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New Protocol to Treat Anal Fissures | Columbia University Department of Surgery

Be aware that prolonged use of cascara may lead to dependence and tolerance. Use cautiously if pregnant or breastfeeding.

Avoid if pregnant or breastfeeding. Avoid in patients with esophageal disorders, gastrointestinal atony, fecal impaction, gastrointestinal tract narrowing, swallowing difficulties, or previous bowel surgery.

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Symptoms of Chronic Anal Fissure

Use caution in patients with bleeding disorders or those taking drugs that may increase the risk of bleeding. Psyllium, also referred to as ispaghula or isphagula, is derived from the husks of the seeds of Plantago ovata.

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It is usually a same-day surgery, with the patient under general anesthesia.

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Posted by 28.01.2019

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