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When you have an anal fissure it means that your bowel got injured and there is a small tear in it that brings you that horrible pain in the ass. Sometimes you can even notice some bleeding. But don't be as stupid as I was - you are not dying! What you need in this case (and what I needed as well) is Diltiazem cream that helps the tears heal. Give it several days and it will bring your anus back n order. Believe my experience!

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These subjects will return for safety follow-up visits at their previously scheduled follow-up assessment appointments.

Doctors prescribe diltiazem cream as a topical preparation for the treatment of anal fissures and for patients who have undergone hemorrhoid surgery.

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Like all nonsurgical treatments of anal fissure, it does not address the long term problem of increased basal anal tone and does not decrease the subsequent recurrence rate that can vary between 40 and 60%.

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Diltiazem should be taken with a full glass of water either with or without food.

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We have explored the possible use of a calcium antagonist and cholinomimetic to lower anal sphincter pressure.

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These medicines do not seem to be any more effective than GTN ointment.

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If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

You obviously need a GI doc to do an anoscopy and a digital exam (if not too painful).

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Internal hemorrhoids may be identified on external exam if they protrude with straining or may be detected during a check with a flexible or rigid tube with a light and a camera that is inserted in order for the doctor to see the inside of the anal canal and lower rectum.

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Drawback: It is, however, supposed to cause reversible internal anal sphincterolysis.

Rubber band ligation is a common office treatment for internal hemorrhoids and is often recommended as the initial surgical treatment for grades 1 to 3 hemorrhoids.

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Data Sources: The following evidence-based medicine resources were searched using the key words stapled hemorrhoidopexy, hemorrhoidectomy, hemorrhoids, hemorrhoid treatment, rubber band ligation hemorrhoids, hemorrhoid surgery, hemorrhoids pregnancy, and thrombosed external hemorrhoids: Essential Evidence Plus, the Cochrane Database of Systematic Reviews, Pubmed, UpToDate, the National Guideline Clearinghouse, the Institute for Clinical Systems Improvement, and the Database of Abstracts of Reviews of Effects.

This leads to hardening of the stools, which further tear the anoderm during defecation, setting a vicious cycle.

Isosorbide dinitrate in the treatment of anal fissure: a randomised, prospective, double blind, placebo-controlled trial.

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Surgical versus chemical (botulinum toxin) sphincterotomy for chronic anal fissure: long-term results of a prospective randomized clinical and manometric study.

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Staples can be noted within the rectum for many months after the procedure and can cause rectal bleeding.

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Two patients experienced first-degree AV block at the 540 mg dose.

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Lewis TH, Corman ML, Prager ED, Robertson WG: Long-term results of open and closed sphincterotomy for anal fissure.

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Fissure is simply a crack, similar to a tear or fissure at the corner of your mouth that may occur in very cold weather or when you yawn too enthusiastically.

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Prophylactic Nitrate Therapy: Diltiazem hydrochloride may be safely coadministered with short- and long-acting nitrates.

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