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The diagnosis of anal fissure is often made on the basis of the patient's medical history. Published online Fall 2007. The relaxation of sphincter tone induced by diltiazem, nitroglycerin, and nifedipine can relieve the pain within a few days, but complete healing may take up to two months. Aetiology and treatment of anal fissure. Topical nifedipine with lidocaine ointment vs.

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Conclusion Anal fissure is the most common cause of severe anal pain and bleeding seen in the primary care setting, in urgent care and surgical clinics, and in Emergency Departments. The patient is treated for the presumed diagnosis of anal fissure and a complete examination is deferred to the next visit, usually three or four weeks later. Open in a separate window. Copyright © 2007 The Permanente Journal. The diagnosis of anal fissure is often made on the basis of the patient's medical history. In rare cases, the incontinence can be more severe or permanent.

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Overall, it is safe and rarely causes any degree of incontinence. Steroid-based creams and hemorrhoidal ointments are usually not effective. Benign anorectal disorders are common and increasing in incidence. Journal List Perm J v. Anal fissure is the most common cause of severe anal pain and bleeding seen in the primary care setting, in urgent care and surgical clinics, and in Emergency Departments. Author information Copyright and License information Disclaimer.

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