The associations between treatment regimen and healing outcomes overall, without recurrence and with single v. The pain lasts for several minutes to several hours and then subsides until the next bowel movement. Two patients whose injections failed were successfully treated with pneumatic dilatation. Author information Copyright and License information Disclaimer. An acute anal fissure is one that heals in less than four weeks.
An anal tear fissure will usually heal within weeks in most people.
Anal Fissure: A Common Cause of Anal Pain
Anal fissures are small splits or tears in the mucosal lining of the lower rectum and can range from involving only the epithelium to encompassing the entire thickness of the anal mucosa. Aetiology and treatment of anal fissure. A gentle spreading of the buttocks can reveal the fissure in some patients. Releasing a portion of the muscle yields rapid symptomatic relief and heals the fissure. A study to determine the nitroglycerin ointment dose and dosing interval that best promote the healing of chronic anal fissures. The combination of topical nifedipine and botulinum toxin injections used in our study was highly effective and associated with low recurrence rates and virtually no side effects. Although the optimal dose of botulinum toxin has not been established, it has been suggested that greater doses can produce higher success rates with minimal increases in side effects.