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Multiple anal fissure

Managing outbreaks among adolescents and young adults. Warm Sitz baths after defecation may be helpful. UKMi Is topical glyceryl trinitrate for anal fissure compatible with breastfeeding?. Surgery may be recommended in persistent cases of anal fissure where self-help measures and medication haven't helped. A high index of suspicion is warranted for fissures in lateral or multiple locations and those not healing despite conservative therapies. The exact etiology is unknown. For chronic fissure in adults all medical therapies are far less effective than surgery.
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Anal fissures

First-line therapy often includes the conservative measures plus a topical drug. Symptoms are sharp rectal pain and bleeding, usually during or following a bowel movement. It provides comprehensive, peer-reviewed content for thousands of diseases and conditions with a patient-centered approach to support clinical decision-making in the moment of care. To relax the sphincter the muscle that controls the anal opening try taking sitz baths sitting in warm water for 20 to 30 minutes several times a day. Regular use of soap to clean your anus can cause the lining of your anal canal to become dry, predisposing it to tears when stretched excessively. Surgery may be recommended in persistent cases of anal fissure where self-help measures and medication haven't helped. In most cases, tearing is the result of trauma to the anal lining.
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Anal Fissure - Cancer Care of Western New York

Clinical manifestations, diagnosis, prevention. Ulceration The formation of an ulcer, which is an open sore in the skin or mucous membranes, such as those of the stomach lining, intestine or mouth. D Common anorectal conditions: Primary fissures are typically benign and are likely to be related to local trauma such as hard stools, prolonged diarrhoea, vaginal delivery, repetitive injury or penetration. This makes it difficult to interpret the variable healing rates published in the literature. It can be used cosmetically known as Botox or by its other trade names in low doses to relax facial wrinkles and for various medical purposes.
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Treatment More than half of all fissures heal either by themselves or with non-surgical treatment. In the absence of over neurological dysfunction, the most common cause of a hypertonic internal anal sphincter is ongoing emotional stress. Some of these resources are not freely available and require subscriptions to access content. Narcotics can cause constipation, so it is very important to take stool softeners and any bowel regimen prescribed to you after anal surgery. If you were on a high fiber diet for medical treatment of your fissures, resume that diet postop.
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