended with: an anal abscess, an anal fissure that has not healed with other treatments, an anal fistula, rectal prolapse when some part of your bowel is outside of your anus, thrombosed haemorrhoids (when a clot forms in the haemorrhoid) this is called a haemorrhoidectomy. […] You can help prevent some types of anal pain by: drinking lots of water, eating a balanced diet that has lots of fibre, exercising regularly. […] Any complications from anal pain will depend on their cause and treatment. Speak with your doctor if you have any concerns.

Zobacz więcej