Anal Disorders: Diagnosis, Treatment and Prevention
The anus is the opening at the end of the digestive tract where stool leaves the body. The anus starts at the bottom of the rectum and the anorectal line separates the anus from the rectum.
Along with your symptoms you need to tell about your medical history and lifestyle to your doctor which will help in evaluating your anal problem.
You may be asked about:
A physical examination of your abdomen, followed by an external examination of your anal area and a digital or finger rectal examination is performed by the doctor.
your doctor will also perform
Once the diagnosis is made, your treatment may vary depending on the specific disorder.
For an acute fissure the aim is to relieve constipation. Medicated ointment can be applied to the fissure. The anal area can be soaked in warm water for 10 to 15 minutes several times a day which is known as sitz bath.
For chronic fissures, surgery can be done to resolve the problem.
Incision and drainage can be done to open the anal abscess and drain the pus, if your abscess is close to the anal opening.
Surgery is the most effective way to unroof the fistula track. The infected canal will be opened by the doctor to scrapes away any remnants of the old anal abscess. The wound is left open to heal from the bottom up. If the fistula is associated with Crohn's disease, treatment is aimed to eliminate the Crohn's disease with anti-inflammatory medications combined with an antibiotic.
Usually this will slowly disappear on its own. Fiber supplements can be taken to soften the stool which will help relieve pain. Sitz baths can also be recommended. If the hemorrhoid is unusually painful, a small operation can be done under local anesthesia to remove the clotted hemorrhoid.
Almost all acute fissures heal quickly with traditional treatment and lifestyle changes. With surgery, almost all fistulas and chronic fissures can be resolved. Appropriate treatment of anal strictures will allow stool to pass easily and comfortably. Most anal abscesses heal after being drained by a doctor. Few of them will develop into anal fistulas. A fistulotomy will totally eliminate both the fistula and any remaining abscess in most patients, if a fistula is an obstruction in healing of an abscess.
You may be able to prevent anal fissures by preventing constipation. This can be done by adding more fiber to your diet, avoiding fatty foods and by drinking 6 to 8 glasses of water daily which will help soften your stool.
Fiber supplement powders can also be taken for better result.
It is not always possible to prevent other types of anal disorders. But you may be able to decrease your risk for these disease by: