A member asked:

What to do if i have external piles & fissure please help me.?

A doctor has provided 1 answer
Dr. Johnny Green answered

Specializes in Colon and Rectal Surgery

Diltiazem cream: Anal fissure often causes spasm of the internal anal sphincter with painful stools. The spasm leads to external (and internal hemorrhoids). Many get relief of the spasm and pain with topical calcium channel blocker creams such as Diltiazem or nifedipine. Low concentration Nitroglycerin cream is also effective but about 10% of patients get headaches. Also need to keep the stool soft.

Answered 6/30/2014

4.4k views

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