DRLUGO BLOG

Thi is a common ailment and many times misunderstood symptom.  People have the idea that when they have apin in the anus, it means hemorrhoids.  The truth  is that most of the time it is not.  I can not say the same about bleeding, bleeding alone can be a hemorrhoid, but if bleeding is present with pain, it is most likely an anal fissure.  an anal fissure is a small cut in the anal area.  Thi is usully the result of a hard bowel movement or straining.  the pt sometimes recalls the event that precipitated the symptoms, but most of the time they don’t.  The treatment for anal fissure initially is not surgical.  Most of these heal spntaneously or with minimal therapy that consists of warm bath and stool softeners.  The ones that do not resolve then should be operated on.  The operation for that is a sphincterotomy.  this means cutting of the sphincter(internal sphincter).  this will take the tension off the cut and allow it to heal.  

The most important part of fissure treatment is prevention.  If the pt goes back to bad habits of constipation, this can recur.  This is true for almost all anal problems (hemorrhoids and fissures).  

IT is important to note that blood in the anus and pain ca also be a serious problem, so by no means a person should read the above and then stay home.  It is important that someone identifies the so called fissure.  Like I have said i the past, any blood coming out of any orifice should be investigated, with or without pain associated.  Please call yur doctor or email me if you have any questions.  HAve a great day

RLUGO MD

Hemorrhoid treatment has many facets.  The treatment should be well thought and a plan to modify habits should be implemented in order to be able to have long term results.  Sometimes the treatment of hemorrhoids is a multi-modality one and it is important that the patient is well informed.  come to my website and lets talk about the different options.  visit DRLUGO.com