Clinical surveys show that 60% of anal fissure patients are women. First, from an anatomical perspective, the anterior anal sphincter in women is weaker than in men, making it more prone to tearing; secondly, women's genital areas are more susceptible to inflammatory infections, leading to tissue fragility and sphincter spasm which can cause anal canal skin tears; finally, during childbirth, increased abdominal pressure in women leads to difficulties in blood return, making it harder for anal canal tears to heal and eventually resulting in anal fissures.
In terms of diet, one should avoid or limit fried and spicy foods as they can lead to gastrointestinal damp heat and internal toxic fire, causing dry stools. It’s advisable to consume various vegetables and fruits (such as apples, peaches, apricots, bananas, watermelons, etc.) rich in fiber and vitamins because they soften stools and promote intestinal peristalsis.
In work-related aspects, maintaining a good mood is important, avoiding emotional distress, anger, excessive tension, and fatigue. In daily life, keeping a regular schedule is crucial, not easily changing daily routines, and ideally developing the habit of defecating in the morning. After bowel movements, clean the anus with lukewarm water around 30°C. Pregnant women should moderately adjust their lifestyle and exercise under gynecological guidance, strengthening prenatal care. In summary, constipation is the direct cause of anal fissures, so preventing constipation largely prevents anal fissures.
1. Preventing and treating constipation is an important measure to prevent anal fissures, thus forming a good habit of regular bowel movements is necessary. For those who already have anal fissures, maintain smooth bowel movements without hardening. Eating fresh vegetables and high-fiber foods, drinking plenty of water, reducing smoking and alcohol consumption, and limiting spicy foods are effective ways to prevent constipation.
2. During menstruation, women should pay attention to hygiene and avoid heavy physical labor. During pregnancy, focus on consuming more fruits and vegetables to prevent constipation. During childbirth, take care to protect the perineum to avoid tearing it and the anus.
3. During anal examinations such as digital rectal exams, using an anoscope or other instruments, be cautious not to use excessive force to prevent anal canal injury leading to anal fissures. Timely treat anal cryptitis to prevent infection-induced ulcers and subcutaneous fistulas. Promptly manage Crohn's disease, ulcerative colitis, and other intestinal diseases to prevent anal fissure complications.
The Anorectal Center of the Nanjing Armed Police Hospital reminds that many female cases of anal fissures occur postpartum due to the enlarged uterus during pregnancy pressing on the rectum, affecting anal blood circulation. Postpartum, the pelvic cavity becomes empty, the intestinal cavity expands, and feces accumulate. At the same time, postpartum diets often lack fiber, leading to dry stools. Additionally, reduced intestinal mobility due to lying down and infrequent bowel movements result in constipation. Hard feces during defecation can tear the anus, causing anal fissures.
Therefore, especially during pregnancy and postpartum periods, it's essential to soften stools and protect the anus. By cultivating good living habits, anal fissures can be prevented. Moreover, women should particularly pay attention to menstrual hygiene and maintaining smooth bowel movements.
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[Nanjing Armed Police Hospital Anorectal Center] http://www.jsgcw.com[http://www.jsgcw.com/]
[Nanjing Armed Police Hospital Anorectal Center] http://www.njgcyy.net[http://www.njgcyy.net/]
[Nanjing Armed Police Hospital Anorectal Center] http://www.jswjyy.com[http://www.jswjyy.com/]
[Nanjing Armed Police Hospital Anorectal Center] http://www.wjgc.net[http://www.wjgc.net/]
Consultation Phone: 025-85500079 Consultation QQ: 997287111
Hospital Address: No. 256 Heyan Road, Nanjing (100 meters to the right of the North Gate of Hongshan Zoo)
Transportation Route: Get off at Hongshan Zoo Station on Metro Line 1; Buses 30, 8, 64, 54, 72, 77, Yuguo Line, Nanzhou Line get off at Dongjingting Station;
[Yangzhou Armed Police Hospital Anorectal Center] http://www.yzwjyy.com[http://www.yzwjyy.com/]
Consultation Phone: 0514-87218120 Consultation QQ: 997287111
Hospital Address: No. 8 Jiangnan South Road, Yangzhou, Jiangsu Province
Transportation Route: Take buses 4, 19, 25, 26, 26 Late Night, 66, 66 Late Night, 101, 102, 201, 208, 209 within Yangzhou City and get off at Armed Police Hospital Station;
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