Anal fissures are initially treated conservatively with home remedies and OTC products that include adding bulk to the stool, softening the stool, consuming a high fiber diet, and utilizing sitz baths.
Although most anal fissures do not require surgery, chronic fissures are harder to treat and surgery may be the best option. The goal of surgery is to help the anal sphincter muscle relax which reduces pain and spasms, allowing the fissure to heal.
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What are methods of fissure treatment without surgery?
After a thorough examination, your surgeon may prescribe local ointments and jellies. These will help reduce pain, swelling and inflammation.
Your doctor may advise anti-inflammatory drugs to relieve pain and oral laxatives to soften stools.
Sitz Bath is a must and it should be taken as advised by your surgeon” says Dr Amarchand.
Place a basin filled with warm water directly on your toilet seat. Dip a finger into the water to make sure that the water isn’t too hot. Now lower yourself gently into the basin on the toilet seat. Sit in this position for about 5-10 minutes.
If your fissures are caused by constipation or diarrhea, you can change a few habits to help lessen the strain on the anal canal. These steps can help relieve symptoms and encourage healing in most cases.
– Wheat bran
– Oat bran
Whole grains, including brown rice, oatmeal, and whole-grain pastas, cereals, and breads
– Peas and beans
– Citrus fruits
– Prunes and prune juice
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Using vaseline to help lubricate the anorectal area, to help relax the sphincter and relieve pain, take a warm sitz bath after bowel movements. Vaseline (petroleum jelly) may also ease your symptoms. There are some medications you may want to try. Topical nitroglycerin promotes healing by increasing blood flow to the area and reducing pressure in the anal sphincter.
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