Anal fissure, which is a common condition in infants, is the tearing and cracking of the junction between the skin and the inner part of the anus in the anus region. It is one of the most common causes of bleeding.
What Causes Anal Fissure?
Constipation is the most common cause. Tears occur during hard pooping. The pain that develops during this tearing and pooping causes the baby to hold his poop, which in turn will cause a harder poop due to the water absorbing feature of the last part of the large intestine. It turns into a cycle and tears and cracks become continuous.
As well as constipation, diarrhea may occasionally cause anal fissure. Especially in cases of gastroenteritis, cracks may occur after frequent watery poop.
Rarely, it may occur as a symptom of other diseases.
As it can be easily seen during inspection, sometimes there may be cracks that cannot be seen easily from the outside but continue inwards.
Since hard poop is one of the main causes of the event, attempts to soften the poop are an important and first part of the treatment. Foods that leave pulp, vegetables that can be added to those of suitable age who can take additional food, personalized approach and food supplements recommended by a pediatric gastroenterologist, and this situation can occur. It is important to eliminate water loss, especially in the summer months. The support given to make poop more comfortable is in syrups.
Hot sitz bath is important as it will both provide a physical cleaning, increase the stimulus to poop, relax the pelvic (lower) region muscles and relax the external muscle of the anus, which may be in spasm. It should be done 3-4 times a day. .
Following the application of local anesthetic pomade, it is relaxing and relieves the pain, albeit a little, during pooping.
In children who have reached the age of toilet training, ensuring that they poop at certain times is supportive in terms of both treatment and habit.
In cases that do not resolve and are not successful, the event becomes chronic, albeit very rarely, when energetic intervention cannot be performed. In such cases, intervention under anesthesia may very rarely be required to overcome external muscle spasm and resistance.
anal fissure
