Recovery from hemorrhoids and anal fissure without surgery

Background/Aims: An anal fissure (AF) is a linear tear in the distal anal canal and is one of the most common causes of anal pain. Hemorrhoidal disease (HD) is a symptomatic growth and distal displacement of normal anal cushions. Numerous studies have addressed the contributing factors of these cond...

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Bibliographic Details
Published in:The Turkish journal of gastroenterology 2020-04, Vol.31 (4), p.289-294
Main Authors: Sisik, Abdullah, Basak, Fatih, Hasbahceci, Mustafa, Acar, Aylin, Kilic, Ali, Ozel, Yahya, Bas, Gurhan
Format: Article
Language:English
Subjects:
Anal fissure
Analysis
Gastrointestinal diseases
Hemorrhoids
Medical research
Medicine, Experimental
Original
Risk factors
Surveys
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Summary:Background/Aims: An anal fissure (AF) is a linear tear in the distal anal canal and is one of the most common causes of anal pain. Hemorrhoidal disease (HD) is a symptomatic growth and distal displacement of normal anal cushions. Numerous studies have addressed the contributing factors of these conditions, yet the results remain controversial. In this study, we hypothesize that increasing patients' awareness of hidden risk factors could reduce the rate of HD and AF. Materials and Methods: A questionnaire-based controlled study was planned. After power analysis, patients with HD (n=60) and AF (n=60) were enrolled consecutively into the study group and compared with the control group (n=60) of healthy individuals. The survey was designed to assess the participants' toilet and dietary habits and anxiety risk. Odds ratios were calculated and a binary logistic regression model was constructed to identify associated factors. Results: Hard stools, spending more than 5 minutes in the toilet, frequent straining during defecation, and increased spice intake were more frequent in the patients with HD; and hard fecal consistency, time elapsed in toilet greater than 5 min, straining during defecation, and high anxiety risk were more frequent in the patients with AF as compared to the control group (p
ISSN:1300-4948
2148-5607
DOI:10.5152/tjg.2020.19183