A real pain in the butt

Anal Fissures…WHAT IS THAT?

An anal fissure is a tear in the lining of the anus, the opening where your bowel movements come out. Anal fissures cause pain, especially during a bowel movement. There is a muscle that wraps around the anus and holds it shut. It is called the "anal sphincter." The sphincter gets tense when the anus is injured. In people with anal fissures, the sphincter goes into spasms, which can lead to further injury.

Common Causes and Symptoms

An anal fissure is most often caused by having a hard, dry bowel movement. Most people who have an anal fissure feel a tearing, ripping, or burning pain when they have a bowel movement. This pain can last for hours with some slightly bleeding. They might see bright red blood on the toilet paper or on the surface of the bowel movement.

Secret Is Out; Fallon Wellness has many options!!!

Fallon Wellness Pharmacy uses a myriad of customized prescription ointments to help alleviate the symptoms of anal fissures. According to a study in the American College of Gastroenterology, “topical nifedipine/lidocaine 0.3/2% ointment is an effective and safe-first line treatment for AF with a high cure rate and no adverse effects.”

Medications Commonly Used

Nifedipine 0.5% Ointment Nifedipine 0.5% / Lidocaine 3% Ointment Diltiazem 2% Ointment Diltiazem 2% & Lidocaine 4% or 5% Ointment Nitroglycerin 0.2 % Ointment

Side Effects/What To Expect

Generally, all the listed medications are well tolerated but for patients already on high blood pressure medications, a sense of lightheadedness and dizziness can occur due to the decrease in blood pressure. The combination of lidocaine can also cause a tingling sensation which can commonly be misunderstood as pain. For more info, please consult our pharmacists.

The Fallon Wellness Approach: Evidence-Based!!!

We custom compound ointments, as they are oil based and work better by trapping moisture while absorbing much more slowly over time. Nifedipine and Diltiazem work to relax the smooth muscle around the anus and promotes blood flow which helps heal the fissure. Lidocaine works by temporarily easing the immediate pain and decrease the discomfort of anal fissures. Nitroglycerin works to treat moderate to severe pain caused by long-term anal fissures.



Located At: 1057 Troy Schenectady Road, Latham NY 12110