For the best experience on htmlWebpackPlugin. Application of a 0. You rub a pea-sized dot of cream on the fissure twice a day. It is a good idea to either wear gloves when applying the nitroglycerin cream or wash your hands right after.
Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut.
An anal fissure is a small tear or ulcer open sore in the skin just inside your anus bottom. It causes severe pain, and sometimes bleeding when you pass faeces. Anal fissures often go away by themselves with some simple self-help measures.
The goal of anal fissure treatment is to lower the pressure on the anal canal by making stools soft, and to ease discomfort and bleeding. Conservative treatments are tried first and include one or more of the following:. These practices heal most fissures 80 to 90 percent within several weeks to several months.