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Anal fissures

Anal fissures are commonly found in the back part of your anus, in line with the cleft of your buttock. An anal fissure is a common medical condition in which the skin around the opening of the anus opens, leaving a small gap there. The pain caused by this condition usually appears suddenly but you must remember that it can happen gradually as well.

A fissure is a small break in the skin that can occur as a result of poor digestion, chronic irritation, or as a result of smoking. A fissure is also known as an acquired fissure. It occurs at some point in everyone's life, but it may last for less than 6 weeks. In most cases, a fissure will heal itself with no treatment. An acute fissure that lasts longer than 6 weeks requires medical attention such as antibiotic treatment or surgery to remove the split in the skin while a chronic form requires no treatment and heals on its own.

Treatments

1. MCDPA

The MCDPA offers affordable treatment options for anal fissure by providing low cost imaging services and access to board-certified physicians and surgeons when needed.
Medicines - Herbal remedies to lessen localised inflammation
Before bed, take Constac to give your stools more weight and soften them.
Diet: Consume a diet high in fibre to avoid constipation. Increasing fluid and water intake is also beneficial.
Physiotherapy - Pelvic floor physiotherapy aids in lowering anal sphincter spasms.
Ayurvedic therapy employs the use of medicinal herbal oils.

2. Sitz bath

Sitting in warm water that covers your hips and buttocks after a bowel movement helps to reduce post-defecation discomfort. This can be as simple as putting a warm towel between your thighs or using a bidet if that's what is available. If you've evacuated your bowels and then sit in a warm tub or shower, this may reduce the discomfort of your bowel movements. The warmth will help ease any soreness or cramp that is associated with sitting in the same position for an extended period of time.

3. Nitroglycerine

Nitroglycerin or glyceryl trinitrate is a vasodilator that relaxes blood vessels to improve blood flow through the heart, brain, and body. It also helps in reducing spasms of the anal sphincter and thereby helps in improving quality of life. In some cases, this drug may cause certain side effects like headache, light-headedness, etc which limit its role in everyday life.

4. Nifedipine ointment

Nifedipine ointment is used for the treatment of lower urinary tract symptoms, such as incontinence, frequency, and urgency of urination. It relaxes the anal sphincter muscle, which makes it easier for people to pass stool. Nifedipine ointment does not cure conditions caused by certain diseases or disorders, including inflammation caused by infection, kidney disease (nephritis), bladder cancer, or toxic shock syndrome

What effect does botox have on the fissure?

Botox is a type of medication that helps to temporarily paralyze muscles and reduce the activity levels of certain nerve cells in the body. This can help to reduce blemishes and wrinkles, as well as smooth out your facial features such as crow's feet or frown lines. The results of Botox can last between 3 – 6 months depending on how often you receive treatments.

Causes of anal fissure

A fissure is typically brought on by trauma to the anal canal.

• Constipation-related hard stools in particular induce ripping of the delicate perianal skin due to increased pressure used to pass the hard stools.
• Diarrhoea - The frequent, violent bowel movements cause the anal skin to rip.
• Iatrogenic - During the insertion of a rectal thermometer, USG probe, endoscope, or enema tube, a tear may develop.
• Anal sex during childbirth is frequently experienced by homosexuals.

Rare causes include viral infections, Crohn's disease, leukemia, tuberculosis, and sexually transmitted illnesses.