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Could Non-Surgical Remedies Heal Your Anal Fissure?
Published: Sep 30, 2023
Most anal fissures can be treated without surgery using various medical therapies. Learn about the options available to you.
Initial Treatment Options
For typical anal fissures, a combination of supportive measures and topical vasodilators is recommended. Supportive measures include fiber intake, sitz baths, and topical analgesics to relieve pain. Topical vasodilators like nifedipine or nitroglycerin help relax the internal anal sphincter, promoting healing.
Topical Vasodilators Explained
Topical vasodilators, such as nifedipine and nitroglycerin, work by increasing blood flow and reducing pressure. Nifedipine is preferred due to fewer side effects compared to nitroglycerin. These medications are applied directly to the fissure and can significantly aid in healing.
The Role of Fiber
Increasing dietary fiber is crucial, as it prevents hard stools that can worsen fissures. Fiber supplements like psyllium or methylcellulose can be used if dietary adjustments aren't enough. Daily fiber intake should be between 20 and 35 grams to ensure soft, bulky stools.
Frequently Asked Questions
They include fiber intake, sitz baths, and topical pain relief.
They increase blood flow and reduce sphincter pressure, aiding healing.
Fiber softens stools, preventing further injury to the fissure.
Key Takeaways
Non-surgical treatments can effectively manage and heal anal fissures.
References
- Nelson RL, Chattopadhyay A, Brooks W, et al. Operative procedures for fissure in ano. Cochrane Database Syst Rev 2011; :CD002199.
- Nelson RL, Thomas K, Morgan J, Jones A. Non surgical therapy for anal fissure. Cochrane Database Syst Rev 2012; :CD003431.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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