1. High fiber foods, warm sitz baths, stool softeners (if necessary), and daily application of 1% hydrocortisone cream to the fissure should be recommended. These simple measures may heal acute anal fissures within 3 weeks in 90% of patients.

2. Lateral partial internal sphincterotomy is indicated when 4 weeks of medical therapy fails. It consists of surgical division of a portion of the internal sphincter, and it is highly effective. Adverse effects include incontinence to flatus and stool.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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