The effect of topical nifedipine in treatment of chronic anal fissure.

Author: GolfamFarzaneh, GolfamParisa, KhalajAlireza, Sayed MortazSayed Saaid

Paper Details 
Original Abstract of the Article :
Chronic anal fissure is the most common cause of anal pain associated with internal anal sphincter hypertonia. Reduction of hypertonocity is a special treatment for fissure healing. For this purpose chronic anal fissures were conventionally treated by anal dilatation or by lateral sphincterotomy. Ho...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/21287460

データ提供:米国国立医学図書館(NLM)

The Effectiveness of Topical Nifedipine for Chronic Anal Fissure

Chronic anal fissure, a common condition that causes pain and discomfort, can be a real nuisance. This study, set in the realm of [Proctology], investigates the effectiveness of topical nifedipine, a calcium channel blocker, as a treatment for chronic anal fissure. The researchers sought to compare the efficacy of nifedipine cream to conventional treatments like stool softeners and lidocaine cream. They conducted a [Single-blind randomized comparative trial] with a significant number of participants, meticulously recording the outcomes and side effects. Their findings demonstrate that nifedipine cream can effectively heal anal fissures, providing significant pain relief.

Nifedipine: A Promising Treatment for Chronic Anal Fissure

The study's findings are quite impressive, with 70% of patients in the nifedipine group experiencing healing after four weeks of treatment, compared to only 12% in the control group. This highlights the potential of nifedipine as a valuable treatment option for chronic anal fissure. However, it's important to note that while the recurrence rate was relatively low in the short term, long-term follow-up revealed a higher recurrence rate of 26.19% after 12 months.

Navigating the Desert of Anal Fissure

This study offers a beacon of hope for individuals suffering from chronic anal fissure. The efficacy of nifedipine cream, combined with a low complication rate, makes it a promising treatment option. However, it's essential to be aware of the potential for recurrence and to work with healthcare professionals to manage risk factors such as constipation. As we navigate the challenges of this condition, it's important to stay informed about available treatment options and to seek professional guidance for personalized care.

Dr. Camel's Conclusion

Chronic anal fissure can feel like a prickly cactus in the desert, causing pain and discomfort. This study shows that topical nifedipine, like a cool breeze in the desert, can provide relief and promote healing. While recurrence is a possibility, the study offers a promising treatment option for those suffering from this condition. Remember, seeking professional care and addressing underlying risk factors like constipation can help you navigate this challenging path with greater comfort and ease.

Date :
  1. Date Completed 2011-07-25
  2. Date Revised 2013-11-21
Further Info :

Pubmed ID

21287460

DOI: Digital Object Identifier

16814

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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