Blood pressure medication for anal fissure
Anal fissures are caused by injury or trauma to the anal canal. Eur J Gastroenterol Hepatol Aug;14 8 Key words: anal fissure , pathogenesis , treatment. Nitroglycerin is generally considered the medical treatment of choice when other conservative measures fail. Fissures are usually caused by trauma to the inner lining of the anus. All medications, vitamins or other supplements you take, including the doses. Some patients may benefit from an alternative surgery called an anal advancement flap anoplasty.
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A randomized trial of oral vs. topical diltiazem for chronic anal fissures.
Your doctor may recommend further testing if he or she thinks you have an underlying condition: Anoscopy. You also may experience spasms in the ring of muscle at the end of your anus anal sphincter. Injury can happen when:. Once you've experienced an anal fissure, you are prone to having another one. Fissure healing was complete in 9 patients 38 percent receiving oral diltiazem and 15 65 percent on topical treatment by eight weeks. About half of individuals with anal fissures also experience anal itching.
Anal fissure - Treatment - NHS
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. Severe colicky pain on defaecation, which may persist after the passage of stool, is the main symptom in anal fissure. Make a list of: Your symptoms , even if they may seem unrelated to the reason for your appointment. Doctors usually perform a procedure called lateral internal sphincterotomy LIS , which involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain, and promote healing. Your colon and rectal surgeon will discuss these risks with you to determine the appropriate treatment for your particular situation.
Most people will fully heal within 2 to 4 weeks. Lifestyle and home remedies Several lifestyle changes may help relieve discomfort and promote healing of an anal fissure, as well as prevent recurrences: Add fiber to your diet. Diagnosis Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. These are calcium-channel blockers, topical botulinum toxin and nitroglycerin ointment. Diagnosis Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. A daily routine may help. This test may be done if you're younger than 50 and have no risk factors for intestinal diseases or colon cancer.