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Breakthrough treatment proves 90 success rate on painful anal fissures. Pranicura pruritus ani ointment is a highly effective treatment for. However, you should see your gp if you have an anal fissure as they can give you advice and medications to help ease your symptoms and allow the fissure to heal more quickly. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you dont follow the self-help advice outlined below. An anal tear (fissure) causes pain around the back passage (anus). Chronic anal fissures (present for 6 weeks or longer), and associated pain, may be treated with glyceryl trinitrate rectal ointment 0. 2 unlicensed (available from special-order manufacturers or specialist importing companies). Limited evidence suggests that the strength used does not influence the. An anal fissure is a tear in the mucosa of the anal canal, just inside the anal margin. It is a common condition causing pain on defecation in adults and children. Most anal fissures respond well to conservative or topical management. If your pain is particularly severe, or your symptoms arent improving, there are a number of treatments you can try. The following medicines can help to relieve pain associated with an anal fissure, or help it to heal. The goal of treatment is to relieve pain and discomfort, and heal the torn lining. Acute anal fissures -- the ones that dont last longer than 6 weeks -- are common and usually heal on their own. Breakthrough treatment proves 90 success rate on painful anal fissures. Pranicura pruritus ani ointment is a highly effective treatment for.