Anal Fissure Case
Symptoms
For four weeks, the patient felt pain, saw blood, and felt a burning sensation with every operation she defecated. The patient was patient and endured, her pain was intense pain the moment the stool came out, and after it came out, she felt a severe burning sensation in the anus as she noticed these points on the toilet seat. And the patient was shy to see the doctor for several consecutive weeks.
Suffering
The patient stopped eating and stopped passing stools for several days repeatedly due to her fear of pain and burning that she expected to happen, like what happened with her last time, and she believed that this would give the anus a break to recover if there was anything in it, along with drinking a lot of fluids (dependence Having lots of fluids instead of eating may increase constipation, which is what happened with her).
After two weeks, the patient went to a gynecologist and told her about symptoms that were much milder than her real symptoms, and she asked her for medication to relieve pain and an ointment. The patient felt very shy to see a specialist for the sensitivity of the painful area.
Treatment
The pain that the patient brought to Dr. Khaldoun’s clinic was because of it. The patient felt it as if a broken glass is what comes out of the anus and not stools. It felt as if the anus was being severed by severe wounds, so family members transferred her to the anal clinic directly.
Dr. Khaldoun reviewed and studied the case in detail, and it became clear to him that the patient suffers from severe constipation as a result of the type of diet that she is currently following to reduce her weight, and this nutritional imbalance led to her constipation and resulted in a wound in the anal canal.
Because the patient has exceeded the duration of her illness 3 weeks, her disease is medically classified as a chronic anal fissure, so the appropriate treatment for her is the injection of material under local anesthesia, which takes place within 5 minutes only, and in which the involuntary, spastic internal muscle is relaxed, which causes the blood flow to the anal fissure to stop and prevent healing and treatment. Solve the matter.
The amount of material, the method of injection and the points of injection are all important factors in the success of the treatment, which was done accurately for the patient
Result
The treatment was done in only five minutes and under local anesthesia, material was injected, and I called the doctor two days later to thank him and tell him that she had returned to her normal life and that the suffering had completely ended the same day.