new2usmle
Forum Senior
Topics: 48
Posts: 106
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wats the treatment of choice in anal fissure,wats the best initial treatment.
1.stool softeners and local anaesthetic gel
2.lat. spinterotomy
3.manual dilatation
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| DrS
Forum Elite
Topics: 32
Posts: 338
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1. stool softeners and local anaesthetic gel
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| achilles
Forum Guru
Topics: 87
Posts: 1,206
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1-stool softeners and local anesthetic gel.
we can also use topical nitroglycerine(relaxes the anal sphincter) and if there is no relief then local injection of botulinum toxin and if no relief then manual forceful dilatation and if patient wants to go for agressive Rx then lateral sphincterotomy.
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| chemamr
Moderator and PGY1
Topics: 703
Posts: 4,441
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1 
if refractory, lateral sphincterotomy
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| infliximab
Forum Guru
Topics: 22
Posts: 320
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correct!
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