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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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The primary efficacy endpoint was the change in the Jankovic Rating Scale (JRS) Severity subscore from baseline to week 6 post-injection.

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Endoscopic injection of botulinum toxin is a well-studied treatment option and results in good symptomatic benefit in patients with diffuse esophageal spasm.

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Eliminating and softening stools are usually the primary targets when treating anal fissures.

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Pessoa et al (2015) stated that neuropathic pain is a series of well-known conditions caused by diseases or lesions to the somatosensory system.

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Up to half of people who have a persistent (chronic) anal fissure successfully treated with GTN ointment will have one or more recurrences at some future time.

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They assessed 23 full text articles for eligibility and all of these studies were excluded from the review.

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The efficacy of incobotulinumtoxinA was similar in patients who were botulinum toxin naïve and those who had received botulinum toxin prior to this study.

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Cardizem (diltiazem) for Atrial Flutter: "after Beta Blockers failed to work, and made me gain 20 lbs in 90 days.

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This positive finding is in contrast to that of Hayton et al (2005) who performed a double-blind, randomized, controlled, pilot trial comparing injections of botulinum toxin- A with those of a placebo (normal saline solution) in the treatment of chronic tennis elbow.

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Chronic constipation and chronic diarrhea can also cause an anal fissure by repeatedly straining the lining of the anus.

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In a double-blind, randomized, parallel group study, Finlayson et al (2011) examined the effect of BTX-A injections to the scalene muscles on pain in subjects with thoracic outlet syndrome (TOS).

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