Anal fissure medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
==Medical Therapy== | |||
For many years up until 1995, customary treatment included warm baths, topical anesthetics, stool bulking agents, mechanical anal stretching, and, sometimes, surgery.<ref name="new"/> In 1995, doctors began using nitroglycerine cream (topical 1 percent isosorbide dinitrate) but found it less acceptable for long-term use due to patients developing a tolerance to the drug.<ref name="new"/> In 1998, Italian researchers reported injecting [[botulinum toxin]] into the anal sphincter to promote healing by relieving anal spasm through relaxation of the muscle.<ref name="new"/> | |||
===Symptomatic=== | |||
Most anal fissures are shallow or superficial (less than a quarter of inch or 0.64 cm deep). These fissures self-heal within a couple of weeks. Furthermore, treatment used for [[hemorrhoid]] such as eating a high-fiber diet, using stool softener, taking pain killer and having a [[sitz bath]] can help. | |||
===Pediatric=== | |||
Anal fissures in infants usually self-heal without anything more than frequently changing diapers and treating constipation if the cause. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 14:48, 5 September 2012
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Anal fissure Microchapters |
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Anal fissure medical therapy On the Web |
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American Roentgen Ray Society Images of Anal fissure medical therapy |
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Risk calculators and risk factors for Anal fissure medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical Therapy
For many years up until 1995, customary treatment included warm baths, topical anesthetics, stool bulking agents, mechanical anal stretching, and, sometimes, surgery.[1] In 1995, doctors began using nitroglycerine cream (topical 1 percent isosorbide dinitrate) but found it less acceptable for long-term use due to patients developing a tolerance to the drug.[1] In 1998, Italian researchers reported injecting botulinum toxin into the anal sphincter to promote healing by relieving anal spasm through relaxation of the muscle.[1]
Symptomatic
Most anal fissures are shallow or superficial (less than a quarter of inch or 0.64 cm deep). These fissures self-heal within a couple of weeks. Furthermore, treatment used for hemorrhoid such as eating a high-fiber diet, using stool softener, taking pain killer and having a sitz bath can help.
Pediatric
Anal fissures in infants usually self-heal without anything more than frequently changing diapers and treating constipation if the cause.