The main techniques used are outlined below. Although follow-up was short, there were no cases of incontinence. Investigating and managing people with diarrhoea The use of omeprazole in infants is still high. A comparison of injections of botulinum toxin and topical nitroglycerin ointment for the treatment of chronic anal 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. You may have a follow-up appointment a few weeks after starting your treatment. It is generally accepted that the chronicity of anal fissures is the result of poor anodermal perfusion, especially at the posterior commissure.
The 2 remaining patients had surgical sphincterotomy.
A quick guide to managing anal fissures
Lidocaine is the most commonly prescribed topical anaesthetic for anal fissures. Symptoms Symptoms of anal fissures can range from minor irritation to severe pain with and after bowel movements. Fissures are a small split or tear in the skin. The majority of acute fissures present for less than 6 weeks will heal with GTN treatment. Find articles by J. Adults with an anal fissure will usually be prescribed bulk-forming laxative tablets or granules.