Nitroglycerin ointment fissure

Common Questions and Answers about Nitroglycerin ointment fissure

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I recently underwent an Anoscopy which reported a healing anal fissure. That same day, it was recommended that I have an anal biopsy performed as well. Now, two days after the procedures, I am still in excruciating pain after bowel movements. I have tried Metamucil & Glycerin Suppositories to help soften stool and alleviate the pain but it's no use. My doctor alos suggested Tylenol but that never works with me.
This can be evaluated with a flexible sigmoidoscopy and/or colonoscopy as well as a rectal exam. If the fissure is still present, topical nitroglycerin ointment can be considered. If that doesn't work, one can consider more specialized therapy like botox injections or oral calcium channel blockers. Surgical therapy would be the last resort. These options can be discussed with your personal physician or surgeon. Followup with your personal physician is essential.
thing could be what's called a sentinel pile, and is often seen with a fissure. Cortisone ointment doesn't usually do much. Nitroglycerine ointment is much better. If your doctor isn't familiar with using it, perhaps a referral to a surgeon would be useful. When the ointment doesn't do the trick, a simple operation usually does.
Your doctor may suggest a rectal cream or ointment (Anusol-HC, zinc oxide, others) to help relieve discomfort from a mild fissure. Nitrogylcerin. Applying nitroglycerin ointment to the anus widens blood vessels and increases blood flow to the fissure, promoting healing. This therapy also helps reduce pressure in the anal sphincter, which eases the spasm and decreases pain. Side effects may include headaches, low blood pressure and dizziness.
Since then I have been to the doctor about 4 times as I have found no relief in the creams or any of the recommended treatment. The latest thing he put me on was a nitroglycerin ointment. This has help with the fissure (I know longer have pain when using the restroom) but I have now developed a large, red, swollen bump on the left side of my butt cheek on the inside. It goes down to the actual opening but it does not feel like my actual anus is the source of pain.
Since then I have been to the doctor about 4 times as I have found no relief in the creams or any of the recommended treatment. The latest thing he put me on was a nitroglycerin ointment. This has help with the fissure (I know longer have pain when using the restroom) but I have now developed a large, red, swollen bump on the left side of my butt cheek on the inside. It goes down to the actual opening but it does not feel like my actual anus is the source of pain.
How do you increase the blood flow in the anal area? I am reading online that Nitroglycerin ointment helps a lot.
Has anyone had a chronic fissure that was treated by surgery. Please tell me your experiences (good or bad) after surgery. After the surgery how long did you have unbearable pain. I need to undergo this surgery as well and your responses will give help me a lot.
I feel if I can control the stool size it will give the fissure time to heal. Also, what are your opinions on the wheatgrass ointment? Thanks doc and sorry about the long post.
This would include topical nitroglycerin ointment, oral calcium channel blockers, or botulinum toxin injection. If conservative therapy does not help the symptoms, surgical options may be then considered. You may want to discuss these options with your personal physician. Followup with your personal physician is essential. This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only.
Currently I am 20 pounds underweight lost all my hair am about a week out since my last final chemo feeling a little better but I'm just scared how long will I have this cut in my anus, heck there are two cuts/tears/sores Also I was put on the nitroglycerin ointment and that did nothing at all but made me light headed Has anyone else had the same experience as me? Did your anus recover?
If this is the problem, drink at least 8 glasses of water a day, a fiber/bulking agent to keep the stool soft, and a special formulation of nitroglycerin ointment (not the same formula used on heart patients) applied to the anal area at bedtime is a good start.
If symptoms are severe then you may need Nitroglycerin ointment which is available under prescription. Hope that this information helps and hope that you will get better soon. Wishing you good health.
If this is the problem, drink at least 8 glasses of water a day, a fiber/bulking agent to keep the stool soft, and a special formulation of nitroglycerin ointment (not the same formula used on heart patients) applied to the anal area at bedtime is a good start. http://www.medhelp.
I was experiencing unbelievable pain during bowel movements as well as urination- after visting a slew of doctors, getting very painful urinary tests, I finally visitted a GENERAL SURGEAN (which is who you need to visit first- if you have trouble finding a proctologist- or the like) who told me that the fissures were causing a pile, and can also cause urinary pain... I was perscribed high fiber diet, nitroglycerin ointment, and hydrocortizone suppositories.
The initial treatment of fissures includes one month of bulk fiber supplements, stool softeners, nitroglycerin ointment and Sitz baths. If the symptoms continue, more specialized therapy can be considered. Followup with your personal physician is essential. This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
However, if the fissures do not heal with these remedies or persists after 6 weeks, further evaluation by your doctor and additional treatment are indicated. Nitroglycerin cream can reduce the pressure in the internal anal muscle and allow the fissure to heal. Use it as prescribed by your doctor since this can cause side effects such as headaches, lightheadedness, or fainting from low blood pressure. Try to wear gloves when applying the nitroglycerin cream or wash your hands right after.
The dr first had me use nitroglycerin, now I am on Diltiazem ointment. The rectocele is fairly bad. The worst part is the anal fissures and most of all the Levator/Pelvic Floor dysfunction. Supposedly the therapist is very well trained in it. This is the only area of therapy she does. I appreciate you answering me. I had to go back to work today because I have been off so long and my job is not being very understandable and I can't afford to not work since I am a single mom with 2 kids.
He pulled my buttock apart and said oh my you have two large fissures. Prescribed nitroglycerin ointment 3 times a day. I tried to apply but I guess the pain and my fingers were too big. Went back to surgeon a couple of days later and told him to skip all and do surgery. He said no the pain and recovery wad too much and too long. So he said plan B is now in place. I'm scheduled for a colonoscopy tomorrow.
I am going through the same ordeal and I agree that after the initial diagnosis of a Fissure it became obvious that the spasm after a Bowel Movement is the cause of the fissure being unable to heal. I am being treated with Nitroglycerin 0.2% and it does help with the spasm but I have yet to find any kind of permanent disclosure for the problem.
cause it got worse. I had an annal fissure. They are treatable. I don't remember what I did that was almost 11 yrs ago.
An alternative approach has been local application of botulinum toxin or nitroglycerin ointment, with a view to effecting a medical sphincterotomy. Investigators at the Catholic University of Rome have conducted a randomized trial of these medical interventions. Fifty consecutive adult patients with chronic anal fissure were randomly assigned to receive either 20 units of botulinum toxin (as a single injection into the internal anal sphincter) or 0.
wearing boxer shorts only and during the day keeping triple antibiotic ointment on the fissure..hope this helps..finally getting some relief myself!!!
If the pain continues, you can consider empirically treating an anal fissure - normally starting with a nitroglycerin ointment over the anal sphincter. Another surgical opinion or going to a colorectal specialist can be considered if the symptoms continue. Followup with your personal physician is essential. This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only.
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