Lateral anal fissure

Watson S J, Kamm M A, Nicholls R J, Phillips R K S. It's important to understand that, even with surgery, an anal fissure must heal on its own. In the presence of chronic anal fissure, the internal anal sphincter has been shown on histological examination to be fibrotic both in the base of the fissure and at remote sites. Nitroglycerin side effects can include headache and low blood pressure. Muscle paralysis occurs within hours and the effect remains for 3—4 months, until there has been axonal regeneration with the formation of new nerve terminals. Similar healing rate to GTN but more expensive.

Patients often return to normal activity within one week. Treatment of chronic anal fissure with topical glyceryl trinitrate. High-fiber diet Beyond the Basics ". Though a small crack, the pain and suffering inflicted by it is of great magnitude. Avoiding "sharp" foods that may not be well-digested i. Wiley M, Day P, Rieger N, Stephens J, Moore J. Jenkins J T, Urie A, Molloy R G.

The risk should be discussed with your surgeon. If headaches are a problem, reducing the amount of ointment you use for a few days can help. Sit in a tub filled with a few inches of warm water for 20 minutes, 2 or 3 times a day. Nitroglycerin works to dilate blood vessels, increasing blood flow to injured tissues.