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Picture of anal fissure.

Picture of anal fissure. A small number of patients may actually have fissures in both the front and the back locations.

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Stool softeners and increasing water intake may be necessary to promote soft bowel movements and aid in the healing process.

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In these select patients, surgical sphincterotomy must be considered carefully.







Don't avoid having bowel movements.







If any incontinence is present after surgery, it may resolve over a short time period.







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Nelson RL, et al.







Medications such as diltiazam, nifedipine, or nitroglycerin ointment to relax the anal sphincter muscles which helps the healing process.







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Don't strain.







Anne C.