What is the initial treatment for prolonged chronic hemorrhoids and acute anal fissures associated with constipation?

Updated: Jul 04, 2019
  • Author: Marc D Basson, MD, PhD, MBA, FACS; Chief Editor: BS Anand, MD  more...
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Answer

For prolonged chronic hemorrhoids, a trial of aggressive medical treatment (fiber supplementation, increased water intake, exercise, decreased coffee and alcohol intake, sitz baths, and local symptomatic treatment) should be carried out before surgical consultation.

Similarly, acute anal fissures should be managed conservatively because most respond well to aggressive programs of sitz baths, stool softeners, and local anesthetic ointment.


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