A member asked:

Saw pcp recently.said i had a small anal fissure.gave me suppositories and some numbing agent (and cream for hemorrhoids).saw slight blood today. bad?

2 doctors weighed in across 2 answers

Relax the sphincter: Fissure form due to anal sphincter muscles pulling against each other tearing the mucosa and forming the fistula. Relaxing the muscles with nifedipine ointment is the best therapy.

Answered 12/12/2015

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Fissure: never use suppository with anal fissure ! It's cruel and not help. Hemorrhoids cream not help - lack of education to use this. Need nifedipine cream 0.2% 2x daily 8weeks

Answered 10/25/2014

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