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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anal Fissures

I have been suffering from anal fissures since 2 months. It at started just 2 days after i suffered diahrrea for a week. Intially i used to face severe pain while passing stools, but recently i'm also suffering from burning sensation for about 4 hrs after passing stools. I also consulted doctor and took medicines but of no use. It only gave me atemporary relief
Mon, 27 Feb 2017
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Internal Medicine Specialist,  's  Response
First-line therapy to minimize anal trauma includes bulk agents, stool softeners, and warm sitz baths. The addition of 2% lidocaine jelly or other analgesic creams can provide additional symptomatic relief. Both oral and topical diltiazem have also been used to heal anal fissures Newer agents, such as arginine (a nitric oxide donor) and topical bethanechol (a muscarinic agonist), have also been used to treat fissures. Medical therapy is effective in most acute fissures, but will heal only approximately 50 to 60% of chronic fissures.
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Suggest Treatment For Anal Fissures

First-line therapy to minimize anal trauma includes bulk agents, stool softeners, and warm sitz baths. The addition of 2% lidocaine jelly or other analgesic creams can provide additional symptomatic relief. Both oral and topical diltiazem have also been used to heal anal fissures Newer agents, such as arginine (a nitric oxide donor) and topical bethanechol (a muscarinic agonist), have also been used to treat fissures. Medical therapy is effective in most acute fissures, but will heal only approximately 50 to 60% of chronic fissures.