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But I was still being tormented by one other problem. Topical medicine may be put just inside your anus. Most patients with fissures have a history of constipation. Patients should drink at least two glasses of water or fluids each time they take a fiber supplement dose. Sometimes the opening of the fistula at the skin surface constantly discharges pus or bloody fluid. Releasing a portion of the muscle yields rapid symptomatic relief and heals the fissure.

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