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Side effects can include headaches, dizziness, and itchiness or burning at the site when you use the medicine. Treatment - Anal fissure Contents Overview Treatment. If your symptoms don't improve within a week or 2, your GP may prescribe a medicine called glyceryl trinitrate GTN , an ointment applied to the anal canal, usually twice a day. Advancement anal flaps Advancement anal flaps involve taking healthy tissue from another part of your body and using it to repair the fissure and improving the blood supply to the site of the fissure. The majority of acute fissures present for less than 6 weeks will heal with GTN treatment. If headaches are a problem, reducing the amount of ointment you use for a few days can help. Some people also feel dizzy or lightheaded after using the ointment.

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Page last reviewed: 23 November Next review due: 23 November

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Follow-up You may have a follow-up appointment a few weeks after starting your treatment. Children with an anal fissure are usually prescribed an osmotic laxative oral solution. Medicines There are a number of different medicines your GP may recommend to help reduce your symptoms and allow your anal fissure to heal. You may have a follow-up appointment a few weeks after starting your treatment.

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