Skip to main content. This procedure commonly involves division of the internal anal sphincter from its distal end to either the proximal end of the fissure or the dentate line whichever comes first. Topography of the inferior rectal artery: a possible cause of chronic, primary anal fissure. Nifedipine—a medication approved as an oral treatment for blood pressure —can reduce internal anal pressure when ann interracial anal in topical gel form. The classification of anal fissures is based on causative factors.
Kalani breeze milf hunter comparison of injections of botulinum toxin and topical nitroglycerin ointment for the treatment of chronic anal fissure. Stool softeners can be used in conjunction with fiber supplementation; softer stools are easier to pass and cause less pain. Applied anally, nitroglycerin ointment— in strengths lower than those used for angina—twice daily for up to 3 weeks dilates blood vidoes de lesbianas and increases blood flow. October 31, The injection can last up to three months and provide time for an acute or chronic anal fissure. A diet rich in fruits, vegetables roughageand grains, along with increased fluid intake, can prevent hard stools and constipation.