"Is肛裂 caused by straining during bowel movements a form of hemorrhoids?"

Fecal Impaction Leading to Anal Fissure, Typically Not Hemorrhoids

Anal fissure caused by fecal impaction is generally not a case of hemorrhoids. Hemorrhoids are soft venous clusters formed by the flexion and dilation of the venous plexus under the mucous membrane at the end of the rectum and the skin of the anal canal. They often manifest as symptoms such as hematochezia (blood in stool) and anal pain. In contrast, anal fissures due to fecal impaction are more commonly associated with factors like constipation and poor bowel habits.

1. Constipation: If a patient has a long-term improper diet or lacks exercise, it may lead to slowed gastrointestinal motility. As a result, feces remain in the intestines for an extended period, becoming dry and hard after water absorption, ultimately causing constipation. The dry and hard feces, when expelled with excessive force, can rupture the anus, leading to an anal fissure.

2. Poor Bowel Habits: If a patient neglects personal hygiene or has poor bowel habits, such as spending excessive time squatting during bowel movements, it may cause excessive absorption of water from the feces, contributing to constipation. When the patient exerts excessive force during defecation, it can rupture the anus, causing an anal fissure.

3. Other Factors: If a patient suffers from conditions like ulcerative colitis or Crohn's disease, it may lead to inflammatory reactions in the rectum and surrounding tissues, accompanied by congestion and edema. In such cases, consuming spicy or irritating foods like chili peppers can irritate the affected area, worsening the condition. If the patient exerts excessive force during defecation, it can rupture the anus, resulting in an anal fissure.

It is recommended that patients promptly visit a hospital for diagnosis through relevant examinations. If symptoms are caused by hemorrhoids, treatment options like Compound Carrageenan Ester Cream can be prescribed under medical supervision. For symptoms stemming from constipation, medications like Maren Runchang Pills can be administered as prescribed.