What is the best way to treat anal fissure in children?

Children are more likely to have intestinal problems because of the deterioration of their living environment and the unhealthy feeding methods of some parents, which makes children prone to diseases and other problems. Among them, anal fissure is a more prominent problem encountered by children, which will cause great harm to children's physical health. Let's take a look at how to better treat anal fissures in children? I hope everyone can understand it.

Anal fissures can cause periodic pain due to defecation, which is the main symptom of anal fissures. When defecating, the feces stimulate the nerve endings on the ulcer surface, and you will immediately feel a burning pain in the anus, but the pain will ease a few minutes after defecation. This period is called the pain interval. Later, due to spasm of the internal sphincter, severe pain will occur again. This period can last from half a hour to several hours. The child will be restless and find it difficult to endure until the sphincter is fatigued, the muscles relax and the pain is relieved. But the pain occurred again when I defecated again. The above is clinically called anal fissure pain cycle. The pain may also radiate to the perineum, buttocks, inner thighs or sacrum. The child may resist defecation due to the pain and may even cry constantly.

1. Keep bowel movements smooth

Let your child take laxatives or paraffin oil orally to make the stool soft and lubricated, increase high-fiber food and change bowel habits to gradually correct the occurrence of constipation.

2. Local sitz bath

Before and after bowel movements, children can take a sitz bath with 1:5000 warm potassium permanganate solution to keep the area clean.

3. Anal canal dilation

If the child's anal fissure is severe, anal canal dilation surgery may be necessary. Anal canal dilation surgery is suitable for patients with acute or chronic anal fissures without concurrent papillary hypertrophy and sentinel piles. The advantages are that it is easy to operate, does not require special equipment, has rapid therapeutic effects, and only requires daily sitz baths after surgery. After anal canal dilation, anal sphincter spasm can be eliminated and pain can be relieved immediately after the operation. After dilation, the anal fissure wound expands and opens, drainage is unobstructed, and the superficial wound can heal quickly. However, this method has its shortcomings. It may cause complications such as bleeding, perianal abscess, hemorrhoidal prolapse and short-term fecal incontinence, and the recurrence rate is relatively high.

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