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Home treatment is a good option if you are suffering from temporary anal fissures. treatment can help ease tightness very quickly, and typically within a few days, bowel movements will become easier. Complete healing takes anywhere from a month to six weeks.

One homemade therapy is taking a sitz bath. This is when you sit in a pan of warm water for about 20 minutes, two or three times a day. Eating fibrous foods and drinking more fluids also helps as it softens the stool so that constipation is not a trouble. If this does not work and you need more aid, consult you doctor about taking a laxative or a stool softener.

Sometimes, these fissures and the pain caused by them cannot be completely healed by home therapies. After six weeks have passed, any remaining fissures are then classified as long term or chronic anal fissures. These conditions require treatment and medication from a licensed physician.

Medication: For patients suffering from chronic fissures, an experienced DR will usually suggest medicines as the first-line treatment. Let’s look at some of the medicines that are used for long term anal fissure cure.

1. Nitroglycerin Cream – a very small amount of this cream, just 0.2%, will aid reduce pressure in the sphincter; the internal muscles in the anus. The pressure on the sphincter must be reduced in order for the healing process to begin, which makes this cream very beneficial. However, you need to be careful not to use more than a pea-sized dot of cream at a time. When overused, the side effects of this product can include lightheadedness and headaches. In extreme cases it can even cause fainting due to a drop in blood pressure. Wear gloves to apply the cream, and massage it gently into the anal fissure and the areas around it.

2. Nifedipine and Diltiazem – These two medicines, available in the form of pills, also work on cutting the pressure on the internal anal sphincter.

3. For anal fissure treatment, another medicine Botox, which is also known as Botulinum toxin is also used. In this specified quantum of botox is injected into sphincter. The muscles in this area paralyses and relieves tension on fissures.

Surgery: As a last resort, doctors may turn to surgery as treatment for anal fissure pain. A favored procedure which has a high success rate is Lateral Internal Sphincterotomy. Here the doctor makes a tiny cut on the internal anal sphincter. This is useful in minimizing the pressure and thus alleviating the pain. The fissures will repair themselves so there is no need to surgically close them.

Though the surgery for anal fissure is reaching the winning point, yet there are demerits for lateral internal sphincterotomy. Due to sphincterotomy surgery many people i.e. 8 out of 100 showed their displeasure of involuntary urination and bowl movement and their inability to control gas. It is also notable that nitroglycerine cream causes incontinence for long period and the after effects of the medicine are not as strong as the surgery.

Patients take into account that this surgery has more advantages rather than some disadvantages, which they outweigh. There is long-lasting relief in this surgery and more successful. But there are minimum chances of replace after surgery.

There is an additional surgery option, anal advancement flap. This is usually performed on women in process of birth because of the low pressure on the internal sphincter. In this procedure the physician will cut out fissures and replace them with healthier tissue.

John Cole is a previous hemorrhoids sufferer. If you want some more aid and recommendation about anal fissure treatment please visit his hemorrhoids online guide.

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