Anal tears - What treatments work for anal tears?
BMJ Group Medical Reference
If you've got an anal tear that won't heal with simple treatments, your doctor may suggest some ointment or an injection. If these don't work, you may need a small operation. All of these treatments aim to relax the muscle in your anus.
To read more about the simple treatments see What can I do to help my anal tear heal?
Key points about treating anal tears
An ointment that contains glyceryl trinitrate (GTN) helps heal tears in some people. Doctors usually advise trying this treatment first.
Drugs called calcium channel blockers may also help. But we need more research to show how well these work.
Botox injections may also help. They may work better than GTN ointment. But again, we need more research to be sure.
Surgery to relax the anal muscle works well for tears. As with all operations there's a small risk of complications. There's a small chance that you'll lose control over your bowels for a few weeks after the operation.
We've looked closely at the research and ranked the treatments into categories, according to whether they work.
Treatments for anal tears
Treatments that work
Treatments that are likely to work
Treatments that need further study
Treatments that are unlikely to work
The anus, which is at the end of the rectum, is where stools leave your body when you go to the toilet. Part of the anus is a muscle that helps you hold in the stool until you are on the toilet.
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