Treatment of anal fissure after childbirth

Anal fissures after giving birth are particularly difficult for many of us. This situation has become an unspeakable secret for many of us and a privacy issue for many of us. For many years, people are unwilling to go to relevant hospitals for treatment for this problem. As a result, they are unwilling to treat the disease due to delaying treatment, which greatly increases the difficulty of treating the disease. It is very necessary to understand the treatment method of anal fissures after giving birth as soon as possible.

1. First of all, you need to rest in bed, drink plenty of water, avoid irritating foods, and hot water sitz baths can improve blood circulation in the perineum and relieve symptoms. Alkaline drugs such as sodium bicarbonate or potassium citrate can reduce urine acidity and relieve bladder spasms. Flavonoids (Urinary Ling) can relieve spasms and reduce urinary tract irritation symptoms. The traditional 10-14 day antibacterial therapy is not necessary for uncomplicated cystitis. A single high-dose or a short course of 3 days is recommended both domestically and internationally.

2. Many reports show that a single high-dose of antibiotics can achieve satisfactory results in the treatment of simple cystitis, and there is no difference with the 14-day treatment. A single bolus dose has several advantages:

①The method is simple and patients are willing to accept it;

② Low medical expenses;

③High cure rate and significant efficacy;

④Drug toxicity and side effects rarely occur;

⑤ Very few drug-resistant strains are produced.

3. The specific medication method is: sulfamethoxazole (SMZ) 2.0g, trimethoprim (TMP) 0.4g, sodium bicarbonate 1.0g, taken once; or 5 tablets of co-trimoxazole, or 3.0g of amoxicillin, or 400mg of trimethoprim, taken once.

In order to completely sterilize, some authors believe that the routine treatment course is still appropriate to be 3 days. 2 tablets of co-trimoxazole plus 1.0g of sodium bicarbonate, twice a day; or 0.5g of amoxicillin, 4 times a day; 0.2g of ofloxacin, twice a day. All taken for 3 consecutive days have a cure rate for cystitis similar to the traditional 14-day treatment, with fewer side effects. Its indications and contraindications are the same as those for single-course therapy. As for lower urinary tract infections in the elderly, Mccne believes that regardless of whether the infection is symptomatic or asymptomatic, the elderly should adopt a 5-7 day treatment course, because the elderly often have abnormal bladder function, incomplete bladder outlet obstruction, and atrophy of the vaginal and urethral mucosa, which makes treatment more difficult.

4. Single-dose therapy and 3-day therapy avoid the increase of drug-resistant bacteria and side effects caused by unnecessary long-term medication, but measures to prevent recurrence should be strengthened. If the symptoms do not disappear, pus cells in the urine continue to exist, and the bacterial culture is still positive, bacterial resistance or the presence of infection factors should be considered. It is necessary to adjust the more suitable antibacterial drugs in time and extend the application time in order to achieve the goal of early cure. For chronic cystitis that cannot be cured for a long time or recurs repeatedly, a detailed and comprehensive urinary system examination should be conducted to eliminate obstructive factors, control the primary lesions, and keep the urinary tract unobstructed. Urinary retention and cystitis caused by nervous system diseases are treated according to the type of functional disorder.

The above treatment methods for anal fissure after childbirth are summarized by some authoritative experts. They are very good methods, which are very helpful for us to alleviate this situation. They can achieve the best healing effect in the shortest time. At the same time, we must also pay close attention to the subtle changes in our body.