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To learn more about Healthwise, visit Healthwise. The internal anal sphincter, one of two muscles that control the anus, is always under tension. If you have particularly severe anal pain, your GP may prescribe a topical anaesthetic to numb your anus before passing stools. 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. You'll usually have to use GTN ointment for at least 6 weeks, or until your fissure has completely healed.

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Botox Injection For Anal Fissure

Any side effects should pass within a few days once your body gets used to the medicine. If this tension also called resting pressure is too high, spasms and reduced blood flow can cause an anal fissure or prevent an existing one from healing. Botulinum toxin, the poison that causes botulism , temporarily paralyzes the internal anal sphincter. Cochrane Database of Systematic Reviews 4. If you have an anal fissure, an injection of the toxin can be used to paralyse your sphincter muscle. Efficacy and safety of botulinum toxin A injection compared with topical nitroglycerin ointment for the treatment of chronic anal fissure. It won't help fissures heal, but it can help ease the pain.

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Botulinum toxin treatment for anal fissure

Botulinum toxin injections can be expensive. Most people will fully heal within 2 to 4 weeks. There are a number of different surgical techniques that can be used to treat anal fissures. If this tension also called resting pressure is too high, spasms and reduced blood flow can cause an anal fissure or prevent an existing one from healing. As with GTN ointment, you'll usually have to use calcium channel blockers for at least 6 weeks, or until your fissure has completely healed.

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Description: If this tension also called resting pressure is too high, spasms and reduced blood flow can cause an anal fissure or prevent an existing one from healing. American Journal of Gastroenterology, 9. These work by helping your poo retain fluid, making it softer and less likely to dry out. Lidocaine is the most commonly prescribed topical anaesthetic for anal fissures. If you have an anal fissure, an injection of the toxin can be used to paralyse your sphincter muscle. 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. Children with an anal fissure are usually prescribed an osmotic laxative oral solution. It won't help fissures heal, but it can help ease the pain. References Top of Page. Cochrane Database of Systematic Reviews 4.
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