Anal Fissure


Treatment

  1. Sitz baths
  2. Fiber supplements/stool softeners
  3. Anusol - HC to anus BID x 6 wks
  4. Nitroglycerin oint 0.5% to anus BID X 6-8 wks
  5. Botox inj (20 U) into internal sphincter

Disposition

  1. Patient may be sent home w/rec & f/u, unless signs of significant blood loss or sepsis