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Most anal fissures will heal with treatment, although they can happen again easily, particularly if you don't follow the self-help advice outlined below. This allows the anal fissure to heal and reduces your chances of developing any more fissures. Advancement anal flaps involve taking healthy tissue from another part of your body and using it to repair the fissure and improving the blood supply to the site of the fissure. This is similar to having treatment with GTN ointment and topical calcium channel blockers. The majority of acute fissures present for less than 6 weeks will heal with GTN treatment. This usually involves having some type of surgery. Most people will fully heal within 2 to 4 weeks.

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Some people also feel dizzy or lightheaded after using the ointment. If your symptoms don't improve within a week or 2, your GP may prescribe a medicine called glyceryl trinitrate GTN , an ointment applied to the anal canal, usually twice a day. Any side effects should pass within a few days once your body gets used to the medicine. Don't let embarrassment stop you seeking help.

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Surgery may be recommended in persistent cases of anal fissure where self-help measures and medicine haven't helped. Don't let embarrassment stop you seeking help. Around 7 in every 10 chronic fissures heal with GTN therapy if used correctly. There are a number of different surgical techniques that can be used to treat anal fissures.

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Description: Botulinum toxin is a powerful poison that's safe to use in small doses. They affect both sexes equally and people of all ages can get them. It won't help fissures heal, but it can help ease the pain. This is similar to having treatment with GTN ointment and topical calcium channel blockers. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you don't follow the self-help advice outlined below. You'll usually have to use GTN ointment for at least 6 weeks, or until your fissure has completely healed.
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