How to Determine Complete Healing of Anal Fissures Before Beach Trip? - Surgery

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In the past month, I have experienced anal fissures three times. How can I determine if they are completely healed, and is it safe to come into contact with seawater?


Hello, doctor.
In the past month, I have experienced anal fissures three times.
The first time, there were two 1.5 cm wounds extending towards the vaginal opening.
After applying medication for a week, it seemed to have healed, so I stopped applying it.
However, it recurred later, and after applying medication again, the symptoms improved quite quickly, but I am unsure if it actually healed completely.
During that time, I was also treating a vaginal yeast infection (with oral antibiotics and topical vaginal ointment).
This time, one of the fissures also extends towards the vaginal opening.
I have been applying the zinc oxide ointment prescribed by my doctor and have started sitz baths (currently doing it once a day).
Today, at the beginning of my bowel movement, the stool was somewhat hard, causing slight discomfort, but there was no blood during wiping.
The middle part was formed but somewhat soft, and the end was not completely finished.

1.
Since I will be traveling to Green Island in three days, how can I determine if the anal fissure has completely healed? Is there a chance it could heal within three days? Currently, I feel some pain in the anal area while sitting, and occasionally I experience mild itching.

2.
If it has not fully healed, can the fissure be exposed to seawater? Do you have any recommended precautions or advice?

Miss Huang, 20~29 year old female. Ask Date: 2020/09/01

Dr. Yu Mingchang reply Surgery


Hello: Soft stools are preferred so that you can enjoy the seawater.
The Changhua Hospital of the Ministry of Health and Welfare cares about you.

Reply Date: 2020/09/01

More Info


When it comes to determining the complete healing of anal fissures, especially before a beach trip, there are several factors to consider. Anal fissures are small tears in the lining of the anus, often caused by passing hard stools, and they can be quite painful. Healing can vary from person to person, and while some fissures may heal quickly, others may take longer, especially if there are contributing factors such as ongoing infections or dietary issues.


Signs of Healing
1. Pain Reduction: One of the primary indicators of healing is a reduction in pain. If you notice that the pain during bowel movements is lessening and that you are experiencing less discomfort while sitting, this is a positive sign.

2. Absence of Bleeding: If you have not observed any blood during bowel movements or when wiping, this indicates that the fissure may be healing. Blood is often a sign of irritation or injury, so its absence is encouraging.

3. Stool Consistency: Softer, well-formed stools are less likely to aggravate fissures. If your bowel movements are becoming more regular and less painful, this is another sign of healing.

4. Skin Appearance: If you can visually inspect the area (with care), look for signs of healing such as reduced redness and swelling. The fissure should appear less pronounced over time.


Timeframe for Healing
While some fissures can heal within a few days, others may take weeks. Given that you have experienced multiple fissures in a month, it is essential to be cautious. The fact that you are experiencing some discomfort and occasional itching suggests that the fissure may not be fully healed. It is unlikely that a fissure will completely heal in just three days, but with proper care, significant improvement can be made.


Activities and Precautions
1. Avoid Irritants: If the fissure is not fully healed, it is advisable to avoid exposing it to irritants such as seawater, which can cause stinging and discomfort. If you do choose to go into the water, ensure that you rinse off afterward and gently pat the area dry.

2. Maintain Hygiene: Continue with sitz baths, as they can help soothe the area and promote healing. Keeping the area clean and dry is crucial.

3. Dietary Considerations: Ensure you are consuming a high-fiber diet to prevent hard stools. Staying hydrated is also essential, as it helps soften stool and reduces strain during bowel movements.

4. Medication: Continue using any topical treatments prescribed by your doctor, such as zinc oxide ointment, as this can help protect the area and promote healing.

5. Listen to Your Body: If you experience increased pain or bleeding, it may be best to avoid activities that could exacerbate the fissure, including swimming.


Conclusion
In summary, while it is possible for anal fissures to heal relatively quickly, complete healing in just three days is unlikely, especially given your history of recurrent fissures. Pay close attention to the signs of healing, maintain good hygiene, and consider avoiding seawater exposure if you are still experiencing discomfort. If you have any concerns or if the fissure does not seem to improve, it is advisable to consult your healthcare provider for further evaluation and management. Enjoy your trip, but prioritize your health and comfort!

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