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Proctalgia fugax: Because the pain lasts briefly, there is no treatment that will stop an attack of proctalgia fugax.

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In conclusion, this study shows that when patients are prescribed topical 2% diltiazem cream for treatment of anal fissure in a major metropolitan region, they receive compounded formulations from retail pharmacies that are misbranded in respect to potency approximately 50% of the time and that lack content uniformity approximately 40% of the time.

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When used as directed, it will help reduce swelling associated with anal fissures.

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With the advancement in pharmacotherapy, chemical sphincterotomy is considered as an alternative modality of managing chronic anal fissure.

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The American Society of Colon and Rectal Surgeons practice parameters suggest that increase in fluid and fiber ingestion, use of sitz baths, and if necessary use of stool softeners are safe have few side effects and should be the initial therapy for all patients with anal fissure.

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Fissures are quite common, but are often confused with other causes of pain and bleeding, such as hemorrhoids.

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Diltiazem hydrochloride extended-release capsules are indicated for the treatment of hypertension.

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In the treatment of anal fissures, 20 mg of Nifedipine is given twice daily.

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Protect the anal canal by lubricating it before each bowel movement and use a gentle fragrance-free baby wipe afterwards.

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At trough, 24 hours after dosing, exercise tolerance times using a Bruce exercise protocol, increased by 14, 26, 41, 33 and 32 seconds over baseline for placebo and the 120 mg, 240 mg, 360 mg, and 540 mg treated patient groups, respectively.

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Its use in a small trial showed that after 8 weeks, in 9 of 15 (60%), the fissure had healed with no side effects.

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