![]() ![]() Under normal conditions, anal fissures are treated with topical Nitroglycerin or Diltiazem ointment, stool softeners, and tub baths. These types of fissures treatments lower the pressure of the rectal muscle, making it easier for the fissure to heal. Muscle relaxation injections may be occasionally injected for difficult cases. Your doctor may recommend topical medications, such as nitroglycerine or diltiazam, that relax smooth muscle. Relaxation of the internal sphincter allows for the fissure to heal. Do not agree to a possible unnecessary operation until you have tried our non-surgical office treatment. We have found most fissures respond to our non-operative treatment. This is not necessary and may lead to incontinence. In the past doctor’s frequently recommended surgery for fissures. It lies under the fissure and in response to irritation goes into spasm leading to severe pain. The internal sphincter aids in continence. The internal sphincter is a smooth muscle similar to the heart. We are frequently told it is a “miracle”. Our treatment can lead to very rapid improvement. The combination of hemorrhoids and fissures can be very painful. Fissures are frequently associated with internal hemorrhoids. Self-help measures include warm water baths, stool softeners, and lubrication. Anal fissures also occur in the aging and elderly. Infants may be prone to anal fissures, as well as women who have just given birth, or those suffering from Crohn’s Disease. The pain can be sharp and severe, often described as similar to passing glass. There may be a visible crack and an associated skin tag referred to as a sentinel pile. Symptoms of anal fissures include pain during bowel movement, pain after bowel movement lasting up to several hours, and bleeding. There may be an associated tag referred to as a sentinel pile. How do I Know if I Have a Fissure?įissures are most commonly located in the posterior position on the tail bone side of the anus. ![]() Many of these patients had been told by other physicians they would have to have surgery. They are frequently misdiagnosed and inadequately treated with topical steroids. ![]() We have cured thousands of patients with anal fissures without surgery. Anal intercourse may also cause anal fissures. Similar to hemorrhoids, an anal fissure can occur while passing dry, hard or large stools, during constipation or prolonged straining of the bowel, during chronic diarrhea, or during childbirth. An anal fissure is a small painful tear in the skin that lines the anus. ![]()
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