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For the best experience on htmlWebpackPlugin. Application of a 0. You rub a pea-sized dot of cream on the fissure twice a day.

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Anal Fissures: Nitroglycerin Ointment

A small tube called a catheter is inserted into the anus, passing a ring of muscles called the anal sphincter, before passing into the rectum. See the illustration of the lower portion of the digestive system. A small balloon at the tip of the catheter is gradually inflated.

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Anal Fissures: Management and Treatment

The anatomical anal canal extends from the perineal skin to the linea dentata. Surgically, the anal canal extends from the perineal skin to the anorectal ring. This is the circular upper border of the puborectal muscle which is digitally palpable upon rectal examination.

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Your doctor will ask questions about your condition and perform a physical exam that usually includes a visual inspection of your anus. A probe may be used to examine this area for nerve damage. Normally, this touching causes your anal sphincter to contract and your anus to pucker. What you eat and drink affects the consistency of your stools.