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Chronic anal fissure treatment

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Documented to be the best non-surgical option for prevention and healing of anal fissures. I am going cover ways to try help you out if you are suffering from a chronic anal fissure. Not everything will work for everybody and everybody is different, but there are some basic things you can try do, some natural home remedies which you may already have in your kitchen like coconut oil, manuka honey and so forth. Advancement anal flaps involve taking healthy tissue from another part of your body and using it to repair the fissure and improving the blood supply to the site of the fissure. The initial approach in the treatment of anal fissures is non-operative. An acute anal fissure may heal spontaneously or in response to medical therapy with warm baths, stool softeners, bulk laxatives, analgesics, topical anaesthetics and re-assurance. 1 dietary bran supplements and warm sitz baths are superior to topically applied, local anaesthetic or hydrocortisone.   an anal fissure (see the images below) is a painful linear tear or crack in the distal anal canal, which, in the short term, usually involves only the epithelium and, in the long term, involves the full thickness of the anal mucosa. File36258file36259for patient education resources, see the digestive disorders center, as well as anal absce.   an anal fissure most often occurs when passing large or hard stools. Chronic constipation or frequent diarrhea can also tear the skin around your anus. When someone has an anal fissure the first treatments can include a high-fibre diet, laxatives and applying anaesthetic ointments to the affected area. Anal fissures usually heal within a few weeks but those that have not healed after 46 weeks are called chronic fissures. It has recently been suggested that combination therapy may be more effective than single agents in the treatment of chronic anal fissures. Sitz baths, or hip baths, can promote healing of an anal fissure. Chronic anal fissures typically occur in the midline, with visible sphincter fibers at the fissure base, anal papillae, sentinel piles, and indurated margins. Documented to be the best non-surgical option for prevention and healing of anal fissures.

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