Anal fissure primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Primary Prevention

In infants under one year old, frequent diaper change can prevent anal fissure. For adults, the following can help prevent fissure:

  • 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).

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