5 treatment tips for troublesome anal fissures

There are no clear guidelines on anal fissure management.

Essentially, the aim is to break the cycle of anal sphincter spasm allowing improved blood flow to the fissured area so healing can occur.

Almost 50% of patients with acute anal fissures will heal with conservative measures alone. These include increased fibre intake (e.g. psyllium) and warm bathing of the perineum (sitz baths). It is

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