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Although the effectiveness of BTX vs. Location of primary and secondary fissure The most common location for primary AF where there is no obvious trigger is the posterior anal midline.

Microtrauma of the anus by constant saddle vibration in professional mountain bikers can lead to chronic inflammation and a resultant AF[17]. Chemical sphincterotomy CS with nitrates, calcium blockers or botulinum toxin BTX is safe, with the rapid relief of pain, mild side-effects and no risk of surgery or anesthesia, but is a statistically less effective therapy for CAF than LIS.

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Its application may influence the development of optimal therapy for CAF.

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He is convinced that a greater understanding and recognition of benign anal disorders by the GP and a proactive involvement at the point of initial diagnosis would facilitate the consideration of CS at an earlier, more practical stage with improved outcomes for the patient. Consumption of spicy food like hot chili peppers aggravates symptoms in patients with an acute AF[ 23 ].

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Posted by 25.01.2019

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