KEYWORDS: Anal fissure, Diltiazem, Glyceryl trinitrate. Frequently the fibers of the internal anal sphincter muscle can be seen at the base of this punched-out ulcer. After gentle separation of the skin of the anal verge, the ulcer, usually posterior, can be seen. Sentinel piles (also called sentinel skin tags) may get better without treatment but you may need to have them surgically removed if they are large or cause you problems. Closer inspection will frequently reveal a tag or sentinel pile. However, topical Diltiazem is preferred to topical glyceryl trinitrate due to its lesser side effects and long term better control. Diagnosis can be made by a doctor’s inspection. The rectum is the last six inches of the. CONCLUSION: Topical application of both the ointments, 2% Diltiazem and 0.2% Glyceryl trinitrate observed to be quite effective in treatment of chronic fissure in Ano. Anal fissure is often associated with a lump called sentinel pile, accompanied by pain and bleeding. RESULTS: The study results are comparable to national figures and other studies. Signs and symptoms and side-effects were noted at the given time. Records of patients with anal fissure due to other diseases like inflammatory bowel disease, malignancy, sexually transmitted diseases, previous treatment with local ointment or surgery, patients who required anal surgery for any concurrent disease like hemorrhoids, pregnant women, patients with significant cardiovascular conditions and patients who did not turned up for follow up were excluded. They were assessed at the time of presentation, then at the end of 1st week, 3rd week and at the end of 6th week of treatment. MATERIAL AND METHODS: Out patients records of 231 patients with chronic anal fissure who reported to hospital from August 2011 to August 2014 and treated were randomly selected for both types of management of which 118 patients had received topical 2% diltiazem and 113 were treated with 0.2% glyceryl trinitrate topical ointment thrice daily for 6 weeks. At the proximal end of a chronic anal fissure may be hypertrophied anal papillae, while at the distal margin may be a skin tag (sentinel pile). Sphincter muscle fibres may be visible at the base of a chronic fissure. All surgical procedures carry some risk and both Botox injection and. Abstract : OBJECTIVE: To compare the efficacy, associated side effects in short term as well as long term use of topical Diltiazem and topical GTN in the management of chronic anal fissure. Chronic fissures are wider and deeper than acute fissures, and have raised edges that may be swollen. If a sentinel pile is present, it may be removed to promote healing of the fissure.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |