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    Corporate information addenbrooke's hospital research and development the rosie hospital for patients finding us services infection control news for health professionals have your say contact us working for us services colorectal unit meet the team symptoms of a colorectal disorder frequently asked questions - colorectal disorders anal fissures anal fistulas bowel cancer bowel polyps colostomy diverticular disease haemorrhoids (piles) internal sphincterotomy loop ileostomy major bowel surgery minor anorectal surgery pilonidal sinus pruritus ani (anal itchiness) dietary fibre glossary of terms patient information leaflets   anal fissures colorectal unit what is an anal fissure? An anal fissure is a split in the skin at the opening of the anus, which leaves exposed some of the muscle fibres of the anal canal. Pain results from the recurrent opening of the wound when the bowels are opened, and it is often accompanied by bleeding. viagra without a doctor prescription In addition, the inner circle of muscle in the anal canal (called the internal sphincter) goes into spasm: this makes the pain worse and can prevent healing. first time viagra experience Anal fissures are different from haemorrhoids and have no relationship with cancer.       what are the symptoms of an anal fissure? buy cheap herbal viagra Pain on passing faeces, which might persist for minutes or hours afterwards. buy viagra without prescription The pain is typically sharp and knife-like rather than an ache. Bright-red bleeding when you pass faeces. If the fissure is long-standing, a skin tag at the site of the fissure can develop.     what are the treatments for an anal fissure? General measures: a high-fibre diet: by eating a high-fibre diet and drinking plenty of water (6–10 glasses a day), you should aim to keep your motions soft. viagra prices at walgreens Sometimes a fibre supplement (such a fybogel) can help. first time viagra experience Sitz baths: an 'ordinary' 15-minute bath but in water as warm as you can tolerate several times daily (or as often as you require) can be very soothing and provide several hours of pain relief.     what is glyceryl trinitrate (gtn) ointment? prices viagra vs viagra Gtn is a relatively new treatment for anal fissures, which acts by relaxing the internal sphincter muscle. buy viagra from canada This provides pain relief by relieving spasm. It also improves the blood supply to the fissure, which promotes healing in a majority of patients. buy cheap viagra Although gtn is not yet officially licensed for treating fissures, it is widely accepted by colorectal surgeons to be a valuable alternative to surgery, which has previously been the standard practice. Gtn is formulated as a 0. 2% ointment, which can be applied three times a day to the skin around the anus and (if possible) a little inside. The only significant side effect of gtn is that it might cause a headache. viagra viagra jokes If there is no relief of symptoms during a four-week period, then there is little advantage in continuing this form of treatment. buy generic viagra online       what kind of surgery can be performed for an anal fissure? The most commonly used operation to treat anal fissures is called. cheap generic viagra