11 doctors weighed in:

I have an anal fissure and I am using .2% nitrogylcerin for past 4 months. Fissure goes off and comes on back again when I get hard stools.Plz advise?

11 doctors weighed in
Dr. Scott Browning
Surgery - Colorectal
9 doctors agree

In brief: Curable

If you have an anal fissure that has not healed after several months of appropriate medical treatment as you describe, it is extremely unlikely that it will heal (permanently) without surgery, no matter what other medications you try.
See a colorectal surgeon (www fascrs.Org to find one); there are simple outpatient procedures with a better than 90% cure rate.

In brief: Curable

If you have an anal fissure that has not healed after several months of appropriate medical treatment as you describe, it is extremely unlikely that it will heal (permanently) without surgery, no matter what other medications you try.
See a colorectal surgeon (www fascrs.Org to find one); there are simple outpatient procedures with a better than 90% cure rate.
Dr. Scott Browning
Dr. Scott Browning
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Dr. Allen Kamrava
Surgery - Colorectal

In brief: May need new ointmen

There is another ointment to try or consider the surgery.

In brief: May need new ointmen

There is another ointment to try or consider the surgery.
Dr. Allen Kamrava
Dr. Allen Kamrava
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Dr. Andrew Oswari
Family Medicine

In brief: Fiber and cortisone

Keeping your stools soft and moving should help to prevent this.
Taking a little bit of fiber and a lot more water will help. Most people make the mistake of increasing their fiber too quickly and not increasing their water intake. That will just make the stools harder. In the mean time some cortisone cream will help the fissure heal faster. Just don't use it over 5 days at a time.

In brief: Fiber and cortisone

Keeping your stools soft and moving should help to prevent this.
Taking a little bit of fiber and a lot more water will help. Most people make the mistake of increasing their fiber too quickly and not increasing their water intake. That will just make the stools harder. In the mean time some cortisone cream will help the fissure heal faster. Just don't use it over 5 days at a time.
Dr. Andrew Oswari
Dr. Andrew Oswari
Thank
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