Ms. Zhang had a history of constipation, but because she loved the delicious taste of goose intestines, she couldn't give up hot pot. During the long holiday, she played mahjong and ate steamed goose intestines, feeling very comfortable. However, happiness turned to sorrow, and in the following days, Ms. Zhang experienced pain during bowel movements accompanied by bleeding. The hospital diagnosed her with anal fissure. Her husband joked: "You've eaten too many goose intestines, it's karma!"
According to the outpatient statistics from Zhengzhou Huashan Anorectal Hospital, since October, there has been an increase of more than 20% in patients seeking treatment for constipation or anal fissures. Chief Expert Dr. Guoanyin from our hospital introduced that every year during the transition between autumn and winter, it is a high incidence period for various anorectal diseases, especially anal fissures. This is closely related to climate conditions, personal dietary habits, lifestyle, and other factors. Ms. Zhang's situation is quite typical.
Eating spicy food and drinking alcohol makes one prone to anal fissures in autumn. Dr. Guoanyin from Zhengzhou Huashan Anorectal Hospital said that anal fissures are caused by feces breaking the skin of the anal canal, resulting in sudden knife-like pain during defecation, then a brief relief, followed by prolonged anal pain due to the contraction of the anal sphincter muscle. Therefore, dry weather and spicy diet easily lead to and worsen anal fissures, especially for those with a history of constipation.
Autumn is the transitional period between summer and winter, with high temperatures and dryness. After enduring the summer heat, people's physical energy is already depleted. Moreover, most people choose to stay in air-conditioned rooms during the entire summer, reducing activity levels. Long-term sitting slows down blood circulation and decreases immunity. This results in intestinal turbidity not being expelled in time, accumulating at the anus and causing hemorrhoids, anal fissures, anal fistulas, and other anorectal diseases.
Another factor contributing to the recent high incidence of anal fissures and other anorectal diseases is overeating during the holidays. People like Ms. Zhang, who love hot pot, enjoy a stick of goose intestine and a glass of wine. The spices, under the influence of alcohol, bring pleasure while leaving behind potential problems. Autumn is already dry, and this crazy eating habit inevitably leads to dehydration of the intestines, exacerbating constipation and easily causing severe anal fissures.
Anal fissures have serious consequences, and if left untreated for a long time, they can lead to anemia. Director Han reminded patients that if suffering from anal fissures, especially chronic anal fissures like Ms. Zhang, timely treatment is necessary to prevent repeated infections of the fissure, ultimately leading to fibrosis, spasm of the anal sphincter muscle, or even inflammatory narrowing of the anus. In addition, anal fissures can also cause a series of complex lesions such as anemia:
- Pain: Anal fissures can cause periodic pain due to defecation, which is the main symptom of anal fissures. Post-defecation, the inner sphincter muscle spasm causes severe pain, which can last from half an hour to several hours.
- Constipation: This is both the cause and consequence of anal fissures. After developing anal fissures, patients avoid defecation due to anal pain, leading to constipation over time, making the feces harder. Constipation can worsen anal fissures, forming a vicious cycle, making it difficult for anal fissures to heal.
- Anemia: There is often a small amount of fresh blood on the surface of the stool or on the toilet paper during defecation, which can eventually lead to anemia.
- Five syndromes of anal fissures: If anal fissures are not treated in time in the early stage, three types of diseases may appear: anal canal ulcers, hypertrophy of the anal papilla, and sentinel piles. Continued development can lead to anal sinusitis and anal fistulas, collectively known as the "five syndromes of anal fissures."
For treating anal fissures, the medical community highly recommends HCPT minimally invasive surgery. Regarding treatment, precise examination must be the premise, emphasized Director Han. Although anal fissures have the obvious feature of severe pain, complications such as hemorrhoids, polyps, or other anorectal diseases cannot be ruled out. Therefore, professional examinations using electronic anorectal endoscopes are essential.
The treatment of anal fissures first depends on the specific condition. For newly developed mild anal fissures, conservative treatments such as infrared thermotherapy, external application, and fumigation can be used. For chronic anal fissures, severe symptoms, or ineffective conservative treatments, decisive use of HCPT minimally invasive surgery should be adopted for thorough treatment.
It is understood that using HCPT minimally invasive surgery to treat anal fissures only takes 10-20 minutes. Under the electronic anorectal endoscope, the lesion area can be fully observed by doctors. With a clear view, the lesion can be precisely located, achieving more refined and thorough treatment effects. The specific process involves: under the full computerized high-frequency capacitive field, charged ions and polar molecules in tissues oscillate at high speed between two poles to produce heat. The depletion of electric ions dries up the interstitial fluid in the diseased tissue, causing the diseased tissue to necrose and fall off within a short time, achieving the ideal effect of treating anal fissures. HCPT minimally invasive surgery can completely cure anal fissures in one session without recurrence, recognized as the ideal method for treating anal fissures in the medical community today.