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Anal Ordeals – Hemorrhoids, Fissures, and Pruritus Ani

A sore, itchy, bleeding anus is usually referred to as a “hemorrhoid,” but maybe something else. Hemorrhoids can exist alone or in conjunction with fissures, pruritis ani, or even cancer. Learn the differences so you can choose the best treatment.

Fissures

hgssa6safg32Fissures, or tears in the mucous membrane of the anus, are very common in all ages. The main symptoms are bleeding and pain during or after a large, hard bowel movement. For most people, a small fissure will naturally heal itself provided it is protected from further trauma. Sometimes an anal fissure itches intensely during healing, or if it has trapped feces and toilet paper debris. You can protect a fissure by gently cleaning your anus and rectum with warm water via a bulb syringe; lubricate with petrolatum or oil before inserting. Follow up with a soothing suppository or ointments.

To prevent tearing your anal fissures, try dietary capsules or powders containing psyllium, flaxseed, or other bulk fibers. These plants work well to ease constipation, relieve painful cracks, and promote healing. You especially want to avoid both constipation and diarrhea, so don’t overdo the fiber, and be sure to drink plenty of water while taking fiber supplements.

Pruritis ani (itchy anus)

Pruritis ani, literally “itchy anus,” another condition that may or may not be caused by hemorrhoids. When hemorrhoids itch, it is usually because it is secreting mucus, or is irritated by retained feces. A fissure itches for the same reasons. But pruritus ani can also be caused by …

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