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Introduction: Anal fissures are common pathologies that can lead to short- and long-term complications in patients. They have variable etiology, and are mostly due to intestinal constipation. The therapeutic principles consist of reducing the traumatic mechanism, relieving symptoms, and reversing sphincter hypertonia. Drug treatment is based on the use of topical diltiazem. The objective of this study was to study the efficacy of Aloe Vera, comparing it with that of Diltiazem, since it has been proven that fresh Aloe Vera can improve wound healing. Method: literature review with search in the Scielo, PubMed, and Google Scholar databases. Inclusion and exclusion criteria were applied, and 70 articles were selected to compose the study. Results and Discussion: Anal fissure consists of a solution of continuity of the lining of the anal canal located distally to the mucocutaneous junction. Typical symptoms include proctalgia and rectal bleeding associated with defecation, which can often be accompanied by constipation. Conservative treatment involves the use of botulinum toxin, nitroglycerin, lidocaine, or calcium channel blockers such as diltiazem or nifedipine. Considering that Brazil has a wide variety of native plant species, phytotherapy has been increasingly used in pathologies. Studies have shown the benefits of Aloe vera for therapeutic purposes, acting as an antimicrobial, emollient, anesthetic, and healing agent, acting on the regeneration of cellular tissue, and controlling the inflammatory process. Conclusion: The use of Aloe vera in the treatment of fissures has shown significant efficacy, in addition to being low cost, more accessible, and with good therapeutic adherence by patients.
References
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