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A member asked:
Too much pain due to anal fissure checked with surgeon also but she say abt surgery i am not agree for that plz help suggest any any medicine?
A doctor has provided 1 answer
Meds, possibly Botox: There are topical medications (in cream form) that can be used to help fissures heal; diltiazem is prob most commonly used. For patients who fail to heal with this, injection of Botox to temporarily paralyze the internal sphincter can produce healing. I try to avoid sphincterotomy in women due to the higher risk of continence impairment (higher than in men).
Answered 1/16/2015
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