A break or tear in theanusis called an anal fissure.

It can occur at any age but is more common in babies and children.

If constipation is the cause, treating that problem will be important to healing the fissure.

Woman sits on toilet, has a spray bidet available which is useful for anal fissure

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Other treatments include home remedies such assitz baths, topical and oral medications, injections, and surgery.

This article will discuss the various forms of treatment that may be used for an anal fissure.

It relaxes the muscles in the anal sphincter while increasing blood flow.

More blood flow may help the tear to heal faster.

Botox works by stopping the muscles of the anal sphincter from having spasms.

This may allow the tear to heal.

They either are taken orally in pill form or applied topically as a cream.

These drugs are usually prescribed after other treatments like nitroglycerin havent worked.

Understand What to Expect

More than one prescription may be used for a fissure.

This therapy is not currently recommended in the clinical guidelines for chronic anal fissure, however.

A pelvic floor therapist is not easy to find and may not be covered by insurance.

Lateral internal sphincterotomy:Sphincterotomysurgery can be used to lower tension in the inner muscle of the anal sphincter.

Fissurectomy: In afissurectomysurgery, the fissure is surgically removed.

This bang out of surgery is done less often than sphincterotomy.

A fissurectomy tends to have more complications after surgery, such as incontinence.

However, it is more effective in healing chronic fissures and preventing them from returning.

This surgical technique may be associated with a lower risk of incontinence than sphincterotomy.

However, the rates of complications and lack of healing may be about the same.

In many cases, an anal fissure can be treated at home and not recur.

However, prescription medications or surgery might be used for a fissure that resists treatment.

2021;13:e18363.