Most anal fissures arise following trauma injury to the anus. Most people will fully heal within 2 to 4 weeks. The surgical treatment of an anal fissure can usually be performed as a day procedure with minimal hospital stay. The commonest trauma is that occasioned by the passage of a hard, constipated stool. Page last reviewed: 23 November Next review due: 23 November Some patients may benefit from an alternative surgery called an anal advancement flap anoplasty.
Anal Fissure Expanded Information
Anal Fissure Expanded Information | ASCRS
By continuing to use our site, you accept the use of these cookies. As with GTN ointment, you'll usually have to use calcium channel blockers for at least 6 weeks, or until your fissure has completely healed. Narcotic pain medications are not recommended for anal fissures, as they promote constipation. Rex, MD reviewing Fruehauf H et al. Patients must also be cautioned that a drop in their blood pressure may occur, especially if other anti-hypertensive medications are being taken.
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Topical calcium channel blockers work by relaxing the sphincter muscle and increasing blood supply to the fissure. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you don't follow the self-help advice outlined below. They have completed advanced surgical training in the treatment of these diseases as well as full general surgical training. Don't miss out! Rex, MD reviewing Fruehauf H et al.
Frequent warm baths and topical application of muscle relaxing ointments 0. The inciting trauma to the anus produces severe anal pain, resulting in anal sphincter spasm and a subsequent increase in anal sphincter muscle pressure. Recurrence rates after sphincterotomy are exceedingly low when properly performed by a surgeon. Nitroglycerin for Anal Fissures.