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Treatment options for anal fissures, including topical vasodilators, botulinum toxin, and surgery
Most anal fissures heal with home care within days to weeks, but clear thresholds exist for when medical evaluation is necessary: worsening or heavy bleeding, persistent or non‑healing fissures beyond...
Topical vasodilators and agents that reduce internal anal sphincter tone—most commonly (eg, nifedipine) and topical nitrates—have the strongest non‑surgical evidence for promoting healing, and is an e...
is not directly contraindicated for people with Crohn’s disease who have an anal fissure, but the literature reviewed does not study “exercise safety” specifically and emphasizes preventing further lo...
are diagnosed primarily by history and direct inspection of the anoderm, and are managed stepwise from conservative measures—diet, sitz baths and stool softeners—to topical pharmacologic sphincter rel...