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Documented to be the best non-surgical option for prevention and healing of anal fissures. However, you should see your gp if you have an anal fissure as they can give you advice and medications to help ease your symptoms and allow the fissure to heal more quickly. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you dont follow the self-help advice outlined below. Topical diltiazem cream versus botulinum toxin a for the treatment of chronic anal fissure a double-blind randomized clinical trial. Lateral sphincterotomy for chronic anal fissure prospective, randomized trial. The goal of treatment is to relieve pain and discomfort, and heal the torn lining. Acute anal fissures -- the ones that dont last longer than 6 weeks -- are common and usually heal on their own. However, when treatments fail and anal fissures persist or come back, other measures can be. These may include a medicated cream (to help heal the fissure), a topical muscle relaxant (to relax the.). The treatment of anal fissure breaks the cyclic anal sphincter spasm, prevents tearing of the anal mucosa, and promotes healing of the fissure. The majority of anal fissures are treated medically, which is the topic of this discussion 1,2. Chronic anal fissures (present for 6 weeks or longer), and associated pain, may be treated with glyceryl trinitrate rectal ointment 0. 2 unlicensed (available from special-order manufacturers or specialist importing companies). Limited evidence suggests that the strength used does not influence the. An anal or a rectal fissure is a small tear, cut, or open sore in the skin around the anus. This problem can affect people belonging to all age groups but is more common in infants and young adults. Documented to be the best non-surgical option for prevention and healing of anal fissures.