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It can also help reduce the pressure in the anal canal, which should ease the pain. Some people also feel dizzy or lightheaded after using the ointment. Side effects can include headaches, dizziness, and itchiness or burning at the site when you use the medicine. You may have a follow-up appointment a few weeks after starting your treatment. This usually involves having some type of surgery.

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There are a number of different surgical techniques that can be used to treat anal fissures.

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Using a pea-sized amount of ointment 5 or 6 times a day is often better than using a larger amount twice a day. If you have an anal fissure, an injection of the toxin can be used to paralyse your sphincter muscle. Page last reviewed: 23 November Next review due: 23 November Children with an anal fissure are usually prescribed an osmotic laxative oral solution.

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