Picture of an anal fissure

Using a pea-sized amount of ointment 5 or 6 times a day is often better than using a larger amount twice a day. If you experience prolonged burning pain after passing stools, your doctor may recommend taking common painkillers, such as paracetamol or ibuprofen which you can buy from a pharmacy or supermarket. In addition, there were less side effects with topical diltiazem. Partial lateral internal sphincterotomy versus combined botulinum toxin A injection and topical diltiazem in the treatment of chronic anal fissure: a randomized clinical trial. Water stream in a bidet-toilet as a cause of anterior fissure-in-ano: a preliminary report. Nzimbala M J, Bruyninx L. Tailored lateral sphincterotomy for anal fissure.
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Anal Fissure

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Anal Fissure Expanded Information

Chronic fissure-in-ano: a randomized study comparing open and subcutaneous lateral internal sphincterotomy. It can occur in any part of the body. Calcium Channel Blockers These medications include diltiazam and nifedipine. The fissure is usually visible at inspection of the gently distracted anus Fig. This should prevent the muscle from spasming, helping reduce pain and allowing the fissure to heal. Most patients believe the pain they are experiencing is due to hemorrhoids, and they may be reluctant to accept the diagnosis of fissure.
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The five common symptoms of anal disease | Boutall | Continuing Medical Education

Systemic absorption of the compound can result in vasodilation and severe headaches. Sahai Suspected Anal Fistula 1 Dr. Acute fissures may have the appearance of a simple tear in the anus, whereas chronic fissures may have swelling and scar tissue present. Side effects can include headaches, dizziness, and itchiness or burning at the site when you use the medicine. Fiber Constipation Constipation Fiber. Chronic anal fissure from suspected adult sexual abuse in a traumatic anal sex practice patient.
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Chronic fissures are present for more than 6 to 8 weeks. Also, avoid straining during bowel movements. When chronic fissures develop, healing is more difficult to achieve. Anal fissure care at Mayo Clinic. Chronic anal fissure from suspected adult sexual abuse in a traumatic anal sex practice patient. Mayo Clinic in Rochester, Minn. Sahai Rectal Cancer Staging 3 Dr.
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