
Suggest Treatment For Painful Anal Fissures

The disease is reduced with medicine? please give me a correct suggestion for treatment
Surgery is mainstay of treatment if the fissure is longstanding
Detailed Answer:
Hello, Madam.
I understand your concern.
Anal fissures cannot be corrected with medications alone.
It needs a surgical approach for a complete cure since 30% of fissures are known to recur with medical treatment.
Surgical therapy is usually reserved for acute anal fissures that remain symptomatic after 3-4 weeks of medical therapy and for chronic anal fissures.
Lateral internal sphincterotomy is the current surgical procedure of choice for anal fissure.
The procedure can be performed with the patient under general or spinal anesthesia.
The purpose of the operation is to cut the hypertrophied internal sphincter, thereby releasing tension and allowing the fissure to heal.
I advise you to see a surgeon for per rectal examination to determine the accurate course of action.
Post your further queries if any.
Thank you.

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