Anal Fissure_ Causes Symptoms Treatment Urdu Hindi - Pakhane Ke Raste Khoon Ana- Anal Fissure Relief(360P) - video Dailymotion

Shoaib Ahmad

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00:06Assalam-o-Alaikum, my name is Dr. Vasanth Majid Chaudhary

00:08I am working as a consultant surgeon

00:10at Surgement Hospital, Lahore.

00:12Today, I will talk to you

00:14about anal fissure

00:16in detail.

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00:36easily.

00:58If I come to the reasons,

01:00the most common reason

01:02is constipation.

01:04Permanent constipation.

01:06Patients who have constipation

01:08at any time

01:10when they have to apply

01:12force,

01:14because of that force,

01:16severe constipation

01:18in the back of the

01:20bowel,

01:22it comes out tearing

01:24and makes a wound there.

01:26One reason is

01:28severe constipation due to constipation

01:30and it makes a wound there.

01:32Second, if some people

01:34have diarrhea

01:36or have

01:38a lot of

01:40watery stool,

01:42that too, because of

01:44coming again and again,

01:46it makes a wound in the back of the bowel,

01:48which is called anal fissure.

01:50Third,

01:52the most important reason among women

01:54is that

01:56during delivery,

01:58when the child's head

02:00reaches down,

02:02due to its pressure,

02:04pressure comes on the front

02:06side of the bowel

02:08and this cut

02:10in those pregnant women

02:12comes forward.

02:14These three are very common reasons

02:16for anal fissure.

02:18If we talk about its symptoms,

02:20the most common

02:22symptom is pain

02:24along the way of delivery.

02:26This pain is very severe

02:28and

02:30along with this,

02:32blood often comes

02:34which, along with

02:36the end of delivery,

02:38mixes with

02:40diarrhea.

02:42If I

02:44want to differentiate

02:46this with diarrhea,

02:48then in diarrhea,

02:50blood comes in the form of

02:52diarrhea, whereas

02:54in anal fissure,

02:56mixed with diarrhea,

02:58blood comes in the form of

03:00a streak.

03:02The amount of blood is not much,

03:04often three to four drops,

03:06whereas in diarrhea,

03:08the amount of blood is more.

03:10These are the two

03:12common symptoms

03:14with which anal fissure

03:16presents.

03:18These are the symptoms

03:20and there is no need

03:22for long-term

03:24investigations

03:26to diagnose it.

03:28If a certified surgeon

03:30examines the outside and inside

03:32of the anus,

03:34it can be easily diagnosed.

03:36When the surgeon examines it,

03:38if we separate

03:40the anus a little,

03:42the posterior

03:44anal fissure,

03:46which is called the posterior fissure,

03:48can be seen clearly.

03:50Similarly, if we separate the anterior

03:52anal fissure,

03:54which is called the anterior anal fissure,

03:56it can be seen easily.

03:58There is no need for

04:00any investigation or ultrasound.

04:02When it is diagnosed,

04:04its treatment

04:06is non-surgical

04:08in about 80% of the patients.

04:10There is no need for surgery.

04:12There are medicines

04:14that can be used

04:16to treat it easily.

04:1880% of the patients

04:20are cured with those medicines.

04:22The remaining 15-20%

04:24of the patients

04:26who are not able to

04:28use the medicines properly

04:30or due to some reason

04:32they are not healed,

04:34they have to go for surgery.

04:36There are two ointments

04:38in the treatment

04:40which we mix and apply

04:42on the anterior anal fissure.

04:44It has to be done

04:46for 3-4 weeks.

04:48Along with this,

04:50the diet has to be modified.

04:52For example,

04:54the balanced diet

04:56in which

04:58carbohydrate,

05:00proteins and fats

05:02are used in an appropriate amount.

05:048-10 glasses of water

05:06should be taken daily.

05:08After that,

05:10fast food,

05:12pizza and burgers

05:14should be avoided.

05:16In addition,

05:18the bulk of the food

05:20that is cooked

05:22in the diet

05:24should be used

05:26before going to bed.

05:308-10 glasses

05:32of water

05:34should be taken

05:36daily.

05:38The content

05:40of the water

05:42in the stool

05:44is very good

05:46and there is no problem

05:48in fasting.

05:50For those people

05:52who are not able to

05:54digest food properly,

05:56we give them some

05:58syrups which

06:00make the food soft

06:02and the stools

06:04become soft.

06:06These are some precautions

06:08and if the pain

06:10is very severe,

06:12then we give

06:14the patient

06:16painkillers

06:18and usually

06:20the pain

06:22of the anal fissure

06:24goes away.

06:26If all the precautions

06:28that I have told you

06:30are not

06:32correct

06:34then we have to

06:36go for the surgery.

06:38The surgery is very simple

06:40and the reason

06:42is that the

06:44way of cooking

06:46is tight

06:48and when the food

06:50is cooked

06:52hard, it hurts

06:54the patient.

06:56So, we have to

06:58relax the tight way

07:00of cooking

07:02and when we cut

07:04the mechanism of

07:06cooking,

07:08the way of cooking

07:10opens up

07:12and the food

07:14is cooked easily

07:16and we get time

07:18to fill the wound.

07:20So, this is a small operation

07:22for which

07:24there is no need

07:26of long investigations.

07:28We do this as a day case procedure.

07:30We send the patient

07:32home in the evening.

07:34This can be done in complete unconsciousness

07:36and it can be done

07:38through spinal anaesthesia.

07:40The healing

07:42after the surgery

07:44is very good

07:46and the patient can resume

07:48his daily activities from the next day.

07:50If you want to know

07:52anything else about this disease

07:54or if you want to contact us for treatment,

07:56then you can call

07:58and make an appointment with us.

08:00Thank you!

08:28www.ottobock.com

Anal Fissure_ Causes Symptoms Treatment Urdu Hindi - Pakhane Ke Raste Khoon Ana- Anal Fissure Relief(360P)

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