What is chronic anal fissure

Save this study. Anal fissures in a district general hospital: creation of a treatment algorithm for nurse-led management. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Chronicity of a fissure relates to duration of greater than 6 weeks with fibres of the internal anal sphincter visible at the base of the fissure. Please review our privacy policy. A comparison of injections of botulinum toxin and topical nitroglycerin ointment for the treatment of chronic anal fissure. Estimated Study Completion Date :.

The result is a non-healing ulcer, which may become infected by fecal bacteria. World Journal of Gastroenterology. Lateral sphincterotomy compared with anal advancement flap for chronic anal fissure. As I said earlier, I was doing a clinical degree, which I have now passed, so I feel that I am pretty well qualified to offer a bit of advice, so here it is. Diseases of the digestive system primarily K20—K93 , — Soaking in warm water for 10 to 20 minutes several times a day, especially after bowel movements, can help relax the sphincter and promote healing. I was prescribed Anoheal by the surgeon as well but this didn't work as well as GTN for me, but I have seen cases in work where this has been incredibly effective.

Request an Appointment at Mayo Clinic. This content does not have an English version. Also have changed my diet to more fruits and veggies, lost 20lbs amd I'm still suffering. This really helped me and I have seen a few accounts here where sufferers also say that. I went to see the colo-rectal surgeon a few weeks later, I was terrified, but he was a lovely man, very very considerate.