Home treatment is a good option if you are suffering from short-term anal fissures. healing 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 such home treatment is a sitz bath where you soak your buttocks in warm water for 20 minutes. This bath is taken 2 or 3 times a day. You also need to incorporate more fiber and fluids in your diet. This helps to soften your stool and prevent constipation. You can also use laxatives and stool softeners, but do so only under medical guidance.
Sometimes at home treatments are not enough to repair the fissure or alleviate the pain. Conditions that are present for over 6 weeks are classified as chronic anal fissures, and they demand further addition.
Medication: The initial therapy for patients inflicted with long term fissures will be medicine prescribed by your DR. Let's examine the options that are used for chronic anal fissure cure.
1. Nitroglycerin cream can be used to cut anal pressure, or in other words, it helps in loosening the tightness in and around the anus. When applying the cream, be sure to only use a very small amount of cream, as there are serious side effects, including fainting due to blood pressure drop. More common side effects include headaches. The cream should be gently applied to the anus and surrounding areas.
2. Nifedipine and Diltiazem - These two medicines, available in the form of pills, also work on decreasing the pressure on the internal anal sphincter.
3. Botox - Botox, also known as Botulinum toxin is also used as an successful anal fissure treatment. A fixed amount of botox is injected into the sphincter. This causes the muscles in the sphincter to paralyze, relieving tension on the 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 cure themselves so there is no need to surgically close them.
generally this type of surgery is very successful, but there are a few negative side effects to a lateral internal sphincterotomy. 8% of patients later report incontinence which means they pass stools or gas without any control to stop it. Nitroglycerine cream can help this in the long term and there is no medication that comes close to working as well as surgery.
For many the benefits of surgery exceed any drawback. Compared to at home treatment, surgery has a higher success rate, fewer relapses, and last longer.
There is yet another procedure known as anal advancement flap, which is usually carried out on women giving birth. Since they do not have a high resting pressure in their internal sphincter this procedure works out best for them. In anal advancement flap, the DR begins by removing the edges of the fissures, and sewing healthy tissue over the same area.
One such home treatment is a sitz bath where you soak your buttocks in warm water for 20 minutes. This bath is taken 2 or 3 times a day. You also need to incorporate more fiber and fluids in your diet. This helps to soften your stool and prevent constipation. You can also use laxatives and stool softeners, but do so only under medical guidance.
Sometimes at home treatments are not enough to repair the fissure or alleviate the pain. Conditions that are present for over 6 weeks are classified as chronic anal fissures, and they demand further addition.
Medication: The initial therapy for patients inflicted with long term fissures will be medicine prescribed by your DR. Let's examine the options that are used for chronic anal fissure cure.
1. Nitroglycerin cream can be used to cut anal pressure, or in other words, it helps in loosening the tightness in and around the anus. When applying the cream, be sure to only use a very small amount of cream, as there are serious side effects, including fainting due to blood pressure drop. More common side effects include headaches. The cream should be gently applied to the anus and surrounding areas.
2. Nifedipine and Diltiazem - These two medicines, available in the form of pills, also work on decreasing the pressure on the internal anal sphincter.
3. Botox - Botox, also known as Botulinum toxin is also used as an successful anal fissure treatment. A fixed amount of botox is injected into the sphincter. This causes the muscles in the sphincter to paralyze, relieving tension on the 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 cure themselves so there is no need to surgically close them.
generally this type of surgery is very successful, but there are a few negative side effects to a lateral internal sphincterotomy. 8% of patients later report incontinence which means they pass stools or gas without any control to stop it. Nitroglycerine cream can help this in the long term and there is no medication that comes close to working as well as surgery.
For many the benefits of surgery exceed any drawback. Compared to at home treatment, surgery has a higher success rate, fewer relapses, and last longer.
There is yet another procedure known as anal advancement flap, which is usually carried out on women giving birth. Since they do not have a high resting pressure in their internal sphincter this procedure works out best for them. In anal advancement flap, the DR begins by removing the edges of the fissures, and sewing healthy tissue over the same area.
About the Author:
In the past, John Cole endured the agony of hemorrhoids. If seeking aid or have questions regarding anal fissure, please view his onlinehemorrhoids guide.
