A digital rectal exam, which may be painful, may be needed if a definitive diagnosis of anal fissures cannot be made based on a patient’s history. 1 Anoscopy, which also may be painful, can be used to ... DEAR DR.

Understanding the Context

ROACH: My husband has been diagnosed with a rectal fissure. It has been a couple of months, and it isn’t any better. He has been treated only with a stool softener. What do you suggest?

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Key Insights

— A.T ... *Refers to the latest 2 years of stltoday.com stories. Cancel anytime. Dear Dr. Roach My husband has been diagnosed with a rectal fissure.

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It has been a couple of months, and it isn’t any better. He ... Explore common causes of rectal pain like hemorrhoids and anal fissures, plus symptoms and effective treatments. Recent reports confirm that the management of chronic anal fissure has undergone extensive re-evaluation during the past few years. This rejuvenation of interest is attributable to the application of ... Current treatments for anal fissures focus on reducing the tone of the internal anal sphincter, whether by sphincterotomy, injection of botulinum toxin or the topical application of nitroglycerin or ...

How do you treat a recurrent anal fissure, 6 months after adequate lateral sphincterotomy? The patient is a 65-year-old, markedly obese man with no evidence of inflammatory bowel disease. An anal ... NDTV: Fissure, Fistula, Abscess Or Piles?