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Open lateral internal anal sphincterotomy under local anesthesia as the gold standard in treatment of chronic anal fissures. Usually, however, the doctor will not do this because it may cause too much pain. You might notice a skin tag or polyp with a chronic fissure. A careful evaluation of the patient's baseline continence level is important before deciding on surgery. An Interview With Margaret Teu. The injections will prevent spasms in your anus by temporarily paralyzing the muscle.
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Anal fissure - Symptoms and causes - Mayo Clinic

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Anal fissure

I believe my fissure is cause by constant bathroom trips, the fact that pouch stool is far more caustic in makeup and the straining that comes from not feeling 'empty'. She notices some intermittent bleeding with defecation. Patients should drink at least two glasses of water or fluids each time they take a fiber supplement dose.
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