A fissure is considered chronic if it lasts more than eight weeks. Recent studies have used injection of botulinum toxin into the sphincter muscles to paralyze them and allow healing to take place. Soaking in warm water for 10 to 20 minutes several times a day, especially after bowel movements, can help relax the sphincter and promote healing. Columbia University Irving Medical Center. The technique of the sphincterotomy is important, and preoperative evaluation of your sphincter by means of an assessment of your symptoms and measurement of sphincter pressures may be warranted.
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Division of Colorectal Surgery
Also, avoid straining during bowel movements. During this procedure, your surgeon will identify the internal sphincter and cut a portion of it. Our surgeons have extensive experience in the medical and surgical management of anal fissures. Anal fissures often heal within a few weeks if you take steps to keep your stool soft, anal fissure type of surgeon as increasing your intake of fiber and fluids. Diagnosis Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region.
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Is there a safe option? This content does not have an English version. Diagnosis Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Anal fissure type of surgeon you're waiting to see your doctor, take steps to avoid constipation, such as drinking plenty of water, adding fiber to your diet and exercising regularly. Cochrane Database of Systematic Reviews.
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