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Doctor insights on: Treatments Anal Fissure

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What are the treatments for an anal fissure?

What are the treatments for an anal fissure?

Anal fissures no fun: Anal fissures are like paper-cuts in the anus. They can bleed, hurt, & recur, particularly with defecation & any other activity that increases pelvic pressure. Disorders of anal-rectal function, straining at hard stool, prolonged sitting, heavy lifting, long distance walks/runs are causative & should be addressed. If stool softeners, fiber, topical rx, & behavior changes don't cure, see a surgeon. ...Read more

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Fissure (Definition)

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


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What are typical treatments for an anal fissure?

What are typical treatments for an anal fissure?

Depends: An early anal fissure can be cured with local treatments such as pain medication, anti-inflammatory medication, and measures to prevent constipation straining and diarrhea. Older chronic fissures may need surgery such as an anal sphincter partial incision. ...Read more

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Do you know of any anal fissure treatments?

Medications: There are really no effective over-the-counter medications for anal fissures. Proctologists will recommend prescription topical creams that contain either Nitroglycerin or Diltiazem to relax the sphincter muscles. Some even use Botox injections. The last resort is an operation called a lateral internal sphincterotomy (lis). ...Read more

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Best treatment for an anal fissure?

Best treatment for an anal fissure?

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 more

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Which treatment works the best and fastest for anal fissure?

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 more

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Anal fissure that is extremely painful. What is the fastest treatment for this?

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

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How is the effectiveness of gtn in case of anal fissure treatment?

76% -- : The most recent studies report that it is 76% effective at curing anal fissures. If this fails, you can try Diltiazem ointment that raises that percentage to about 86% success. ...Read more

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Anal fissure has healed but sentinel pile still there, although it got a little smaller its not going away. Should I wait longer? Other treatments?pls

"piles" and fissures: "piles" are hemorrhoids, which are blood vessel hernias in the anal region. "Fissures" are unrelated to the occurrence of hemorrhoids, and both can be caused by straining with bowel movements. Surgical treatments are painful and usually not indicated except in extreme cases. Suggest using mild laxatives on occasions to help prevent more of either, but what is there will not "fo away". ...Read more

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I've had anal fissure for 5 years.It's been really good in the past few months.Symptoms appeared again after 1 constipation.What's the best treatment?

I've had anal fissure for 5 years.It's been really good in the past few months.Symptoms appeared again after 1 constipation.What's the best treatment?

Chronic: or recurring anal fissures should be studied since they may be associated with inflammatory bowel disease! Assuming this work-up is negative a steroid (cortisone) Cream may be very helpful! Hope this helps! Dr Z ...Read more

Anus (Definition)

The anus is the opening of the rectum, through which stool and flatus are passed. The anal canal is about an inch in length, and is ...Read more


Dr. Mark Pack
412 doctors shared insights

Anal Fissure (Definition)

Anal fissure is a condition where there is a tear in the tissue lining the anus or lower rectum. This ...Read more