2020-11-18T09:24:42
Dr.Phapale Hospital, Otur Centre for Piles & General Surgery Treatmemt of Anal fissure Nonsurgical treatments Externally applied nitroglycerin (Rectiv), to help increase blood flow to the fissure and promote healing and to help relax the anal sphincter. Topical anesthetic creams such as lidocaine hydrochloride (Xylocaine) may be helpful for pain relief. Botulinum toxin type A (Botox) injection, to paralyze the anal sphincter muscle and relax spasms. Blood pressure medications, such as oral nifedipine (Procardia) or diltiazem (Cardizem) Surgery If you have a chronic anal fissure that is resistant to other treatments, or if your symptoms are severe, your doctor may recommend surgery. Doctors usually perform a procedure called lateral internal sphincterotomy (LIS), which involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain, and promote healing.