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When you have an anal fissure it means that your bowel got injured and there is a small tear in it that brings you that horrible pain in the ass. Sometimes you can even notice some bleeding. But don't be as stupid as I was - you are not dying! What you need in this case (and what I needed as well) is Diltiazem cream that helps the tears heal. Give it several days and it will bring your anus back n order. Believe my experience!

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Colorectal Disease (c) 2011 The Association of Coloproctology of Great Britain and Ireland.

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Topical diltiazem cream versus botulinum toxin a for the treatment of chronic anal fissure: a double-blind randomized clinical trial.

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If you have any questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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Your doctor may suggest a rectal cream or (Anusol-HC, zinc oxide, others) to help relieve discomfort from a mild fissure.

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Do not take an antacid that has aluminum or magnesium in it within 1 hour before or 2 hours after you take Zithromax.

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Systematic review on the procedure for prolapse and hemorrhoids (stapled hemorrhoidopexy).

In another series, a Parks' retractor or a recto sigmoid balloon has been used for sphincter dilatation.

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Most fissures occur in the posterior midline; this may be anatomically related as there is a lack of tissue support posteriorly within the anal canal.

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GTN versus patients using 2% diltiazem to emphasize the need of changing GTN in order to avoid normal daily routine interruption with the use of this drug.

Application of local anesthetic cream or In another study, Topical diltiazem ointment was used as an agent for chemical sphincterotomy for chronic anal fissure.

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There is evidence demonstrating that the incontinence rate is related to the extent of the lateral internal sphincterotomy and consequently the extent of this procedure should be reduced to the length of the fissure.

In a few reported cases, overdose with calcium channel blockers associated with hypotension and bradycardia that was initially refractory to atropine became more responsive to atropine after the patients received intravenous calcium.

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This leads to hardening of the stools, which further tear the anoderm during defecation, setting a vicious cycle.

Some symptoms of a diltiazem overdose may include fluid retention, fainting, and difficulty breathing.

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In titrating the dose parent will be asked to increase the dose every 2 days until the child pass one normal BM per day without significant efforts.

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OBJECTIVES To evaluate the effectiveness and safety of 2 per cent diltiazem ointment in the treatment of anal fissure.

Ramoska, E; Spiller, H; Winter, M; Borys, D (1993).

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