Home treatment is a good option if you are suffering from short-term anal fissures. healing can help ease tightness very quickly, and typically within a few days, bowel movements will become easier. Complete cure takes anywhere from a month to six weeks.
One homemade therapy is taking a sitz bath. This is when you sit in a pan of warm water for about 20 minutes, two or three times a day. Eating fibrous foods and drinking more fluids also help out as it softens the stool so that constipation is not a problem. If this does not work and you need more aid, consult you doctor about taking a laxative or a stool softener.
Sometimes at home therapies are not enough to repair the fissure or alleviate the pain. Conditions that are present for over 6 weeks are classified as chronic anal fissures, and they claim further addition.
Medication: The initial cure for patients inflicted with long term fissures will be medicine prescribed by your doctor. Let’s examine the options that are used for chronic anal fissure cure.
1. Nitroglycerin Cream – 0.2% of this cream is extremely beneficial in reducing the pressure in the sphincter (internal muscles in the anus). When pressure on the sphincter reduces, the curing process begins. You should only use a pea-sized dot of cream at a time, and not more than this. Too much of this cream can cause to lightheadedness, headaches, and in extreme cases, even fainting due to drop in blood pressure. When applying the cream wear gloves, and gently massage the cream into the anal fissure and areas around it.
2. The two medicines called Nifedipine and Diltiazem are in pills form which reduce presure in internal anal sphincter.
3. Botox can also be used as anal fissure treatment. The botox is injected into the anus, helping to paralyze the muscles, which in turn relieves some of the tightness and pressure.
Surgery: As a last resort, doctors may turn to surgery as treatment for anal fissure pain. A favored procedure which has a high success rate is Lateral Internal Sphincterotomy. Here the doctor makes a tiny cut on the internal anal sphincter. This is useful in minimizing the pressure and thus alleviating the pain. The fissures will cure themselves so there is no need to surgically close them.
Usually this type of surgery is very successful, but there are a few negative side effects to a lateral internal sphincterotomy. 8% of patients later report incontinence which means they pass stools or gas without any control to stop it. Nitroglycerine cream can help this in the long term and there is no medication that comes close to working as well as surgery.
Patients take into account that this surgery has more advantages rather than some disadvantages, which they outweigh. There is long-lasting relief in this surgery and more successful. But there are minimum chances of replace after surgery.
There is yet another procedure known as anal advancement flap, which is usually carried out on women giving birth. Since they do not have a high resting pressure in their internal sphincter this procedure works out best for them. In anal advancement flap, the DR begins by removing the edges of the fissures, and sewing healthy tissue over the same area.
John Cole is a previous hemorrhoids sufferer. If you like to have some more aid and guidance about anal fissure treatment please visit his hemorrhoids online guide.
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