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Diabetes mellitus, multiple sclerosis, radiation treatment, dementia. Amitriptyline 20 mg orally daily for four weeks significantly improved symptoms in 18 patients based on an point fecal incontinence score On the basis of its wound healing property, Aloe cream has been examined in patients after hemorrhoidectomy and has been effective in reducing postoperative pain both on resting and during defecation, healing time and analgesic requirements in comparison to placebo in patients undergoing hemorrhoidectomy Eshghi et al. So far, special treatments such as internal anal sphincterotomy [ 19 ] and topical use of cream or suppository containing nitrogen oxide [ 20 , 21 ] for hyperactive internal anal sphincter have not been applied in our series. Intrasphincteric injection of botulinum toxin after hemorrhoidectomy in another study reduced maximum resting pressure of the anal canal, accelerated wound healing, decreased postoperative pain on resting and during defecation and reduced analgesics use in patients with hemorrhoids of third and fourth degree in absence of complications or side effects Patti et al. Latijnsch-Hollandsch woordenboek over de geneeskunde en natuurkundige wetenschappen. Most fissures heal within a few weeks and do not require specific treatment.
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Fecal incontinence is the inadvertent passage of flatus, liquid or solid stool. Pruritus ani usually represents a self-perpetuating itch-scratch cycle and is uncommonly due to infection. When fissures are found laterally, tuberculosis, occult abscesses, leukemic infiltrates, carcinoma, acquired immunodeficiency syndrome AIDS or inflammatory bowel disease should be considered as causes. Lie on the floor on your back, knees bent and arms relaxed at your sides.
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