In the most severe cases, anal fissures may require surgery.
Anal fissures are cuts in the anal canal that can occur during large or difficult-to-control bowel movements. In addition to recommending medication to relieve constipation, which ensures the stool becomes less hard, doctors often prescribe nifedipine ointment. This medication helps decrease inflammation to create a more hospitable environment in which the body’s natural healing process can heal the wound.
Nifediprine ointment can be used to treat cuts in the anal canal.
Nifedipine ointment, typically used after waking up in the morning and again at night, is designed to relieve spasms and sensitive inflammation of anal fissures. It facilitates blood flow and allows the rectal cavity to relax, which in turn promotes healing of the tear. Another drug that can be prescribed for this purpose is nitroglycerin.
Using nifedipine ointment requires a disinfected hand and a latex glove or applicator nozzle. Lying on your side, with your top knee bent towards your chest, the ointment can be spread on your finger and rubbed around the anus and then into the rectal cavity. As with hemorrhoid creams, many containers of nifedipine ointments include nozzles that easily inject the required amount of medication into the rectum.
Nifedipine ointment was developed to relieve spasms and sensitive inflammation of anal fissures.
Along with nifedipine ointment and a stool softener, doctors often recommend an increase in fluid and fiber consumption – both natural ways to soften stools. In extreme cases, when the pain does not subside and the fissures do not heal, the doctor may recommend a Botox injection; ® to further relax the rectal cavity. As a last resort, a surgical procedure called a lateral internal sphincterotomy involves removing part of the muscle that forms the sphincter, which ideally improves blood flow to the rest of the anal cavity and further promotes healing.
Anal fissure can develop as a result of sexual activity.
According to the Mayo Clinic, anal fissures heal after two to three weeks. If the pain persists for more than a few months, however, patients should seek medical treatment. Before it’s time to see a doctor, however, common over-the-counter remedies include fiber supplements to soften stools, as well as topical ointments like nitroglycerin and zinc oxide. Another method involves sitting in a hot bath, called a sitz bath, for up to 20 minutes without adding soap to the water, as this could cause further irritation.
Anal fissures can occur not only from large stools but also from sexual activity or even conditions like Crohn’s disease. In addition to pain during and after bowel movements, bright red bleeding is often found in the toilet bowl or on toilet paper. Itching is also common in and around the anus, which may or may not have a visible tear or bulging bulge.