Washing using a hand shower, sponge or cotton cloth should be encouraged. This should prevent the muscle from spasming, helping reduce pain and allowing the fissure to heal. Eat high-fiber foods, drink fluids and exercise regularly to keep from having to strain during bowel movements. Results were documented and statistically analyzed. If headaches are a problem, reducing the amount of ointment you use for a few days can help.
Headaches are a very common side effect of GTN ointment, affecting up to half of people who use it. Even when the pain and bleeding have subsided, it is very important to continue good bowel habits and a diet high in fiber as a lifestyle change. We applied a visual pain questionnaire and the Cleveland Clinic fecal incontinence score before and after surgery. Mayo Clinic, Rochester, Minn. You'll usually have to use GTN ointment for at least 6 weeks, or until your fissure has completely healed.
Anoplasty with skin tag flap for the treatment of chronic anal fissure.
Normally, a fissure is associated with pain and bleeding. You may be able to prevent an anal fissure by taking measures to prevent constipation or diarrhea. Occasionally a low-lying cancer arising from the anus or rectum can cause severe anal pain due to sepsis or sphincter invasion Fig. An internal or submucosal abscess is an unusual variant, which is frequently missed because the peri-anal region appears normal. Data and variables analyzed such as fecal incontinence and presence of pain in the pre- and postoperative period were calculated using the Mann-Whitney paired test or Wilcoxon signed-rank.
Treatment for anal fissure: Is there a safe option? We maintained Metronidazole mg in three daily doses for seven days, as well as good anal hygiene with water. A mono-nitrate ointment avoids the side-effect of headaches associated with tri-nitrates. This may include a colonoscopy and an exam in the operating room under anesthesia with biopsies and tissue cultures. How to get rid of a sentinel pile?