The anal fissure is benign in most cases, provided it is diagnosed in time. But, located in an intimate area, consultation is often delayed. In addition, if your general practitioner is able to examine you from head to toe, it happens that an anal fissure is first diagnosed as hemorrhoids, which delays the management.In general, the symptoms are clear: when the anal pains do not pass, it is likely that it is an anal fissure. It is better to go to a specialist doctor: a proctologist. Specializing in these questions, the latter will practice an examination along the entire length of the anal canal. He will thus check the extent of the fissure and look for the possible presence of an infection, a tumor or a cancer.
As the vast majority of cases of anal fissure come from constipation, it must be treated upstream:
- Eat fiber! Adding dietary fiber to your meals will improve transit. Choose fruit (raspberry, pear ...) and vegetables (especially cooked green vegetables such as zucchini or boiled artichoke), legumes (lentils, peas ...).
- A laxative drug or transit regulator will soften the stool. If the fissure heals badly, prefer the use of oral laxatives.
Drinking enough, and exercising regularly can provide other benefits, but there is no scientific evidence that this plays a role in preventing anal fissure.
Your doctor may also prescribe a healing cream or ointment. This will facilitate the dilation of the blood vessels around the lesion and accelerate healing. Count one to two months of use of the healing cream associated with 6 months of transit regulation (food hygiene and / or medication for transit) to effectively treat the anal fissure and reduce the risk of recurrence.
Advice: pay attention to the risks of self-medication! It is important that such use be supervised by a proctologist or a general practitioner. Self-treatment of long-term pain may delay, for example, the diagnosis of anal canal cancer.