{"id":23441,"date":"2026-07-17T11:41:12","date_gmt":"2026-07-17T11:41:12","guid":{"rendered":"https:\/\/farmaciacrisia.ro\/?p=23441"},"modified":"2026-07-17T11:46:10","modified_gmt":"2026-07-17T11:46:10","slug":"fisura-anala","status":"publish","type":"post","link":"https:\/\/crisiafarm.pl\/en\/fisura-anala\/","title":{"rendered":"Anal Fissure"},"content":{"rendered":"
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Anal Fissure<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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- why some lesions don't heal spontaneously -<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tIntense pain<\/b> occurring during or after bowel movements is one of the most common reasons patients seek a proctology consultation. In many cases, the cause is an anal fissure<\/b>, a seemingly simple condition that can nonetheless significantly impact quality of life. Because of the discomfort it causes, an anal fissure can turn a normal physiological act into a painful and anxiety-inducing experience.\n
\nAlthough some fissures heal spontaneously within a few weeks, there are situations where the lesion persists<\/b> and progresses to a chronic form, requiring specific treatment.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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What is an anal fissure?<\/strong><\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tAnal Fissure<\/b> is a linear tear in the mucosa of the anal canal. It most commonly occurs at the posterior part of the anus, in an area with reduced blood flow that is susceptible to trauma. The lesion can range from a small superficial fissure to a deeper tear involving the underlying tissue. Once it appears, it triggers a vicious cycle made up of pain, muscle spasm, and difficult healing.<\/b>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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What are the causes?<\/strong><\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tThe most common cause<\/b> is passing hard, bulky stools. Chronic constipation<\/b> promotes trauma to the anal mucosa and the appearance of the fissure. However, the condition can also occur in other situations, such as repeated episodes of diarrhea, intense straining during bowel movements, the postpartum period, or certain inflammatory bowel diseases. In some people, hypertonia of the internal anal sphincter plays an important role. Excessive muscle contraction<\/b> reduces local blood flow and prevents normal healing of the lesion.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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How does it manifest itself?<\/strong><\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tDurerea<\/b> is the dominant symptom. Patients frequently describe it as a sharp, burning, or intense stinging sensation<\/b> that occurs during bowel movements and can persist for minutes or even hours afterward.\n\nMany people also notice small amounts of bright red blood on toilet paper or on the surface of the stool.\n\nBecause of the pain, patients may begin to delay going to the toilet, which promotes worsening constipation and perpetuates the problem.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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The difference between an acute and a chronic fissure<\/strong><\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tAn acute fissure<\/b> is a recently formed lesion, which has a good chance of healing if the contributing causes are eliminated and appropriate treatment is started.\n
\nWhen symptoms persist for more than six to eight weeks,<\/b>, the fissure is considered chronic<\/b>. At this stage, local changes appear that hinder spontaneous healing, including hypertrophy of the anal papillae and the formation of a small skin excess at the exterior of the anus.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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How is an anal fissure treated?<\/strong><\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tTratamentul<\/b> aims to reduce pain, relax the anal muscles, and promote healing of the mucosa.\n
\nThe first recommendations include increasing fiber intake,<\/b>, proper hydration,<\/b> \u0219i evitarea constipa\u021biei. B\u0103ile de \u0219ezut cu ap\u0103 cald\u0103 pot contribui la reducerea disconfortului \u0219i la relaxarea musculaturii locale.\n\n\u00cen formele persistente sunt utilizate frecvent tratamente locale<\/b> which aim to reduce sphincter spasm and improve local blood flow.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"fibre_hidratare\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Ce rol au preparatele magistrale?<\/strong><\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tTratamentul local<\/b> is one of the most important components of managing chronic anal fissure. In certain situations, compounded preparations allow several active substances to be combined into a single formula adapted to the patient's needs.\n
\nSubstances<\/b> precum nifedipina<\/b> sau diltiazemul<\/b> are used to reduce the tone of the internal anal sphincter and improve local blood flow. These can be combined with lidocaina<\/b> for pain control, or with substances that promote mucosal regeneration.\n
\nPersonalizing the concentrations<\/b> and the combination of ingredients allows adaptarea tratamentului<\/b> to the severity of symptoms and the patient's individual tolerance.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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When is a medical consultation necessary?<\/strong><\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tPersistent pain<\/b> during bowel movements, repeated bleeding, or lack of improvement after a few weeks of treatment are reasons for a specialist consultation. A correct diagnosis<\/b> is important because the symptoms of an anal fissure can be mistaken for those of other anorectal conditions.\n
\nEvaluarea precoce<\/b> and starting a tratament adecvat<\/b> can prevent the lesion from becoming chronic and the need for more invasive procedures.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Fisura anal\u0103 – de ce unele leziuni nu se vindec\u0103 spontan – Durerea intens\u0103 ap\u0103rut\u0103 \u00een timpul sau dup\u0103 defeca\u021bie este unul dintre cele mai frecvente motive pentru care pacien\u021bii solicit\u0103 consult proctologic. \u00cen multe cazuri, cauza este reprezentat\u0103 de […]<\/p>\n","protected":false},"author":1,"featured_media":23443,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-23441","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/crisiafarm.pl\/en\/wp-json\/wp\/v2\/posts\/23441","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/crisiafarm.pl\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/crisiafarm.pl\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/crisiafarm.pl\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/crisiafarm.pl\/en\/wp-json\/wp\/v2\/comments?post=23441"}],"version-history":[{"count":7,"href":"https:\/\/crisiafarm.pl\/en\/wp-json\/wp\/v2\/posts\/23441\/revisions"}],"predecessor-version":[{"id":23451,"href":"https:\/\/crisiafarm.pl\/en\/wp-json\/wp\/v2\/posts\/23441\/revisions\/23451"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/crisiafarm.pl\/en\/wp-json\/wp\/v2\/media\/23443"}],"wp:attachment":[{"href":"https:\/\/crisiafarm.pl\/en\/wp-json\/wp\/v2\/media?parent=23441"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/crisiafarm.pl\/en\/wp-json\/wp\/v2\/categories?post=23441"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/crisiafarm.pl\/en\/wp-json\/wp\/v2\/tags?post=23441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}