Sphincterotomy to remove anal tags
Drinking water with each meal will add 3 glasses of water a day. My CRS only numbed me up locally, so I was in and out of there within an hour.
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Sphincterotomy is not the only treatment available for anal fissures. It involves no surgical procedure.

Anal Fissure Support Forum
Posted in Introduction , Sphincterotomy. Lateral internal sphincterotomy operation itself does not remove skin tag. There is a decreased flow of blood in areas of increased pressure and tension.
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Dr. David Rosenfeld, M.D.
This is a confined space as it does not expand. This is the same analogy with the internal sphincter muscle. My CRS only numbed me up locally, so I was in and out of there within an hour. Water is very important as it is soaked up by the fiber making the stools bulky and soft.
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On the other hand, you have no control of the internal anal sphincter which is in a state of contraction at all times unless you are trying to have a bowel movement.
Remember, the internal anal sphincter does not know how to relax and therefore continuously squeezes the cut causing more pain.