A chronic fissure may last longer than a month and will usually require treatment. 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. An operation called a lateral internal sphincterectomy can also be performed to help relax the sphincter muscle. Nitroglycerin is a commonly prescribed medication that is compounded with petroleum ointment to help treat both acute and chronic anal fissures. An anal fissure is a tear or open sore ulcer that develops in the lining of the large intestine, near the anus. Subscribe to our newsletters.
An acute anal fissure looks like a fresh tear, somewhat like a paper cut. Some patients may benefit from an alternative surgery called an anal advancement flap anoplasty. Your colon and rectal surgeon will discuss these risks with you to determine the appropriate treatment for your particular situation. An anal fissure is a small tear in the thin, moist tissue mucosa that lines the anus. Among the other third of patients, it took as long as six weeks for their pain to disappear. Although some anal fissures heal without treatment, some do not, and these go on to cause chronic pain problems. These brochures are inclusive but not prescriptive.
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More About Anal Fissure. Prevention You may be able to prevent an anal fissure by taking measures to prevent constipation or diarrhea. You can help soothe the pain by taking simple painkillers, such as paracetamol or ibuprofen , or by soaking your bottom in a warm bath several times a day, particularly after a bowel movement. A bath that covers your hips and buttocks may also be helpful. Nitroglycerin is generally considered the medical treatment of choice when other conservative measures fail. See your doctor if you have pain during bowel movements or notice blood on stools or toilet paper after a bowel movement. A chronic anal fissure comes back after treatment.
This test may be done if you're younger than 50 and have no risk factors for intestinal diseases or colon cancer. Beneath his ability to help his patients feel comfortable and even laugh, Dr. Board-certified colon and rectal surgeons complete residencies in general surgery and colon and rectal surgery, and pass intensive examinations conducted by the American Board of Surgery and the American Board of Colon and Rectal Surgery. Anal fissures do not increase the risk of colon cancer nor cause it. These medications include diltiazam and nifedipine. Narcotic pain medications are avoided because they can cause constipation which could make the situation worse. 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.