Actual Primary Completion Date:. Enter your email address to subscribe to our most top categories Your privacy is important to us. Mayo Clinic, Rochester, Minn. Balloon dilatation was well tolerated in our patients using a similar technique but with a perineal block, and there were no instances of flatus or fecal incontinence. Pain relieving medications can be pruchased over-the-counter or online, including ibuprofen and Tylenol. New Protocol to Treat Anal Fissures. If the person delays using the bathroom, this can make the pain and the tear worse, because the stools will be harder and larger.
When someone has an anal fissure the first treatments can include a high-fibre diet, laxatives and applying anaesthetic ointments to the affected area. From November to June , 31 patients were treated with topical nitroglycerin. Botulinum toxin injected into the internal sphincter also causes a reversible sphincterotomy and is gaining increasing popularity for the treatment of anal fissures. It is generally accepted that the chronicity of anal fissures is the result of poor anodermal perfusion, especially at the posterior commissure. There are a number of different surgical techniques that can be used to treat anal fissures.
Not all anal fissures are a sign of low-fiber diets and constipation. Volunteers in a clinical trials unit ate only processed foods and put on 2 pounds within 2 weeks. If surgery is necessary, it is curative in 90 percent of chronic anal fissures. In fact, he says, "Many of my patients are surprised and ask, 'That was it? Topical nitroglycerin medication helps speed up lesion healing by dilating the blood vessels in the area. In most cases, an anal fissure will resolve itself within a few weeks. Here are some key points about anal fissures.
Pneumatic dilatation utilizes a balloon that is inflated in a controlled fashion to a standard pressure for a fixed duration of time. Proposed use of medication. American Society of Colon and Rectal Surgeons. Constipation Anal fissure most commonly occurs due to constipation. Fissures often come back. Management and Treatment. A rigid or flexible viewing tube is used to inspect inside the anus and rectum.