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A member asked:
Treating fissure w nitroglycerin, heard fissure can come back due to continued increased rectal pressure. why? this did not happen until after labor.
A doctor has provided 1 answer
Anal fissure: Increased resting pressure with poor relaxation of internal sphincter muscle (not external sphincter) can cause recurrent anal fissuring in the midst of constipation. If correction of constipation does not keep you fissure free, then a more definitive option is left lateral sphincterotomy.
Answered 2/11/2014
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