FISSURE ANAL

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	FISSURE ANAL
	*FISSURE ANAL*

FISSURE ANAL

Anal fissure

Fissure or tear of the sensible anal weave.

It affects all the ages, although it is commonest in suckling babies, small and adult children of more than 60 years.

It affects more to women than to men.

Complications

Permanent scars, that prevent the normal intestinal evacuation.

Prognosis

Most of the adults they recover after a treatment, which avoids the surgery. Almost all the small suckling babies and children recover once the depositions soften.

Diagnosis and treatment

Diagnosis

File and physical examination by its doctor.

Examinations of the anus and the rectum with anuscopio or sigmoidoscopio to discard other causes.

Tratamientoz

Taken care of at home.

Medical treatment.

Surgery to eliminate the fissure or to modify the muscle that is contracted and prevented the healing.

General measures:

Measures to take with the children to avoid the constipation while the fissures heal:

With the suckling babies

Before laying down them, it fills a rubber syringe (or lavativa) with common mineral oil. With care, to insert the end and to inject a little mineral oil in the rectum of the baby.

To repeat to the following morning.

If there is no intestinal movement, to repeat at noon.

After the intestine has moved, to carefully clean to the anus with cotton and water.

With greater and adult babies.

Inject with care 113 gr. of mineral oil in the rectum. A compresa can be used to rinse the leftover oil during the night.

In order to calm the muscular espasmos and the pain around the anus, to apply a towel tempered in the zone.

The seat baths also calm the pain. To use 20 cm. of very hot water 2 or 3 times to the day during 10 to 20 minutes. Care, does not burn the children.

Medication:

For slight pains, to medicines like paracetamol or anesthetic topics can be applied.

After the seat baths, to apply pomadas that contain zinc oxide to help to heal the fissure.

Use mineral oil like laxative for the small children:

To by mouth give to the boy a spoonful by each 5 kilos of corporal weight.

Repeat daily during 2 weeks after the blood has disappeared of lees.

After administering the mineral oil, it waits for several hours before giving vitamins to the boy.

The mineral oil prevents the vitamin absorption and other nutrients. Activity:

Without restrictions.

The physical activity reduces the constipation possibility.

Diet:

The best one is a rich diet in fibers and liquids to prevent the constipation.

With this disease it is advised to follow the following diets:

Rich fiber diet (laxative)

Diet with abundant remainder

Factors of riesgo/Prevención

Factors of risk: Constipation.

Multiple pregnancies.

Prevention:

To avoid the constipation by means of:

The ingestion of at least 8 glasses of water to the day.

A rich fiber diet.

The use of softeners of lees or other laxatives.

It does not tighten excessively to expel lees.

Causes

Streching of the weave of the anus caused by the hard and voluminous lee passage.

Signs and symptoms

Acute pain to the hard or voluminous lee passage.

Drips of blood in the hygienic paper, underclothes or diapers.

Picor around the rectum.

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