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Topical anaesthetics If you have particularly severe anal pain, your GP may prescribe a topical anaesthetic to numb your anus before passing stools. Most people will fully heal within 2 to 4 weeks. If your symptoms don't improve within a week or 2, your GP may prescribe a medicine called glyceryl trinitrate GTN , an ointment applied to the anal canal, usually twice a day. This allows the anal fissure to heal and reduces your chances of developing any more fissures. The main techniques used are outlined below.

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There are a number of different surgical techniques that can be used to treat anal fissures.

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Children with an anal fissure are usually prescribed an osmotic laxative oral solution. Follow-up You may have a follow-up appointment a few weeks after starting your treatment. Topical calcium channel blockers work by relaxing the sphincter muscle and increasing blood supply to the fissure. Page last reviewed: 23 November Next review due: 23 November

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