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==Overview==
==Overview==
Effective measures for the primary prevention of anal fissure include frequent diaper change in infants and preventing constipation. In adults, the approach is to prevent [[constipation]] and treating it appropriately by adopting dietary measures like eating diet rich in fibers, drinking water and also [[stool softener]] if needed. Treating [[diarrhea]] and to prevent straining in the toilet. Keeping anal hygiene and avoiding  anal intercourse. 
==Primary Prevention==
==Primary Prevention==
In infants under one year old, frequent diaper change can prevent anal fissure.  For adults, the following can help prevent fissure:
* In infants under one year old, frequent diaper change can prevent anal fissure.   


*Treating constipation by eating food rich in [[fiber|dietary fiber]], avoiding [[caffeine]] (which can increase constipation),<ref> Basson, Marc D. , "Constipation" emedicine [http://www.emedicine.com/med/topic2833.htm] </ref> drinking a lot of water and taking stool softener.
* Effective measures for the primary prevention of anal fissure in adults include:
*Treating [[diarrhea]] promptly.
**Treating [[constipation]] by eating food rich in [[fiber|dietary fiber]], avoiding [[caffeine]] (which can increase [[constipation]]), drinking a lot of water and taking a stool softener.
*Lubricating the anal canal with KY Jelly or other water-based lubrication before inserting anything (ex: vibrator, penis) into your anal canal.(petroleum jelly is not recommended because it can harbor harmful bacteria).
**Treating [[diarrhea]] promptly.
*Avoiding straining or prolonged sitting on the toilet.
**Lubricating the anal canal with KY Jelly or other water-based lubrication before inserting anything (ex: vibrator, penis) into your anal canal. Petroleum jelly is not recommended because it can harbor harmful bacteria.
*Using a moist wipe instead of perfumed and harsh toilet paper.
**Avoiding straining or prolonged sitting on the toilet.
*Keeping the anus dry and hygienic.
**Using a moist wipe instead of perfumed and harsh toilet paper.
*When using Analpram (cream) do not use the dispenser which can injure the area. Instead use a finger to insert a pea size amount of cream.   
**Keeping the anus dry and hygienic.
*[[Carmex]] lip ointment (the version <i>without</i> sunscreen-protection chemicals) also helps and is much less expensive than Analpram ($70.00 small tube).
**When using Analpram (cream), do not use the dispenser which can injure the area. Instead, use a finger to insert a pea size amount of cream.   
**[[Carmex]] lip ointment (the version without sunscreen-protection chemicals) also helps and is much less expensive than Analpram ($70.00 small tube).


==References==
==References==
{{reflist|2}}
{{reflist|2}}
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{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Medicine]]
[[Category:Gastroenterology]]
[[Category:Up-To-Date]]

Latest revision as of 20:24, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]

Overview

Effective measures for the primary prevention of anal fissure include frequent diaper change in infants and preventing constipation. In adults, the approach is to prevent constipation and treating it appropriately by adopting dietary measures like eating diet rich in fibers, drinking water and also stool softener if needed. Treating diarrhea and to prevent straining in the toilet. Keeping anal hygiene and avoiding anal intercourse.

Primary Prevention

  • In infants under one year old, frequent diaper change can prevent anal fissure.
  • Effective measures for the primary prevention of anal fissure in adults include:
    • Treating constipation by eating food rich in dietary fiber, avoiding caffeine (which can increase constipation), drinking a lot of water and taking a stool softener.
    • Treating diarrhea promptly.
    • Lubricating the anal canal with KY Jelly or other water-based lubrication before inserting anything (ex: vibrator, penis) into your anal canal. Petroleum jelly is not recommended because it can harbor harmful bacteria.
    • Avoiding straining or prolonged sitting on the toilet.
    • Using a moist wipe instead of perfumed and harsh toilet paper.
    • Keeping the anus dry and hygienic.
    • When using Analpram (cream), do not use the dispenser which can injure the area. Instead, use a finger to insert a pea size amount of cream.
    • Carmex lip ointment (the version without sunscreen-protection chemicals) also helps and is much less expensive than Analpram ($70.00 small tube).

References

​​ Template:WH Template:WS