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Anal fissure recovery

Top of the page. Lateral internal sphincterotomy is surgery to help heal an anal fissure that has not improved with medicine or other treatments. Most people notice that the pain from an anal fissure goes away within a few days after the surgery. You may be worried about having a bowel movement after your surgery. You will likely have some pain with bowel movements at first, but it should be less than what you had before the surgery. You may notice some blood on your toilet paper after you have a bowel movement for the first few weeks after surgery.
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Lateral Internal Sphincterotomy: The Recovery

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Fissure Surgery Postop Instructions - Paul E. Savoca

Lateral internal sphincterotomy is surgery to help heal an anal fissure that has not improved with medicine or other treatments. Most people notice that the pain from an anal fissure goes away within a few days after the surgery. You may be worried about having a bowel movement after your surgery. You will likely have some pain with bowel movements at first, but it should be less than what you had before the surgery. You may notice some blood on your toilet paper after you have a bowel movement for the first few weeks after surgery. You can make your bowel movements less painful by getting enough fibre and fluids and using stool softeners or laxatives. Sitting in warm water sitz bath after bowel movements will also help.
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Lateral Internal Sphincterotomy: What to Expect at Home

Anal fissures can be painful, sometimes to the point that they disrupt everyday activities. Your doctor probably first recommended the typical treatment, consisting of a regimen of stool softeners and medicated creams. If this does not alleviate your symptoms and allow the fissure to heal within a couple of weeks, however, you may need to consider a lateral internal sphincterotomy to find lasting relief.
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Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut.
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