Surgery for symptomatic hemorrhoids and anal fissures in Crohn's disease. Most will heal on their own and do not require treatment. Indian J Gastroenterol. The majority of anal fissures do not require surgery. A double-blind randomized placebo-controlled trial of oral indoramin to treat chronic anal fissure. Some people with anal fissures may need medication or, occasionally, surgery. Overview An anal fissure is a small tear in the thin, moist tissue mucosa that lines the anus.
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Introduction

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Non surgical therapy for anal fissure.

Non surgical therapy for anal fissure. Constipation is the condition where a person passes faeces poo less frequently than usual and the poo is harder, drier and painful to pass. In fissures that fail conservative care, various pharmacologic and surgical options offer satisfactory cure rates. Abdominal surgery for Crohn's disease offered no significant healing of anal fissures compared with medical management alone. But anal pain is best treated sooner than later, and an earlier diagnosis can improve patients' outcomes in the long run.
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Anal fissure - NHS

An anal fissure is a tear in the lining of the anus or anal canal the opening through which stool passes out of the body. Poorly healing fissures or those located in a position other than the posterior and midline portion of your anus may indicate an underlying condition. By paralyzing a portion of the muscle and relaxing the spasm, the hope is that the fissure will heal. Conditions associated with anal fissures include previous anal surgeries, inflammatory bowel disease, local cancers, and sexually transmitted diseases. They usually develop as a side effect of constipation. Oral forms of calcium channel blockers are also available, but these generally result in less fissure healing and more side effects than topical treatment.
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V-Y advancement flap as first-line treatment for all chronic anal fissures. Primary fissures are typically benign and are likely to be related to local trauma such as hard stools, prolonged diarrhoea, vaginal delivery, repetitive injury or penetration. The internal sphincter and anal fissure. This makes it difficult to interpret the variable healing rates published in the literature. Long-term faecal incontinence following the use of botulinum toxin. In this case, the doctor may recommend surgery.
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What is an anal fissure

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