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Documented to be the best non-surgical option for prevention and healing of anal fissures. Sitz baths, or hip baths, can promote healing of an anal fissure. By soaking the rectal area in a tub of warm water -- two or three times a day for 10 to 15 minutes -- you can clean the anus. An anal fissure (af) is a small break or tear in the skin of the anal canal, which typically runs from below the dentate line to the anal verge, and is usually situated in the posterior midline 1,2.   aim hypertrophied anal papillae and fibrous anal polyps are not given due importance in the proctology practice. They are mostly ignored being considered as normal structures. Witch hazel extracts contain antioxidant compounds that may protect against sunburn and aging from the sun. What are anal fissures? Anal fissures refer to tears in the anus, the part from which feces are excreted. It is said to be a common condition, affecting as many as 1 in 5 people. Acute anal fissure is a superficial wound on the inner anal edge that causes stinging with defecation and bleeding at the end of the stool. The most common causes are constipation, diarrhoea, long bowel movements and long sitting hours. Nifedipine (adalat discontinued, procardia, afeditab, nifediac), is a drug used for the treatment and prevention of angina, high blood pressure, and abnormal heart rhythms. Off-label uses include anal fissures, migraine headaches, and wound therapy. Documented to be the best non-surgical option for prevention and healing of anal fissures.

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