Various preparations of isosorbide mononitrate, isosorbide dinitrate and glyceryl trinitrate have been shown to successfully heal chronic fissures. PMC ] [ PubMed: I am still taking the laxative prescribed to me until i have been for my check up. Narcotic pain medications should be avoided because they worsen constipation. There may be more than one pathogenic process leading to the development of chronic fissures: Background An anal fissure is a tear of the squamous epithelium that usually extends from the dentate line to the anal verge.
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The digital examination wasn't fun, in fact she said she had never seen anyway change colour so quickly but it was worth it because I was refered to a colo-rectal surgeon. I was prescribed GTN ointment and started using it as directed. The sphincters are oval-shaped and are best supported at their sides and weakest posteriorly. The goal of treatment for anal fissures is to break the cycle of spasm of the anal sphincter and its repeated tearing of the anoderm.
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