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If you have particularly severe anal pain, your GP may prescribe a topical anaesthetic to numb your anus before passing stools. This allows the anal fissure to heal and reduces your chances of developing any more fissures. 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. Surgery may be recommended in persistent cases of anal fissure where self-help measures and medicine haven't helped.

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The Management Of Patients With Primary Chronic Anal Fissure

There are a number of different medicines your GP may recommend to help reduce your symptoms and allow your anal fissure to heal. Your GP can also tell you about self-help measures and treatments that can relieve your symptoms and reduce the risk of fissures recurring. This should prevent the muscle from spasming, helping reduce pain and allowing the fissure to heal. There are a number of different surgical techniques that can be used to treat anal fissures. Children with an anal fissure are usually prescribed an osmotic laxative oral solution.

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The majority of acute fissures present for less than 6 weeks will heal with GTN treatment. You may have a follow-up appointment a few weeks after starting your treatment. GTN works by expanding blood vessels in and around the anus, increasing the blood supply to the fissure and helping it heal faster. 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. The main techniques used are outlined below. This should prevent the muscle from spasming, helping reduce pain and allowing the fissure to heal. There are a number of different medicines your GP may recommend to help reduce your symptoms and allow your anal fissure to heal.

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Description: Your GP can also tell you about self-help measures and treatments that can relieve your symptoms and reduce the risk of fissures recurring. It can also help reduce the pressure in the anal canal, which should ease the pain. There are a number of different surgical techniques that can be used to treat anal fissures. Your GP can also prescribe medication to help relieve your symptoms and speed up the healing process. It won't help fissures heal, but it can help ease the pain. They may also ask about your toilet habits. Using a pea-sized amount of ointment 5 or 6 times a day is often better than using a larger amount twice a day. Most people will fully heal within 2 to 4 weeks. Some people also feel dizzy or lightheaded after using the ointment. Topical calcium channel blockers work by relaxing the sphincter muscle and increasing blood supply to the fissure.
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