Anal Fissure

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Psyllium (sample brand name: Metamucil)

Methylcellulose (sample brand name: Citrucel)

Calcium polycarbophil (sample brand name: FiberCon)

Wheat dextran (sample brand name: Benefiber)

Take a stool softener, such as docusate (sample brand name: Colace).

Use nitroglycerin cream, a prescription cream that relieves pain and helps the anus heal.

Take sitz baths (see above).

If these steps to do not work, doctors can try other treatments, such as: � �

Botulinum toxin ( "BoTox " �) " � This is a shot that can help the anal sphincter muscle relax and heal. It can help, but it can also cause short-term problems with leaking of gas or bowel movements.
Surgery " � During surgery, the doctor makes a small cut in the sphincter to help it relax. This surgery works in most patients, but doctors offer it only to people who do not get better with other treatments. Surgery can cause lasting problems with leaking of gas or bowel movements.

All topics are updated as new evidence becomes available and our peer review process is complete. � �
This topic retrieved from UpToDate on: Nov 04, 2014. � �
Topic 82909 Version 3.0 � �
Release: 22.8 - C22.208 � �
� � 2014 UpToDate, Inc. All rights reserved. � �

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Anal sphincter

The anal sphincter is made up of two sets of muscles called the "internal" and "external" sphincters. These muscles form a ring around the anus. When these muscles are working normally, they squeeze the anus shut so that gas and bowel movements cannot leak out.

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Anal sphincter

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Colonoscopy versus sigmoidoscopy

During a colonoscopy or a sigmoidoscopy, you lie on your side, and the doctor or nurse puts a thin tube with a camera into your anus (from behind). Then the doctor or nurse advances the tube into the rectum and colon. The camera sends video pictures from inside your colon to a television screen.

A colonoscopy allows the doctor to see the whole colon (shown in pink and green). A sigmoidoscopy allows the doctor to see only the last part of the colon (shown in green).

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Colonoscopy versus sigmoidoscopy

A colonoscopy allows the doctor to see the whole colon (shown in pink and green). A sigmoidoscopy allows the doctor to see only the last part of the colon (shown in green).

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Foods with fiber

Foods with a lot of fiber include prunes, apples, oranges, bananas, peas, green beans, kidney beans, cooked oatmeal, almonds, peanuts, and whole-wheat bread.

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Foods with fiber

Foods with a lot of fiber include prunes, apples, oranges, bananas, peas, green beans, kidney beans, cooked oatmeal, almonds, peanuts, and whole-wheat bread.

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Nutrition label

This is an example of a nutrition label. To know how much fiber is in a food, look at the line that reads "dietary fiber. " � This product has 3 grams of fiber in each serving.

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Nutrition label

This is an example of a nutrition label. To know how much fiber is in a food, look at the line that reads "dietary fiber. " � This product has 3 grams of fiber in each serving.

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This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you.The use of UpToDate content is governed by the UpToDate Terms of Use. � �2014 UpToDate, Inc. All rights reserved. � �

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