Aug 08, 2017 · Treatment for Anal Fissures. In this Article Get treatment for chronic constipation or ongoing diarrhea. Sitz baths, or hip baths, can promote healing of an anal fissure.
A Chronic Anal Fissure. is a tear in the skin of the anus, usually caused when a large, hard stool overstretches the anal opening and damages the fragile skin. It is often associated with constipation, and less frequently, with chronic diarrhea, inflammatory bowel disease or sexually transmitted diseases (STDs) that involve the anus and rectum.
Nov 28, 2018 · Failure of medical therapy to resolve the acute fissure is an indication for surgical intervention. The presence of a symptomatic chronic fissure is also an indication for surgery because few of these heal spontaneously. The main contraindication to surgery for an anal fissure .
The first-line treatment of chronic anal fissures with topical agents has led to management algorithms that can be employed effectively. 49 Lindsey et al. 50 gave an excellent overview of the current treatment of chronic anal fissures and introduced the idea of poly-pharmacy with and without surgery. This synergy between topical, injectable and Cited by: 54.