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For the best experience on htmlWebpackPlugin. Application of a 0. You rub a pea-sized dot of cream on the fissure twice a day.

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Conditions of the anal canal and surrounding skin are a common cause of complaint. Topical anal preparations are readily available, easy to apply and often work well. Perianal symptoms are limited to pruritus, bleeding, pain, discharge or a lump.

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Back to Anal fissure. Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you don't follow the self-help advice outlined below.

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Nitroglycerin ointment Nitro-Bid is used to prevent episodes of angina chest pain in people who have coronary artery disease narrowing of the blood vessels that supply blood to the heart. Nitroglycerin ointment can only be used to prevent attacks of angina; it cannot be used to treat an attack of angina once it has begun. Nitroglycerin ointment Rectiv is used in adults to treat pain from anal fissures a split or tear in the tissue near the rectal area.

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Usually treatment focuses on establishing and maintaining a routine for proper anal hygiene. If a secondary or underlying cause is found, the treatment will depend on the specific condition. Cleveland Clinic is a non-profit academic medical center.

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PURPOSE: Fissure-in-ano and acutely thrombosed external hemorrhoids are common, benign anal conditions, usually characterized by severe anal pain. Internal anal sphincter hypertonia appears to play a role in the etiology of this pain. Nitric oxide has recently been identified as the "novel biologic messenger" that mediates the anorectal inhibitory reflex in humans.

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Drugs Drugs and Targets Drug Drug Name Drug Indication DB Cinchocaine For production of local or regional anesthesia by infiltration techniques such as percutaneous injection and intravenous regional anesthesia by peripheral nerve block techniques such as brachial plexus and intercostal and by central neural techniques such as lumbar and caudal epidural blocks. DB Fluocinolone acetonide Fluocinolone acetonide has been used extensively in different medical areas. It is also used to suppress gag reflex.

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NEW The primary care update series is a new subscription based service from bpac nz Find out more. Initially, quizzes are posted out with journals and GPs are invited to submit their answers for CME credits. Register or Log in to take part in quizzes. Don't have an account?

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Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure.

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An anal fissure is a tear or ulcer in the lining of the anal canal, immediately within the anal margin. Clinical features of anal fissure include bleeding and persistent pain on defecation, and a linear split in the anal mucosa. Initial management of acute anal fissures present for less than 6 weeks should focus on ensuring that stools are soft and easily passed. Bulk-forming laxatives such as ispaghula husk are recommended and an osmotic laxative such as lactulose can be considered as an alternative—see also Constipationfor further information about these laxatives.

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