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Glyceryl Trinitrate 0.4% (Nitroglycerine)
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Chronic anal fissure - Generics

A chronic anal fissure is a tear or cut in the lining of the anus that does not heal within six to eight weeks. It is a common condition that can cause discomfort, pain, and bleeding during bowel movements. Chronic anal fissures may be caused by a number of factors, including:

  • Constipation or diarrhea
  • Passage of hard stools
  • Straining during bowel movements
  • Inflammatory bowel disease
  • Anal trauma
  • Anal intercourse

Symptoms of chronic anal fissures may include:

  • Pain during bowel movements
  • Bright red blood on the surface of the stool or toilet paper
  • Itching and irritation in the anal area
  • A visible tear or crack in the skin around the anus

Treatment for chronic anal fissures may include:

  • Dietary and lifestyle changes to improve bowel habits, such as increasing fiber intake, staying hydrated, and avoiding straining during bowel movements
  • Topical medications, such as nitroglycerin or diltiazem cream, which can help to relax the anal sphincter and promote healing
  • Botulinum toxin injections to help relax the anal sphincter
  • Surgery, such as a lateral internal sphincterotomy, which involves cutting the muscle around the anus to relieve pressure and promote healing

It is important to seek medical attention if you are experiencing symptoms of a chronic anal fissure. If left untreated, chronic anal fissures can lead to complications such as infection or abscess formation.


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