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Update on the management of anal fissure. The use of nitroglycerine creams or botulinum toxin appears to be a palliative treatment, with rapid loss of effectiveness, and it is often poorly tolerated because of unpleasant side effects [ 4 - 8 ]. This treatment may be suggested if other treatments have not been successful. Fissure depth may be superficial or sometimes down to the underlying sphincter muscle. The aim of the study was to compare the efficacy of two conservative treatments, the use of anal dilators or a finger for anal dilatation, in reducing anal pressure and resolving anal fissures.
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Anal fissure causes Anal fissure treatment. Accessed Nov. The key component is to differentiate between acute and chronic fissures, as this changes the initial treatment pathways. More From Anal Sex, Explained. Anal fissures that last for 6 weeks or more are called chronic anal fissures. So they take painkillers and they're absolutely miserable.
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Footnotes Conflict of Interest: None. An operation is an option if the fissure fails to heal or comes back. The key to preventing anal fissures is to avoid becoming constipated.
Narcotic pain medications are avoided because they can cause constipation which could make the situation worse. Fans "see the penis going in. Other medications used for anal fissures are calcium channel blockers—medications commonly used to treat high blood pressure and chest pain.