After anal fissure healed, will it recur?

Anal fissures may still recur after healing. The causes of recurrence include poor bowel habits, improper diet, local anal infection, etc. To prevent recurrence, you need to adjust your lifestyle, improve your diet, maintain anal hygiene, and seek medical treatment when necessary.

1. Causes of recurrence of anal fissure

Recurrence of anal fissures is related to a variety of factors. Long-term constipation or diarrhea can increase anal pressure and cause the anal canal skin to tear again. Lack of fiber in the diet and insufficient water intake can easily cause dry and hard stools, increasing the risk of anal fissures. Local infection or inflammation of the anus that has not been completely eliminated may also lead to recurrence of anal fissures. Excessive tension or trauma to the anal sphincter may also be a cause.

2. Measures to prevent recurrence of anal fissure

Adjusting bowel habits is the key. Develop a habit of regular bowel movements and avoid straining for long periods of time. Increase your diet to include foods rich in fiber, such as whole grains, vegetables, and fruits, and ensure that you drink 1500-2000 ml of water every day. Avoid spicy foods to reduce anal irritation. Keep your anus clean, wash it with warm water after defecation, and avoid using rough paper towels to wipe it.

3. Treatment methods

For recurrent anal fissures, drug treatment is the first choice. Topical application of nitroglycerin ointment or calcium channel blockers can relieve anal sphincter spasms and promote healing of fissures. Oral laxatives such as lactulose can soften stools and reduce pressure during defecation. If drug treatment is ineffective, surgical treatment such as internal anal sphincterotomy or anal fissure resection can be considered. Care should be taken after surgery to avoid infection.

4. Adjustment of living habits

Proper exercise can help prevent the recurrence of anal fissures. Doing 30 minutes of aerobic exercise every day, such as brisk walking, swimming or yoga, can promote intestinal peristalsis and improve constipation. Avoid sitting or standing for long periods of time, and get up and move for 5-10 minutes every hour. Maintaining a good attitude and avoiding excessive tension and anxiety can also help reduce the tension of the anal sphincter.

Although recurrence of anal fissure is common, the risk of recurrence can be effectively reduced through scientific prevention and timely treatment. If symptoms such as anal pain and bleeding occur, seek medical attention in time to avoid delaying treatment. Maintaining good living habits and eating habits is the key to preventing recurrence of anal fissure.