Certain fissures might heal quite quickly, but others can take several months to heal. Diltiazem hydrochloride works by relaxing the muscle around the anus (the anal sphincter). This reduces pressure and increases blood flow to the area to allow healing to occur.

Because it is in an ointment form, topical diltiazem is easy for patients to use. Patients simply apply a pea-sized drop ointment to the skin just inside the anus three times per day, or as often as directed. Depending on the severity of the anal fissure, it may take several weeks of treatment for the fissure to heal.

Dizziness, headache, weakness, nausea, or swelling of the hands or feet may rarely occur. If any of these side effects persist or worsen, notify us promptly.

Based on the studies, diltiazem cream or ointment does not appear to cause significant harm or side effects in adults using it in the short term. Most studies looked at use for around 3 months or less. It is not known what possible harms or side effects the treatment may cause if it is used for longer than this.

Avoid drinking alcohol while taking diltiazem. Avoid taking an herbal supplement containing St. John’s wort. Avoid driving or hazardous activity until you know how this medicine will affect you.

Apply a small amount to your finger (approximately 2.5cm) and place the cream just inside the anus, at the entrance. A finger covering, such as cling film or a disposable glove may be used to apply the ointment. Use the cream twice a day every day (morning and evening) for 2 months.

Lidocaine is the most commonly prescribed topical anaesthetic for anal fissures. It comes in the form of either a gel or an ointment, and is usually only used for 1 to 2 weeks because the fissure should start to heal within this time.

If someone has a chronic fissure, it is thought that the reason it has not healed is that the ring muscle (sphincter) that goes around the anus (back passage) has become so tense that the flow of blood to the lining of the anus is reduced.

Fiber therapy — Avoiding hard bowel movements will prevent trauma to the anal canal, promoting healing of the fissure. Increasing fiber in the diet is one of the best ways to soften and bulk the stool….GRAPHICS.

According to what has been said, egg yolk as a natural analgesic and anti-inflammatory agent can cure an acute anal fissure more efficiently than nitroglycerin ointment. Not only does it heal the anal fissures better but also it acts more rapidly.

Often all that is needed are regular Sitz baths, sitting in a warm tub of water that allows the muscle to relax. Ointments are available and may be prescribed to help decrease sphincter spasm if basic treatments fail.

Most fissures can heal by following good elimination habits.

• Take plenty of water and fiber.
• Avoid foods such as popcorn, nuts or tortilla chips.
• Avoid constipating foods.

Engage in 30 minutes or more of moderate physical activity, such as walking, most days of the week. Exercise promotes regular bowel movements and increases blood flow to all parts of your body, which may promote healing of an anal fissure. 4. Avoid straining during bowel movements.

Include natural laxatives like papaya, oranges, grapefruit and cantaloupe and pears. Prefer whole fruits over the juices. Vegetables are also a good source of fiber. Green leafy vegetables are rich in fiber and antioxidants, and improve digestion.

Conclusions: Infants and young children with chronic constipation and anal fissure may consume larger amounts of cows milk than children with a normal bowel habit.

Get Plenty of Fiber

• Wheat bran.
• Oat bran.
• Whole grains, including brown rice, oatmeal, popcorn, and whole-grain pastas, cereals, and breads.
• Peas and beans.
• Seeds and nuts.
• Citrus fruits.
• Prunes and prune juice.

According to the medicine eggs for treating the anal fistula, composition is scientific, a good curative effect on various stages of anal fistula, the secret sorrow of feeling restless of a patient is solved, and normal work and life of the patient are restored.

In the present study, 98% of patients presenting with a chronic anal fissure were successfully cured medically, avoiding the potential risk of permanent sphincter damage associated with surgery. In only 2 patients did a combination medical treatment fail to heal the fissure and they required sphincterotomy.

As with all surgery, you should expect some discomfort. It can be quite painful for the first couple of days and it may seem like it gets worse before it starts to feel more comfortable again, but the pain will ease. When you leave the ward or DSU we may give you something to help with the discomfort.

The topical antimicrobial treatment with metronidazole as an addition to the classical medical treatments in acute anal fissure is an effective and safe practice resulting in further reduction in pain and increased healing rate.

Misdiagnosis of an anal fissure may also allow other conditions to go undetected and untreated, such as serious infections or even cancer.

Some people get fissures once in awhile and others can become chronic, lasting for years. The pain of a fissure may cause people to avoid having a bowel movement leading to chronic constipation.

Is a fishy smell from haemorrhoids normal? It could be a sign of a number of issues, but is more than likely piles related. The smell is most likely anal discharge from the rectum, produced by the mucus membrane, as opposed to the leaking of faecal matter (poo), due to loss of sphincter control.

Digging out the stool can damage the soft tissue at the opening of your anus, resulting in anal tears and bleeding. Only a doctor should manually remove poop from the rectum.

The most common treatment for a fecal impaction is an enema, which is special fluid that your doctor inserts into your rectum to soften your stool. An enema often makes you have bowel movements, so it’s possible that you’ll be able to push out the mass of stool on your own once it’s been softened by the enema.

What causes constipation? Hard, dry stools are the result of the colon absorbing too much water. Normally, as food moves through the colon (also known as the large intestine) the colon absorbs water while forming stool (waste products).

Symptoms of Malabsorption When there is inadequate absorption of fats in the digestive tract, stool contains excess fat and is light-colored, soft, bulky, greasy, and unusually foul-smelling (such stool is called steatorrhea).