The human body is made up of many different parts with various functions. Nevertheless, they are all a part of one individual and so are interconnected, helping one another so that the body as a whole would work properly. This may be good and all but with this comes the risk of affecting each other when one part has a problem. This is why medical histories are evaluated during consultations and full body check-ups are observed. The presence of more than one disorder or malady may complicate the healing process of the main condition being dealt with.
In the case of anal fissures, which are tears in the anoderm or anal canal skin, several diseases are looked into for how they affect this condition. Two of which are gout and diabetes.
Gout Arthritis
Gout is a type of arthritis characterized by high uric acid in the blood. The uric acid accumulate to form crystals that cause pain and inflammation in the small joints of the body. The most common is in the big toe although it could also happen in the hands, knees, elbows, and the feet. Uric acid comes from the compound purine which may be acquired through foods like meat and alcoholic beverage. This is why risk is higher for alcoholics and overweight people.
There are very few studies related to finding the effects of gout on anal fissures. In one such study made up of women aged 60 and above having both gout and anal fissure, the presence of other diseases was also observed. This does not really conclude that gout affects fissures. Although this may suggest a relation between them. As for studies related to high uric acid levels, no anal fissure has been accounted for. This implies that high uric acid does not cause anal fissure but this does not mean that it does not complicate the condition.
Diabetes
Diabetes mellitus is a complex disease involving the metabolism of the body. With this condition, the body is having problems converting blood sugar into energy to be used by the body. It can be because the pancreas is not producing enough insulin, which is the sugar to energy converter of the body, or because the cells do not react to insulin as it should.
Diabetes affects wound healing in a number of ways. Since anal fissures are wounds to begin with, this means healing is complicated by the disease. High blood sugar brought about by diabetes makes blood vessels narrower and prevents smooth circulation of blood. This prevents antibodies from fighting infection in the wound and slows down recovery. Moreover, if the high blood sugar persists, nerves are also affected by loss of sensation that helps people feel the pain from wounds and their severity. Without being aware of this, the wound may be ignored and left untreated and get worse. Diabetes may also cause infection since diabetes lowers the body’s immunity.
From this we can gather that while gout arthritis may appear in people suffering from anal fissures, there is no conclusive evidence that it may complicate the relief of anal fissure. On the other hand, diabetics will suffer from slower wound healing of anal fissures due to the effects the disease brings.
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