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Diltiazem cream is meant for anal fissures treatment. I was prescribed with this medication after I had constipation and severe pain in my anus. It was nearly killing me every time I was going to the bathroom. At first I didn't want to go to the doctor as I was embarrassed but soon I understood that this disorder won't heal by itself. So I visited a doctor, he wasn't surprised and immediately prescribed me with Diltiazem cream. In 2 days I was happy again. Excellent cream!
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Long-term results of open and closed sphincterotomy for anal fissure.

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The sphincter is identified and elevated, and an electrocautery device is used to divide a segment as far proximal as the fissure itself.

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Patients in whom office-based treatment is ineffective and those with mixed hemorrhoids may require treatment in surgical suites with facilities for anesthesia.

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Clinical trial: Effects of botulinum toxin on levator ani syndrome -- a double-blind, placebo-controlled study.

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An injection of botulinum toxin into the anal sphincter muscle has also been shown to relax the anal sphincter muscle and so help anal fissures to heal.

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