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Description:Prescription medications for anal fissures Anesthetics and steroids Topical anesthetics for example, xylocaine , lidocaine , tetracaine, pramoxine are recommended especially prior to a bowel movement to reduce the pain of defecation. Often, a small amount of a steroid is combined in the anesthetic cream to reduce inflammation. The use of steroids should be limited to two weeks because longer use will result in thinning of the anoderm atrophy , which makes it more susceptible to trauma. Oral medications to relax the smooth muscle of the internal sphincter have not been shown to aid healing.
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