Having an anal fissure? Just like other cuts, anal fissure needs medication to heal more quickly. What cause anal fissure? It can be caused by dehydration, insufficient or no fiber intake, delaying visiting toilets among others.
Below are some medications recommended for anal treatments.
Use of Laxatives
It’s a medicine that helps you pass your stools with ease. For adults, bulk-forming laxatives tablet assist in retaining fluid in your stools. The stools become softer and not likely to dry. Osmotic laxatives are normally used for children suffering from anal fissure. This type of laxatives increases the amount of fluid in the bowels. This makes it easy for the body to pass stools.
If you are planning to use this type of treatment, it is recommended to start from low dose and then gradually increase it day-by-day.
Application of Glyceryl Trinitrate (GTN)
GTN is an ointment which is directly applied to the anal area. How does this work? GTN expands the blood vessels around and inside the anus. This enhances adequate blood supply to the fissure which helps it heal quickly. GTN also reduces the anal canal pressure. This help to ease and relieve pain. Most of the anal fissures are treated with GTN.
Botox injections treatments
This medication involves botulinum type (A) injection into the sphincter. It’s used especially when topical anal treatments don’t cure. How does it work? It temporarily paralyzes the muscles of the sphincter. Does this help? Absolutely. It encourages healing and relieves pain.
Anal Advancement Flap
For patients with recurrent or primary fissures, anal advancement flap is best. Most women with low resting anal canal pressure also suit in this anal treatments process. Prior endosonographic and manometry are used to help selection of various suitable cases. How does this help? It avoids disruption to the internal sphincter. It also reduces some factors that may jeopardize continence.
If all of the above anal treatments don’t work for you, then it’s recommended that you go for anal surgery. This is because most fissures are associated with increased internal anal sphincter (IAS) pressure. Reduction in vascular perfusion at the bottom also results to chronic anal fissures. It’s also called lateral internal sphincterotomy (LIS). This surgery involves making a cut on the muscles of the anal sphincter.
Is it beneficial? It reduces pressure and pain. This allows the anal fissure to heal.
Anal fissure may heal spontaneously. A decision on whether therapy is suitable for idiopathic chronic anal fissure may need careful attention. Glyceryl trinitrate (GTN), botulinum toxins, and diltiazem are some of the pharmacological agents that are mostly used.
There are several treatments for anal fissures. But as they always say, prevention is better than cure. Therefore, it would be best if you take good care of your anal health. When you do cosmetic treatments like anal bleaching, make sure that you follow the right procedure.