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Feingold, MD , an attending surgeon in the Division since Feingold explains, "This has a good record of fixing the problem and a low risk profile. Beneath his ability to help his patients feel comfortable and even laugh, Dr. Columbia University Irving Medical Center. Chronic tension in the internal anal sphincter — the muscular ring that surrounds the anal canal — is often an underlying factor because it reduces blood flow to the region. Wound care protocol Dr. Hot baths and stool softeners can help promote healing.

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Surgical Management Of Chronic Anal Fissure

So like many others, she suffered in silence. These include taking an oral stool softener like docusate sodium Colace and a daily fiber supplement like Metamucil, Konsyl, Citrucel or Fibercon. eating high-fiber foods like dried and fresh fruits, vegetables, bran and other whole grains. and drinking two or more quarts of water a day. When patients first meet Dr. By paralyzing a portion of the muscle and relaxing the spasm, the hope is that the fissure will heal.

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Unless diarrhea is a cause, measures to soften the stool and promote regular bowel movements are most helpful. This leads to more pain and more spasm. By paralyzing a portion of the muscle and relaxing the spasm, the hope is that the fissure will heal. Rushton, who has become a reluctant lay expert on the condition. When patients first meet Dr.

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Description: For more information, visit columbiasurgery. The procedure entails four steps. Feingold, he reassures them of several important things. Anal fissures are small cuts or tears at the skin of the anal opening. In women, childbirth is a common cause. By relaxing the muscle so that spasms resolve, blood flow to the area improves and healing can occur. But it also doesn't burn any bridges, so if it fails, it would still be possible to do a sphincterotomy, if need be. In fact, this potentially painful, debilitating, anxiety-provoking condition is quite common.
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