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Find articles by Betsy E. Published by Wolters Kluwer Health, Inc. The work cannot be changed in any way or used commercially without permission from the journal. Anal fissures are a common cause of anal pain.
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Hemorrhoids: Modern Remedies for an Ancient Disease

The gut gastrointestinal tract starts at the mouth and ends at the anus. When we eat or drink, the food and liquid travel down the gullet oesophagus into the stomach. The stomach starts to break up the food and then passes it into the small intestine. The small intestine sometimes called the small bowel is several metres long and is where food is digested and absorbed.
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Increasing efficacy and reducing side effects in treatment of chronic anal fissures

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: Preventing constipation through the use of stool softeners, drinking more fluids while avoiding caffeine -containing products which cause dehydration , and dietary adjustments increase in intake of high fiber foods and fiber supplements ; Soaking in a warm bath also called a sitz bath , 10 to 20 minutes several times a day, to help relax the anal muscles; Cleansing the anorectal area more gently; Avoiding straining or prolonged sitting on the toilet; Using petroleum jelly to help lubricate the anorectal area. These practices heal most fissures 80 to 90 percent within several weeks to several months. However, when treatments fail and anal fissures persist or come back, other measures can be tried, including: Using hydrocortisone-containing suppositories, foams, or creams to reduce inflammation; Applying other creams and ointments.
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Locations Effective Relief for Anal Ulcers An ulcer is a break in the skin or mucous membrane along with loss of tissue at the surface. Ulcers can occur on and within the body, including along the lining of the colon and rectum, and on the anus. Since symptoms of anal ulcers can be associated with several other colorectal conditions , it is important to get the right diagnosis. Patients with symptoms of anal ulcers commonly delay seeking treatment out of embarrassment or fear, which leads to further suffering and worsening of the condition.
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