Rectum crack

The rectum crack, or proctal crack, is one of the most frequent proctologic diseases. Represents defect of a mucous membrane of a rectum, linear, oval or triangular shape, from several millimeters to 2 cm in size. People of any age are subject to a disease, including rectum cracks at children are frequent, at women this pathology meets more often because of anatomic features of a structure of an anus.

Rectum crack reasons

Rectum crack origins - an inflammation of digestive tract and a mechanical injury. Quite often these two reasons are combined.

Inflammation in any department of digestive tract including its upper part, for example, gastritis or cholecystitis, increases risk of emergence of a crack of a rectum. Departments of the alimentary system are reported with each other therefore the inflammation in one department leads to pathology of a mucous membrane throughout all digestive tract, increasing its vulnerability.

The mechanical injury of a rectum happens during passing of too dense fecal masses, and also at hit of a foreign body in an anus.

The combination of these two facts serves frequent the rectum crack reason at children, at an endobioz (it is helminthosis, simply worms). In this case the lower part of intestines is often inflamed and edematous, and the eggs a worm laid in the field of an anus cause a severe itch. As a result, combing area of an anus, the child can cause injury of a mucous membrane of proctal area which is aggravated when passing fecal masses.

Rectum crack symptoms

Distinguish acute and chronic forms of a crack of a rectum. The chronic form arises in the absence of treatment of an acute disease.

The main symptom of a crack of a rectum – pain in the field of an anus. At an acute crack of a rectum pain develops only during the act of defecation, it is intensive, but more than 15 minutes do not proceed. Less intensive is characteristic of a chronic crack of a rectum, but more long pain syndrome. Pain can arise also irrespective of the act of defecation, for example, at long sitting.

Both in acute, and in a chronic form bleeding from an anus can be one of symptoms of a crack of a rectum. As a rule, bleeding insignificant, blood scarlet, is not mixed with a fecal masses as it happens at bleedings of overlying departments of digestive tract. Bleedings are connected with defecation, and caused by passing of dense fecal masses through the damaged site.

One more characteristic symptom of a crack of a rectum – the complicated defecation, and the locks connected with it. Difficulties at defecation arise because of the expressed pain syndrome. Pain when passing fecal masses, especially dense, can be such intensive that there is a reflex spasm of a sphincter of an anus. In a chronic form of a disease fear of defecation develops that only aggravates rectum crack symptoms as fecal masses is condensed and stronger injure the inflamed mucous membrane. The chronic crack of a rectum can be followed by release of pus from an anus.

At a rectum crack at children defecation is followed by crying, the child tries to avoid a pot, is capricious, blood in fecal masses or on a napkin also attracts attention.

Diagnosis of a crack of a rectum

In the presence of characteristic symptoms of a crack of a rectum perform inspection of an anus, and also apply a manual research of a rectum. In view of considerable morbidity and a possibility of infection of pararectal area the retromanoskopiya is tried not to be applied in this case, and in case of emergency (for example, at suspicion of a rectum tumor) previously use anesthesia.

Survey allows to find at an acute crack of a rectum linear defect of a mucous membrane with smooth edges, and at chronic – oval or triangular defect, with the expanded granulations and cicatricial fabric.

In addition conduct laboratory blood analyses (on HIV, syphilis, hepatitis, sugar of blood and the general analysis) and a calla. At a rectum crack at children surely investigate kcal on eggs a worm.

Treatment of a crack of a rectum

Treatment of a crack of a rectum is begun with use of medicamentous therapy, and in case of its failure resort to surgical intervention.

Drug treatment of a crack of a rectum includes the following events:

• Providing a regular soft chair that it is reached by purpose of a milk and vegetable diet with enough cellulose, and also purpose of enemas. Enemas carry out daily, weak solution of an antiseptic agent, usually for this purpose apply broths of officinal herbs;
• Use of anesthetics and antiinflammatory drugs in the form of rectal candles, microclysters and warm trays, and in hard cases and a type of injections directly to the area of a crack;
• As at most of patients of a crack of a rectum are combined with other diseases of digestive tract, treatment of the main pathology is necessary.

In most cases treatment of a crack of a rectum by conservative methods is successful. However in certain cases, usually at the chronic forms of a disease which are followed by considerable growths of granulyatsionny and cicatricial fabric more radical measures are necessary, then resort to operation of a crack of a rectum.

Now operation of a crack of a rectum is performed by low-invasive methods – laser coagulation or a cryolysis. These are the anemic techniques which are not demanding use of the general anesthesia and long stay in a hospital.

In persistent cases, and also at defects of the big size, resort to classical operation of a crack of a rectum. Operation is performed under the general anesthesia, consists in a sphincter section, excision of edges of a crack and the subsequent sewing up of edges of a wound. In the postoperative period appoint use of local antiinflammatory therapy within a month. Observance of the diet preventing formation of dense fecal masses is also necessary.

National treatment of a crack of a rectum

At regular use and the correct approach national treatment of a crack of a rectum is very effective. Generally folk remedies actively use for treatment of a crack of a rectum and in traditional medicine. Officinal herbs in various forms – in the form of pastes, broths, infusions, trays, enemas, and also in the form of medical tea are very effective. For topical administration use a camomile, a sage, oak bark, a yarrow. In the form of microclysters apply juice of an aloe and kalanchoe. For the purpose of the general impact on a GIT use medical tea from a camomile, a sage, a St. John's Wort.

National treatment of a crack of a rectum can successfully be combined using pharmaceutical drugs, allowing to reduce medicinal load of an organism that is especially important at chronic forms of a disease.