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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?

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

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

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For anal fissure treatment, which is the best ointment, cream or gel you use ( less side effect or interactions with hbp medicines.)?

Umm: Well some anal fissures require surgery. Use the treatment recommended by your physician. If you have not seen a physician then it is best to be evaluated and treated appropriately for treatment. ...Read more

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Is sucralfate with lignocaine hydrochloride cream an effective treatment of anal fissure ?

Anal fissure: A chronic fissure may benefit from a surgical procedure called shincterotomy, see a colo-rectal surgeon for an opinion, it may releave the constant pain. A warm tub after a painful bowel movement may help the spasm. ...Read more

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Had bleeding during bowel movements. How can I tell if it is hemorrhoids or anal fissure? Are there home treatments? Or do they go away on their own?

Had bleeding during bowel movements. How can I tell if it is hemorrhoids or anal fissure? Are there home treatments? Or do they go away on their own?

You may be able to: tell by looking with a mirror if you know what you're looking for.To know for sure, please see your doctor.If there's a fissure there, you may be able to heal it with a healing ointment such as Aquaphor and making sure your bowel movements aren't hard.Hemorrhoids can resolve on their own if you soften your stool and don't need to push as hard, but if the bleeding continues, you need to be checked. ...Read more

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Can anal fissures cause extra skin growths around anal area i've had anal fissure problems before this is the first time i noticed skin growths ?

Can anal fissures cause extra skin growths around anal area i've had anal fissure problems before this is the first time i noticed skin growths ?

Yes: A chronic fissure will often develop a "sentinel tag" at the base of the fissure. If you have growths elsewhere it may be unrelated to the fissure. ...Read more

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I was checked out by my doctor and she said I have an anal fissure. My question is, do anal fissures bleed a lot? And do they cause blood clots?

I was checked out by my doctor and she said I have an anal fissure. My question is, do anal fissures bleed a lot? And do they cause blood clots?

Depends: There are a lot of qualitative terms in your question. Anal fissures normall cause bleeding that you see on the toilet paper or toilet bowl. A small drop of blood in a large bowl of water can seem like a lot of blood. Depends on how you are rating what a lot of blood is, when and where you are seeing it and other symptoms. Blood clots are not typical for a fissure, but possible. ...Read more

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I have had hemmroids and an anal fissure over a year now. they gave me some nifedipine lotion... is there hope ? do fissures worsen during pregnancy?

Maybe: Hemorrhoids are expected to get worse during a pregnancy, but no necessarily a fissure, although anything can happen, consider a consultation with a colorectal surgeon. That doesn't mean you will have an operation, and you will get all the treaent options. Hope this helps! ...Read more

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Diagnosed with anal fissure. Burning pain during and after bowel movement. Can fissures cause some inflammation?

Yes, commonly: there is an underlying low grade infection. Usually hygiene is all that is needed, because infection is controlled as soon as the fissure heals. Consult with colo-rectal surgeon if pain persists. ...Read more

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Anal fissure diet?

Anal fissure diet?

Easy BM diet: Fissure is a tear in the lining of your anal canal. You need to minimize mechanical stress/ trauma of defecation to heal. Any food known to give you constipation or loose bm should be avoided. Many find adjusting the amt of fiber supplement helpful in achieving the bm consistency that don't hurt as much. Sitz bath and otc meds can promote healing too. If nothing helps, see your doc. ...Read more

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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
429 doctors shared insights

Anal Fissure (Definition)

A condition where there is a tear in the tissue lining the anus or lower rectum which ...Read more