Doctor insights on:
Skin Fissure Treatment
What is annal fissure disease, Is this disease easily curable and what are its causes and treatment.
A tear at outlet: Anal fissure is incredibly common and is simply a tear of the lining of the anal outlet. The tear bleeds bright red blood and exposes the inner anal muscle which responds by going into spasm which causes pain. The tear is caused by straining. Treatment is to stay away from straining with stool softeners and fiber supplement and warm water or medication to treat muscle spasm like nifedipine ...Read moreSee 2 more doctor answers
Grooves or clefts in various anatomical structures such as the brain (transverse fissure between cerebrum & cerebellum), the skull (sphenoidal fissure), the liver (for the ligamentum teres), the lung (oblique fissure), the spinal cord (ventral median fissure), or other structures such as the palpebral fissure between upper & lower eyelids. Can also be a tear in a structure ...Read more
I have been having a long standing fissure in both soles especially at the heels, they are somehow painful. what is an appropriate treatment for this?
Foot Fissures: You may consider emollient creams like Eucerin foot cream, but fist be checked by podiatrist , doctor to make sure a fungal infection is not complicating the picture. Milk baths which contain lactic acid ( soaking in milk) for 20 minutes 2-3 time a week for 2 weeks may help as well. ...Read more
Depends on time: An anal fissure is simply a tear in the lining of the anal canal that exposes the internal anal muscle which reacts by going into spasm therefore the pain and bleeding. An acute fissure is up to 6 weeks and almost always responds to softening stool with fiber and warm sitz baths. After this it becomes chronic and would require medicine to relax the muscle like nifedipine/NTG/Botox or surgery. ...Read moreSee 1 more doctor answer
Soften stool, baths: Eliminating constipation and softening stools are usually the primary targets when treating anal fissures. Such goals can be accomplished by taking daily fiber supplements and/or using laxatives. Sitz baths, during which the rectal area is immersed in warm water for 10-15 minutes, are also therapeutic and should be done 2-3 times per day. Sitz baths are available in most drugstores. ...Read moreSee 1 more doctor answer
Different: Fissures and fistulas are different things. A fissure is a tear in the skin of your anus while an anal fistula is a "tunnel" that communicates the inside of the anus with the "outside" anal skin. They both can produce anal pain, but pain is more typical of an anal fissure. Anal fistulas can give you recurrent anal abscesses, chronic anal discharge, etc ... I hope this helps. ...Read more
Depends: First line treatment is a high fiber diet, plenty of fluids and possible a laxative to keep your bowel movements soft. Warm baths. If persist, prescription antispasmodic cream if persists, Botox or surgery in form of sphinterotomy the above order is also depended on the severity, persistency, recurrence and appearance of your fissure if your symptoms are severe and persist see a colon and rectal. ...Read more
Fissures have healed but there is a big sentinel pile for yrs which is not resolving.. Cud u plz suggest some nonsurgical treatment to get rid this?
May be: To get rid of the actual hemorrhoid nothing short of surgery , except laser or high frequency machine some time shrink them , the internal hemorrhoid could be ligated in the office , the external one could be injected with medication that will close the vein without surgery .if you are concerned about the pain associated with hemorrhoid there is OTC medication and foam and topical analgesic. ...Read more
Is there any risk in having an anal sphincterectomy if i want to have more children and deliver vaginally? Fissure hasn't heal with medical treatment.
Anal fissue: Theoretically, yes. If a vaginal birth is complicated by a 4 th degree tear, then that potentially can weaken the sphincter and a concomitant sphincterotomy could aggravate that. Sphincterotomy alone and in the right hands has a minimal chance of sphincter issues and is an excellent treatment of chronic anal fissure that has failed medical mgmt. ...Read more
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