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  3. Cremaffin Fresh Tablet 10's
  4. Health Queries for Cremaffin Fresh Tablet 10's

  5. What is the complete treatment for a fissure that recurs every 6–7 months? Is surgery necessary, and can it recur after surgery?

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What is the complete treatment for a fissure that recurs every 6–7 months? Is surgery necessary, and can it recur after surgery?

Asked by Male, 47 · 2 months ago

2 months ago

A recurring anal fissure should be evaluated by a doctor to determine its severity and underlying causes, with treatment usually starting conservatively through a high‑fiber diet, adequate hydration, stool softeners, topical ointments to relax the anal sphincter, and sitz baths; if fissures remain chronic or keep returning, options like Botox injections may be considered, while surgery such as lateral internal sphincterotomy is reserved for cases unresponsive to other measures, offering a high success rate but carrying small risks like minor incontinence and a low chance of recurrence, which can be further minimized by maintaining healthy bowel habits after treatment.
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What are the risks of surgery for fissures?How effective is sphincterotomy for fissures?Can fissures come back after surgery?What lifestyle changes help prevent fissure recurrence?When should I consider surgery for fissures?

  1. Understanding Recurrent Anal Fissures

    • Recurrent fissures often result from persistent anal sphincter spasm and inadequate healing.

  2. Non-Surgical Treatment Options

    • Dietary Changes: High-fiber diet and adequate hydration to prevent constipation.
    • Medical Therapies: Topical creams like nitroglycerin or calcium channel blockers to reduce sphincter spasm.
    • Supportive Care: Sitz baths and pain management.

  3. Indications for Surgery

    • Consider surgery if fissures persist despite medical treatment or cause severe pain.
    • Surgical Procedure: Lateral internal sphincterotomy is the most effective.

  4. Surgery Outcomes and Recurrence

    • Surgery heals up to 95% of fissures but recurrence is possible.
    • Risks include incontinence, though rare.

  5. Follow-up and Prevention

    • Regular follow-up with a colorectal specialist is crucial.
    • Maintain dietary and lifestyle changes to prevent recurrence.

  6. Relevant Medical Specialties and Tests

    • Referral to a colorectal surgeon or gastroenterologist may be needed.
    • Diagnostic tests like anoscopy or colonoscopy can rule out other conditions.

Answered 2 months ago

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